National Youth in Transition Database (NYTD) Survey Completed Form Examples and Samples
Explore practical National Youth in Transition Database (NYTD) Survey examples and samples. Learn how to accurately extract and map case data for NYTD reporting requirements.
National Youth in Transition Database (NYTD) Survey Data Extraction Example
How this form was filled:
This example demonstrates how an AI can parse an informal case summary note to populate a formal National Youth in Transition Database (NYTD) Survey. By extracting unstructured data from a caseworker's field report, the AI accurately maps information regarding employment, education, and health insurance to the corresponding fields on the government-mandated form.
Source document used: Caseworker Field Visit Summary
Caseworker Field Visit Summary: Date 05/12/2026. Met with Jordan Taylor today at the downtown community center. We sat in a private room to complete the youth survey. I, Sarah Jenkins, serve as the Regional Placement Specialist for the district, and I walked Jordan through each question. Jordan is doing well—currently, they are employed at a local bookstore working 25 hours a week, but they are not in a full-time position yet. They mentioned that they participated in a retail management internship last summer which really helped them gain confidence. Regarding school, Jordan is fully enrolled in the local community college and is utilizing a Pell Grant to cover their tuition costs. We discussed their financial situation; aside from their paycheck, they receive a modest stipend from a local education foundation. Jordan confirmed they have a supportive mentor, Mr. Henderson, who they reach out to whenever they need career advice. Regarding health, Jordan is currently on Medicaid and that plan provides coverage for their medical, mental health, and necessary prescription drug needs. Jordan reported no history of homelessness and has not been referred for any drug or alcohol counseling services. When asked about legal history, they confirmed they have never been confined in a detention facility. Jordan does not have any children, so those sections remain blank. We finished the paperwork around 2:00 PM and Jordan is feeling optimistic about the upcoming semester.
Information used to fill out the document:
- Youth Identity: Jordan Taylor
- Survey Details: Completed on 05/12/2026 by Sarah Jenkins (Regional Placement Specialist)
- Employment: Part-time employed; completed retail internship
- Education: Currently enrolled in community college with grant funding
- Social Support: Has permanent supportive adult (mentor)
- Health Status: Medicaid recipient with medical, mental health, and prescription coverage
- Risk History: No history of homelessness, drug counseling, or detention
What this filled form sample shows:
- Context-aware extraction from informal narrative prose
- Conditional logic mapping (e.g., only mapping health coverage if Medicaid is confirmed)
- Role classification of the administrator
- Filtering of irrelevant narrative information (e.g., location, optimistic attitude)
- Date normalization from the text to the form standard
Form specifications and details:
| Form Name: | National Youth in Transition Database (NYTD) Survey |
| Domain: | Social Services / Youth Development |
| Language: | English |
| Regulatory Compliance: | Federal HHS Reporting Standards |
| Use Case: | Transitioning youth outcome tracking |
| Categories: | ABA forms |
| Created: | May 25, 2026 10:31 PM |