2023-2024 Annual Parent Center Data Collection Form

Please use this form to submit your data for the annual Parent Center Data Collection. If you have any questions regarding the submission, please contact Myriam Alizo, malizo@spanadvocacy.org, for technical assistance.


For information about collecting and/or organizing your data for this submission, please check out the Parent Center Data Collection page on https://www.parentcenterhub.org/faqs-data-collection/


Please insert ONLY NUMBERS. Do not include text. If you have no data, enter the number "0". All fields are mandatory. Notes or comments about your data can be included in the "Comments" area at the end of each section.


If you need to leave this form and want to come back to complete the information, please e-mail malizo@spanadvocacy.org to receive a link for your data submission.

 
 

If you are not sure of what region your Parent Center is in, click here https://www.parentcenterhub.org/rptacs/

 

SECTION I. CONTACTS

In this section, report the numbers of individuals attending trainings and individual technical assistance contacts. This will be a DUPLICATED COUNT (example: Mr. Jones is one parent but might have participated in 10 different training activities, so the number for Mr. Jones is 10). Please insert ONLY NUMBERS. Do not include text. If you have no data, enter the number "0". All fields are mandatory. Notes or comments about your data can be included in the "Comments" area at the end of each section. If you have contacts to report that do not fit in any of the categories listed, please report those numbers in the Comments section.

 
 

A. TRAININGS

In this section, you will report the numbers of attendees that have participated in your Center's training activities. These numbers are duplicative. Virtual trainings | Parent Center presentations delivered using methods that are not in-person and that are funded, in whole or in part, by the Parent Center project, including: ● Training using live web, live social media platforms, phone/video conferencing technology, or other live virtual methods; ● Training delivered via access to Parent Center presentation materials (e.g., recordings of webinars, phone conferences, on-line self-paced training, and other means of access to presentations) available via Parent Center’s website, social media platforms, or other methods used to reach participants that are not in-person. Count attendees based on: ● Number of participants seen on the webinar attendance list during the conference, roll call, number of video views on social media, or in conference log for phone conference. ● Number of views (e.g., pageviews reported in web analytics) of archived online trainings. Mirroring reporting for in-person training, people should be counted once only by using the unique views for webinar, social media, and website training; and unduplicated number of participants for roll call, or in conference log for phone conference Definitions: Under transition age= children that have not yet reached transition age as defined by your state Transition age= youth who are of transition-age or older, as defined by your state and older For more definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 
 
 
 
 
 
 
 
 
 
 

B. INDIVIDUAL ASSISTANCE CONTACTS

In this section, report the numbers of contacts with parents of children under transition age, parents of youth of or over transition age, professionals, and youth for individual assistance. These numbers are DUPLICATED (example: Mr. Jones is one parent but might have called 10 times, so the number for Mr Jones is 10).


For EMAILS, TEXTS, AND OTHER ELECTRONIC MODES, count number of contacts using email or other electronic modes (use the number of conversations, not each message separately). This is for one-to-one individual assistance. Do not include mass emails that are for disseminating resources or for outreach activities.


For Individual Assistance Meetings, include in-person meetings and virtual individual meetings.


For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

SECTION II. UNDUPLICATED NUMBER OF PARENTS AND YOUTH/YOUNG ADULTS SERVED

Please insert ONLY NUMBERS. Do not include text. Notes or comments about your data can be included in the "Comments" section at the end of each Section.

 
 

PARENTS AND YOUTH/YOUNG ADULTS SERVED | UNDUPLICATED NUMBER

For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 
 
 
 

Three (3) Lists of Contacts are needed to complete Part 2 Data Collection, referred to as the Program Measures Survey, where your Center will ask a specific number of parents and youth/young adults with disabilities about their satisfaction with the information or services they received from your Center in the last six (6) months of the program year.


Parent Centers need to submit three (3) lists to conduct the surveys:

(a) one list with the unidentified contacts of the families of children under transition age that have been served by the center during the last six months of the program year. (FC)

(b) one list with the unidentified contacts of the families of transition-age youth and older that have been served by the center during the last six months of the program year. (FT)

(c) one list with the unidentified contacts of youth who are of transition age and older that have been served by the center during the last six months of the program year. (Y)


Excel Sheet Template List of Contacts


Each list must have a minimum of two (2) unidentified contacts.


You can use the template provided above (Excel Sheet Template List of Contacts) or you can create one Excel document with three (3) sheets (Excel format required). Name the document [Your Parent Center's Name]-


Lists of Contacts (One Excel doc with 3 sheets):

(1) Sheet 1= List of families of children under transition age. Name this sheet "FC".

(2) Sheet 2= List of families of transition-age youth and older. Name the sheet "FT".

(3) Sheet 3= List of youth who are of transition age and older. Name this sheet "Y".


These 3 lists should only include contacts for whom you have either a phone number or an email address, so that you will be able to contact them in order to administer the Program Measures Survey.


Personal identifiable information for the contacts (i.e., name, address, phone, etc.) is NOT required. However, the list should be coded (numerically or alphanumerically) in such a way that you will know who the person is, if you are asked to contact them for the Program Measures Survey.

Drop your files here
 
 
 
 

III. DEMOGRAPHIC INFORMATION

In this section, please insert ONLY NUMBERS. Do not include text. Notes or comments about your data can be included in the "Comments" section at the end of each Section. Definitions: Under transition age= children that have not yet reached transition age as defined by your state Transition age= youth who are of transition-age or older, as defined by your state and older

 
 

A. FEDERAL DISABILITY CATEGORIES

In this section, you’ll be reporting the number of infants, toddlers, children under transition age, and youth over transition age served by your Parent Center according to the Federal disability categories. These numbers are duplicative. For individual assistance, count the number of contacts. For trainings, count the number of people that participated in trainings. *Note: Any time a question mentions "regarding" or "about" youth and young adults of transition age and older, this can include contacts with the family member or the youth themselves. For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 

Autism

 
 
 
 
 

Deaf-Blindness

 
 
 
 

 

Deafness

 
 
 
 
 

Developmental Delay (Early Childhood 0-5)

 
 
 

Emotional Disturbance

 
 
 
 
 

Hearing Impairment

 
 
 
 
 

Intellectual Disability

 
 
 
 
 

Multiple Disabilities

 
 
 
 
 

Orthopedic Impairment

 
 
 
 
 

Other Health Impairment

 
 
 
 
 

Specific Learning Disability

 
 
 
 
 

Speech/Language Impairment

 
 
 
 
 

Traumatic Brain Injury

 
 
 
 
 

Visual Impairment Including Blindness

 
 
 
 
 

Inappropriately Identified

 
 
 
 
 

Suspected or Not Yet Identified

 
 
 

 
 

Disability Was Not Disclosed

 
 
 
 
 

B. AGES

In this section, you’ll be reporting the number of infants, toddlers, children under transition age, and youth over transition age served by your Parent Center according to the Federal disability categories. For individual assistance, count the number of contacts. For trainings, count the number of people that attended trainings. *Note: Any time a question mentions "regarding" or "about" youth and young adults of transition age and older, this can include contacts with the family member or the youth themselves. For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 

Please indicate whether the data you are reporting in this next section is duplicated or unduplicated. If you don't know or are not sure, select duplicated.

 

Ages Birth to Age 3

 
 
 

Ages 3 through 5

 
 
 

Ages 6 through 11

 
 
 

Ages 12 to state transition age

 
 
 

Youth who are of transition age and older

 
 
 

C. RACE/ETHNICITY

In this section, you’ll be reporting the number of infants, toddlers, children under transition age, youth and young adults of transition age and older served by your Parent Center. For individual assistance, count the number of contacts. For trainings, count the number of people that attended trainings. *Note: Any time a question mentions "regarding" or "about" youth and young adults of transition age and older, this can include contacts with the family member or the youth themselves. For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 

Please indicate whether the data you are reporting in this next section is:

 

Ethnicity: Hispanic or Latino

 
 
 
 
 

Ethnicity: Not Hispanic or Latino

 
 
 
 
 

Ethnicity: Not Disclosed

 
 
 
 
 

Race: Caucasian/White

 
 
 
 
 

Race: African-American/Black

 
 
 
 
 

Race: American Indian/Native American/Alaska Native

 
 

 
 
 

Race: Asian

 
 
 
 
 

Race: Native Hawaiian/Pacific Islander

 
 
 
 
 

Race: Two or More Races

 
 
 
 
 

Race: Undisclosed

 
 
 
 
 

D. PRIMARY LANGUAGE SPOKEN

In this section, you’ll be reporting the primary language spoken by everyone served by your Parent Center. *Note: Any time a question mentions "regarding" or "about" youth and young adults of transition age and older, this can include contacts with the family member or the youth themselves. For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 

English

 
 
 
 
 

Spanish

 
 
 
 
 

Other

Other languages

 
 
 
 
 
 
 
 

IV. MEETINGS

In this section, please insert only numbers. Do not include text. Notes or comments about your data can be included in the "Comments" area at the end of each section.

 
 

A. MEETINGS ATTENDED TO SUPPORT PARENTS AND YOUTH/YOUNG ADULTS

For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 
 
 
 
 
 
 
 
 
 

B. COLLABORATIONS FOR IMPROVING SYSTEMS

For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 
 
 
 

Of the meetings attended above, how many are with systems directly related to serving youth and young adults.

 
 
 

V. OUTREACH AND DISSEMINATION

 
 

A. OUTREACH AND DISSEMINATION

For definitions of terms go to: http://www.parentcenterhub.org/definitions-key/

 

Add the total number of Parent Center periodicals distributed (print or online newsletters, magazines, e-newsletters, etc.), the print periodicals mailed or handed out, the number of subscribers or recipients of newsletters sent via e-mail, and the number of pageviews of newsletters posted on Parent Center’s website.

 

Social media reach refers to the total number of users who have seen your content in any of your given social media platforms. This is not dependent on the number of followers, likes, or shares. • For example, you can have 10,000 followers; however, if you post an article, it may only be seen by 300 people. 300 would be your reach and the number you should report. This reach encompasses all content that your Parent Center posts on the various social media platforms, including but not limited to Facebook, Twitter, Instagram, etc. Social media reach can typically be viewed under each post or through social media analytics tools. The best practice to collect social media analytics is to run monthly reports. Note: Views of training videos posted in social media (e.g., Facebook Live, YouTube, InstaLive, etc.) are counted under “Virtual Trainings” only.

 
 
 
 
 
 
 
 
 

Your Contact Information

Please let us know who we can contact, if there are any questions about your submission.