Delaware Workforce Investment Board (Dwib)

DELAWARE WORKFORCE INVESTMENT BOARD (DWIB) PROPOSAL REVIEW SCHEDULE REQUEST FOR PROPOSAL Youth Summer Employment Opportunities Stimulus Funds Issued: April 8, 2010

April 14, 2010 ORIENTATION (Note Location) Time: 1:00 p.m. Buena Vista Dining Room 661South DuPont Hwy New Castle, Delaware

April 20, 2010 BEST AND FINAL OFFERS DUE (Six (6) copies) (Note Location) NO LATER THAN 4:00 P.M. DWIB c/o DE Dept of Labor Division of Employment & Training, 4th Floor 4425 N. Market Street Wilmington, DE. 19802

Please note that the Best and Final Offers must be delivered to the DWIB office no later than 4:00 p.m. on April 20, 2010. Incomplete Proposals will not be considered.

April 26, 2010 PROPOSAL PRESENTATIONS Time: 8:30 a.m. start Buena Vista Dining Room 661South DuPont Hwy New Castle, Delaware

April 27, 2010 DWIB APPROVAL OF FUNDING AWARDS (Subject to change without notice)

EQUAL OPPORTUNITY EMPLOYER/PROGRAM Auxiliary aids and services are available upon request to individuals with disabilities.

1 TABLE OF CONTENTS

EQUAL OPPORTUNITY ASSURANCE

PART A -REQUEST FOR PROPOSAL GUIDANCE

I. CAVEAT II. PURPOSE III. SOLICITATION IV. SPECIFIC PROGRAM SOLICITATION V. TARGETED POPULATIONS & ELIGIBILITY CRITERIA VI. PERFORAMNCE STANDARDS VII. OTHER SOLICITATION INFORMATION VIII. POLICIES IX. COST CATEGORIES, BUDGETING & CONTRACTING X. PROPOSAL REVIEW PROCESS & PROCEDURES XI. PROPOSAL EVALUATION XII. DEFINITIONS

PART B - PROPOSAL FORMS – FEDERAL STIMULUS FUNDS

PROPOSAL DATA SUMMARY

TARGET OULINE QUESTION # 1, YOUR PRODUCT

TARGET OULINE QUESTION # 2, MILESTONES

BUDGET PAGES (SUMMARY, EMPLOYEE LISTING, BACKUP, DIRECT BENEFITS)

PART C – APPENDICES (These are included for reference. All appendices are subject to change at the sole discretion of the Delaware Workforce Investment Board and do not include all policies and forms that awarded agencies will be required to follow and use.)

A. Work Readiness Skills Assessment

B. Individual Service Strategy Policy

C. Income Guidelines

2 D. 14.8 - Documentation of Program Eligibility

EO Assurance

As a condition to the award of financial assistance from the Delaware Workforce Investment Board and the Department of Labor under Title I of WIA, the grant application assures that it will comply fully with the nondiscrimination and equal opportunity provisions of the following laws:

Section 188 of the Workforce Investment Act of 1998 (WIA), which prohibits discrimination against all individuals in the United States on the basis of race, color, religion, sex, national origin, age, disability, political affiliation or belief, and against beneficiaries on the basis of either citizenship/status as a lawfully admitted immigrant authorized to work in the United States or participation in any WIA Title I financially assisted program or activity;

Title VII of the Civil Rights Act of 1964, as amended, which prohibits discrimination on the bases of race, color and national origin; Section 504 of the Rehabilitation Act of 1973, as amended, which prohibits discrimination against individuals with disabilities;

The Age Discrimination Act of 1975, as amended, which prohibits discrimination on the basis of age; and

Title IX of the Education Amendments of 1972, as amended, which prohibits discrimination on the basis of sex in educational programs.

The grant applicant also assures that it will comply with 29 CFR Part 37 and all other regulations implementing the laws listed above. This assurance applies to the grant applicant’s operation of the WIA Title I financially assisted program or activity, and to all agreements the grant applicant makes to carry out the WIA Title I financially assisted program or activity. The grant applicant understands that the United States has the right to seek judicial enforcement of this assurance.

3 I. CAVEAT

This Request for Proposal is being issued in anticipation of the availability of Federal WIA & TANF Stimulus funds and/or pending legislation for Summer Employment Experience for Youth. At the point of issuance guidance regarding these funds has not been issued or agreed upon if funds are received. DWIB reserves the right at its sole discretion to make any revision to this Request for Proposal or subsequent contracts that it deems necessary to be in full compliance with any applicable federal guidance and regulations or other funding source guidelines and regulations.

II. PURPOSE

The Delaware Workforce Investment Board (DWIB) with the issuance of this Request for Proposal (RFP) is requesting proposals for the following type of training:

1. Summer Employment Experience for youth (14 – 21)

The sources of funds that will fund this solicitation are the following:

1. U.S. Workforce Investment Act ("WIA") through the American Recovery and Reinvestment Act of 2009 (ARRA)

2. TANF Funds

III. SOLICITATION

1. The funding levels identified are estimates, based on historical information. The estimates are subject to change without notice. WIA Youth ($ 300,000) TANF ($950,000 )

2. Proposals are competitive. Competitive elements to be considered are (a) the minimum number of participants, (b) the percentage of those participants who will achieve a Work Readiness outcome , (c) the services to be delivered, (d) the cost and quality of the services, (e) program completion rates for all participants, (f) quality of the work experience sites/projects

3. Proposals from vendors with experience in operating a federally funded summer youth employment programs with youth placed in a variety of worksites may be given extra points in the proposal evaluation.

IV. SPECIFIC PROGRAM SOLICITATION

The Delaware Workforce Investment Board is soliciting proposals for Summer Employment Experience Programs for WIA eligible youth between the ages of 14 and 21. In addition to achieving the outcomes described in “Performance Standards and Definitions”, the Delaware

4 Workforce Investment Board is seeking proposals from organizations whose program model emphasizes realistic work experience opportunities and work readiness skill development consistent with the age of the participant.

Design Requirements

Program proposals will target the neediest of youth.

Providers will recruit all youth. In doing this, providers will link with schools, adult education providers, Division of Social Services, and the Department of Services for Children Youth and their Families, local community centers, local faith-based community organizations, past State Summer Youth Employment contractors and other agencies.

Interest and compatibility for the program will be determined through assessments that will establish the baseline for work readiness skill training that will begin upon enrollment

Projects should be designed for a four to ten week period between June 27, 2010 and September 30, 2010.

Youth participants will be compensated at the minimum wage and will work no more than 210 hours during the entire program unless approval is granted by DOL/DET.

Separate Proposals must be submitted for each Geographic Area (City of Wilmington, New Castle County (outside the City of Wilmington), Kent County, and Sussex County).

All youth being served with WIA and TANF funds must be determined eligible in accordance with the eligible youth definitions in this RFP.

Mandated Program Elements

The program(s) solicited will provide youth with the following:

1. All youth served will receive Summer Employment Opportunities including Work Experience.

WORK EXPERIENCES FOR YOUTH (664.460 Federal Register / Vol.65, No 156/Friday, August 11, 2000) -  Work experiences are planned, structured learning experiences that take place in a workplace for a limited period of time. Work experiences may be paid or unpaid.

 Work experience workplaces may be in the private, for-profit sector; the non-profit sector; or the public sector. (664.470 – “funds under the act may be used to pay wages and related benefits for work experience in the public, private, for profit, or non-profit sectors where the objective assessment and individual service strategy indicate the work experiences are appropriate.”)

 Work experiences are designed to enable youth to gain exposure to the working world and its requirements. Work experiences are appropriate and desirable activities for many youth

5 throughout the year. Work experiences should help youth acquire the personal attributes, knowledge, and skills needed to obtain a job and advance in employment. The purpose is to provide the youth participant with the opportunities for career exploration and skill development and is not to benefit the employer, although the employer may, in fact, benefit from the activities performed by the youth. Work experiences may be subsidized or unsubsidized and may include the following elements:

(1) Instruction in employability skills or generic workplace skills such as those identified by the Secretary's Commission on Achieving Necessary Skills (SCANS); (2) Exposure to various aspects of an industry; (3) Progressively more complex tasks; (4) Internships and job shadowing; (5) The integration of basic academic skills into work activities; (6) Supported work, work adjustment, and other transition activities; (7) Entrepreneurship; (8) Service learning; (9) Paid and unpaid community service; and (10) Other elements designed to achieve the goals of work

Programs must also integrate the following into their program.

 Provide assessments of the work readiness skill levels pre and post program (Appendix A), service needs of each participant, which shall include prior work experience, interests, aptitudes, supportive service needs, and developmental needs.  Develop individual service strategies (Appendix B) for each participant that identifies a work readiness, employment and/or academic goal and a need for summer employment opportunities, (including, in appropriate circumstances, nontraditional employment), appropriate achievement objectives and appropriate services for the participant taking into account the outcome of the objective assessment.

Proposed programs may also incorporate activities such as:  Leadership development opportunities, which may include community service and peer- centered activities encouraging responsibility and other positive social behaviors during non-school hours, as appropriate;  Structured Work Readiness curriculum instruction;  Comprehensive guidance and counseling, which may include drug and alcohol abuse counseling and referral, as appropriate.

V. TARGETED POPULATIONS AND ELIGIBILITY CRITERIA

1. Youth served through this youth program will be funded by WIA Youth and TANF Funds. Youth served with WIA funds must meet the following eligibility criteria:

a. Is age 14 – 21;

b. Is a low income individual defined as follows;

6  Receives or is a member of a family that receives cash payments under a Federal, State or Local income based public assistance program.  Received an income or is a member of a family that received a total family income, for the 6 month period prior to application for the program involved (exclusive of unemployment compensation, child support payments, public assistance payments, and Old Age and Survivors benefits received as a result of the Social Security act) that in relation to family size does not exceed the higher of – (i) The poverty line for the equivalent period; or (ii) 70% of the lower living standard income level for the equivalent period (Appendix C).  Is a member of a household that receives (or has been determined in the six month period prior to application for the program involved to be eligible to receive) food stamps;  Qualifies as a homeless individual;  Is a foster child on behalf of whom State or local government payments are made;  In cases permitted by regulations promulgated by the Secretary of Labor, is an individual with a disability whose own income meets the requirements of a program, but who is a member of a family whose income does not meet such requirements.

c. Is within one or more of the following categories:  Deficient in basic literacy skills;  School dropout;  Homeless, runaway, or foster child;  Pregnant or parenting;  Offender; or  Is an individual who requires additional assistance to complete an educational program, or to secure or hold employment. This is defined by the Delaware Workforce Investment Board as: o An individual whose educational level is two or more grade levels below the grade level appropriate to the age of the individual o An individual identified as at risk in TEGL 03-04 & TEGL 28-05 not specifically identified in Section 101 (13) (c) including youth at risk of dropping out, dropouts, aging out of foster care, court involved youth, children of incarcerated parents, migrants, Indian and Native American youth and youth with disabilities.

d. 30% of all youth served with WIA funds will be Out of School youth.

2. Youth served through this youth program will be funded by WIA Youth and TANF Funds. Youth served with TANF funds must meet the following eligibility criteria:

c. Is age 14 – 21;

d. Is a low income individual defined as follows;

7  Receives or is a member of a family that receives cash payments under a Federal, State or Local income based public assistance program.  Received an income or is a member of a family that received a total family income, for the 6 month period prior to application for the program involved (exclusive of unemployment compensation, child support payments, public assistance payments, and Old Age and Survivors benefits received as a result of the Social Security act) that in relation to family size does not exceed the higher 200% of the poverty level for the equivalent period (Appendix C).  Is a member of a household that receives (or has been determined in the six month period prior to application for the program involved to be eligible to receive) food stamps;  Is a foster child on behalf of whom State or local government payments are made;

Contractors will be responsible for documenting all eligibility information prior to enrollment consistent with the policy of the Delaware Workforce Investment Board. CMPOL 14.8 (Appen- dix D)

VI. Performance Standards (contract performance standards) The outcome goal for the Summer Employment Experience participants funded with stimulus funds is the following: Both these percentages and the measures are subject to change.

Youth – (Youth 14 to 21 years of age at program entry)

1. Work Readiness Skill Attainment Rate measures the attainment work readiness skills while receiving services. 88%

WIA Calculation: Of all in-school youth and any out-of-school youth assessed to be in need of work readiness skills (WR):

Total # WR skills (Divided by) Total # of WR skills goals

VII. OTHER SOLICITATION INFORMATION

1) Preference will be given to proposals, in the proposal rating criteria that demonstrate the ability to operate quality, cost effective training programs that provide meaningful work experience.

Proposals from vendors with experience in operating a federally funded summer youth employment programs with youth placed in a variety of worksites may be given extra points in the proposal evaluation.

2) Youth proposers will enter into partnerships (with other contractors or other youth providers) that produce synergy. Proposers demonstrating a synergistic partnership may be given priority in funding. Synergistic activity will produce an outcome greater than the sum of the efforts taken independently.

8 3) Youth proposers, consistent with the USDOL Youth Vision, will plan for improved youth performance while continuing to serve the “at risk/neediest” youth population as described in the TEGL 28-05. This will include establishing linkages with alternative education and direct involvement with the Business community (areas such as speakers, volunteers trainers, work shadowing, internships, & employment).

4) Selected Proposers must be willing to expand their program in order to serve the maximum number of youth should additional funds become available.

5) To the extent possible funds will be allocated as follows:

City of Wilmington (exclusive of New Castle County) - 30% New Castle County - 30%

Kent County - 20% Sussex County - 20%

6) Selected Proposers will receive WIA Youth and TANF funding on a pro rata basis.

VIII. POLICIES

1) The existence and contents of proposals are confidential and as such will not be discussed with any proposer or outside party by staff or Board members at any time other than designated official proposal review periods. Proposers also should be aware that they are competitors and should not discuss the contents of proposals with others. Proposals received are considered the property of the DWIB and will not be returned.

2) All proposals funded through this Request for Proposal (RFP), when viewed in their entirety, will be readily accessible to disabled individuals and will conform with all non discrimination and Equal Opportunity laws and regulations covered by Section 188 of the Workforce Investment Act.

3) All proposers must establish linkages with other state and community agencies in order to assure the delivery of services indicated above.

4) All proposers must be capable of obtaining supportive services.

5) It is the policy of the Delaware Workforce Investment Board that all participants will receive work maturity skills training, which includes job search, and substance abuse prevention skills.

6) All service providers will be responsible for recruitment, enrollment, work experience training, and work readiness skill attainment, insuring that youth are paid in a timely manner etc.. The Contractor is also responsible for determining and documenting eligibility and providing the MIS section with required data.

7) Proposals, submitted through this RFP, will describe the entire program to be considered. The Proposal should reflect 100% of services, budget, and participants. Contracts may be funded in

9 its entirety, or any portion of the cost of a training program. Selected proposers may make available on a tuition basis any portion of a program that is not funded.

8) All selected proposers, will provide information regarding their training to the “One Stop” offices. The information will include; training type, schedule, entrance criteria, eligibility, and the number of slots available on a tuition basis and their cost, if appropriate.

9) All selected Proposers must outreach their local Division of Social Services (DSS) and place youth participants in available jobs at DSS locations.

10) A final report is required of all contractors to include the name, address, social security number, hours in work experience, wages paid. This will be provided by funding source in the format requested by DET/DWIB.

IX. COST CATEGORIES, BUDGETING, AND CONTRACTING

1) Contract Extensions -The DWIB reserves the right to negotiate one one-year extension to contracts funded through this Request for Proposal. The minimum criteria for extension will be satisfactory performance for the review period. The DWIB reserves the right, at its sole discretion, to specify the review period.

2) Cost Allocation - All budgeted costs must be allocable to one of two categories: (1) administration, (2) program. Administration may not exceed 12% of the total budget. Although the breakout of costs is not a Request for Proposal requirement, proposals that are funded must meet this requirement.

3) The following costs are not allowable charges under the WIA program:  Costs of fines and penalties resulting from violation or, failure to comply with Federal, State, or local laws and regulations.  Back pay, unless it represents additional pay for WIA services performed for which the individual was underpaid;  Entertainment costs  Bad debts expense  Insurance policies offering protection against debts established by the Federal Government  Contributions to a contingency reserve or any similar provision for unforeseen events  Costs prohibited by 29CFR part 93 (Lobbying)  Costs of activities prohibited in 627.205 (Public service employment prohibition); and 627.210 (non-discrimination)  Ceremonial and graduation costs

4) Profit is an allowable expense for “for profit” trainers. All profit is negotiable. No profit will be allowed until all contracted performance is achieved.

5) 75% of the budget will be used for youth wages. This does not include fringes benefits.

10 6) No funds shall be used for any casino or other gambling establishment, aquarium, zoo, golf course or swimming pool consistent with section 1604 of Division A of the Recovery Act.

X. PROPOSAL REVIEW PROCESS AND PROCEDURES

1. Serious proposers should attend an orientation meeting on April 14, 2010 at the Buena Vista, 661 south DuPont Hwy, New Castle, Delaware. The orientation for potential proposers will begin at 1:00. Questions regarding this Request for Proposal will be answered at the orientation. Questions will be answered at the orientation and at no other time.

2. Six copies of each proposal are due no later than 4:00 P.M. on April 20, 2010. They will be submitted to the Delaware Workforce Investment Board (DWIB) c/o DE Dept of Labor, Division of Employment & Training 4th Floor, 4425 N. Market Street, Wilmington, DE. 19802

3. A separate Proposal for each geographic area is required.

 Proposals are considered “confidential” information until funding decisions are final.

 All proposals become the sole property of DWIB.

 The proposals submitted in response to this Request for Proposal will be processed after submission as follows:

 A pre-screening will be performed by staff to insure that each BAFO is responsive to the Request for Proposal (RFP).

 “Best and Final” offers will be presented by the proposer to a subcommittee of the DWIB. The DWIB will decide based on that presentation, and related data, whether to fund the offer. Funding may be for all or part of the offer.

 Oral presentations will be made to the DWIB proposal review committees on April 26, 2010. Individual appointments will be scheduled. NOTE: Handouts, promotional materials, videos, overheads, etc., are not permitted at oral presentations.

 The “Best and Final” offer will be analyzed by staff. Analysis will include a comparison with other similar offers, provider past performance, and other DWIB performance/contract placement standards. The analysis will be provided to the DWIB, which will make the decision on funding.

 Funded proposals will be expected to provide the services specified, at the cost proposed in the “Best and Final” offer unless further proposal development is specified by the DWIB.

 The DOL/DET contract staff may submit a concern to DWIB on matters discussed in proposal development.

11  Proposers may request an explanation of the basis of the awarding of funds from the Executive Director of the DWIB. The request must be in writing and must be submitted within ten (10) days of the award. Proposers who feel that a provision of the WIA has been violated may file a complaint. Information on the filing of a complaint may be obtained through the DWIB office.

XI. PROPOSAL EVALUATION

All proposals presented for DWIB consideration will be reviewed and evaluated according to the following criteria:

Youth Training

Demonstrated Ability (30%)  Proposer demonstrates the ability to operate like or similar high quality, cost effective training programs that result in high placement rates.

Experience Operating Federally funded Summer Youth Employment Programs (10%)  Proposer demonstrates specific experience operating federally funded Summer Youth Employment Programs that utilized a variety of work experience sites.

Cost (25%)  Costs are reasonable and competitive as compared to other similar programs.

Program Design and Proposed Results (25%)  Number and quality of staff is adequate.  All required program elements are included.  Work Readiness competencies are taught through sequential quality work placements.  Focus on green work experiences.

Linkages with schools / other youth agencies (10%)  Specific linkages with specific schools / programs have been established.  Evidence of specific services that will be provided through the linkages is provided.

XII. DEFINITIONS

ADULT - Except in sections 127 and 132, the term "adult" means an individual who is age 18 or older.

BASIC SKILLS DEFICIENT - The term "basic skill deficient" means, with respect to an individual, that the individual has English reading, writing, or computing skills at or below the 8 th grade level on a generally accepted standardized test or a comparable score on a criterion-referenced test.

CASE MANAGEMENT - The term "case management" means the provision of a client-centered approach in the delivery of services, designed (a) to prepare and coordinate comprehensive employment plans, such as service strategies, for participants to ensure access to necessary workforce investment activities and supportive services, using, where feasible, computer-based technologies; and

12 (b) to provide job and career counseling during program participation and after job placement.

COMMERCIALLY AVAILABLE OFF-THE-SHELF TRAINING PACKAGE means a training package sold or traded to the general public in the course of normal business operations, at prices based on established catalog or market prices. To be considered as sold to the general public, the package must be regularly sold in sufficient quantities to constitute a real commercial market to buyers that must include other than WIA programs. The package must include performance criteria pertaining to the delivery of the package, which may include participant attainment of knowledge, skills or a job.

COMMUNITY-BASED ORGANIZATION - The term "community-based organization" means a private nonprofit organization that is representative of a community or a significant segment of a community and that has demonstrated expertise and effectiveness in the field of workforce investment.

COMPETENCY - The term “competency” means a skill or knowledge, accepted by the DWIB, to be achieved by an individual in order to achieve a program credential.

COMPLETER – The term “completer” means a participant who successfully complies with the definition of program credential completion in the Contract.

COMPLETION – The term “completion” means the successful achievement of the requirements of training specified in the contract. Generally this is defined by a combination of hours of attendance and competency attainment.

COST ANALYSIS – The term “Cost Analysis” means the review and evaluation, element by element, of the cost estimate supporting an organizations proposal for the purpose of pricing the contract.

COST REIMBURSEMENT CONTRACT – The term “Cost Reimbursement Contract” means an agreement that provides for the payment of actual costs incurred to the extent prescribed in the agreement. Instead of paying the contractor to meet all the terms and conditions at a specified price, this type of agreement reimburses the awardee for its best efforts to perform up to the total cost and types of costs authorized in the agreement.

CREDENTIAL – Nationally recognized degree or certificate or State recognized credential (H.S Dipl./GED, postsecondary degrees, recognized skills standards, licensure, apprenticeship or industry recognized certificates).

DISLOCATED WORKER - The term "dislocated worker" means an individual who (A)(i) has been terminated or laid off, or who has received a notice of termination or layoff, from employment; (ii)(I) is eligible for or has exhausted entitlement to unemployment compensation; or (II) has been employed for a duration sufficient to demonstrate, to the appropriate entity at a one- stop center referred to in section 134 (c), attachment to the workforce, but is not eligible for unemployment compensation due to insufficient earnings or having performed services for an employer that were not covered under a State unemployment compensation law; and

13 (iii) is unlikely to return to a previous industry or occupation; (B)(I) has been terminated or laid off, or has received a notice of termination or layoff, from employment as a result of any permanent closure of, or any substantial layoff at, a plant, facility, or enterprise; (ii) is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days; or (iii) for purposes of eligibility to receive services other than training services described in section 134(d)(4), intensive services described in section 134(d)(3), or supportive services, is employed at a facility at which the employer has made a general announcement that such facility will close; (C) was self-employed (including employment as a farmer, a rancher, or a fisherman) but is unemployed as a result of general economic conditions in the community in which the individual resides or because of natural disasters; or (D) is a displaced homemaker.

DIPLOMA OR RECOGNIZED EQUIVALENT ATTAINMENT RATE - A youth diploma or equivalent attainment rate is calculated for those participants that enroll without a diploma or equivalent. The performance percentage is calculated by dividing the number of participants that achieve a secondary school diploma or equivalent at termination by the total terminated (except those still in secondary school)

DISPLACED HOMEMAKER - The term "displaced homemaker" means an individual who has been providing unpaid services to family members in the home and who (A) has been dependent on the income of another family member but is no longer supported by that income; and (B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.

ELIGIBLE YOUTH - Except as provided in subtitle C and D, the term "eligible youth" means an individual who (A) is not less than age 14 and not more than age 21; (B) is a low-income individual; and (C) is an individual who is one or more of the following: (i) Deficient in basic literacy skills. (ii) A school dropout. (iii) Homeless, a runaway, or a foster child. (iv) Pregnant or a parent. (v) An offender. (vi) An individual who requires additional assistance to complete an educational program, or to secure and hold employment.

EMPLOYMENT etc. ATTAINMENT RATE - The performance percentage established is calculated by dividing the number of individuals who enter and retain in postsecondary education, advanced training, military service, employment, or qualified apprenticeships by the number of individuals who have exited the program.

ENROLLMENT – The term “enrollment” means the completion of a defined number of hours of training in the core curriculum as specified in the contract.

14 EXIT– A participant who has not been reported in AJLA (management information system) as enrolled in an any activity for 90 days.

FAMILY - The term "family" means two or more persons related by blood, marriage, or decree of court, who are living in a single residence, and are included in one or more of the following categories: (A) A husband, wife, and dependent children. (B) A parent or guardian and dependent children. (C) A husband and wife.

FIXED UNIT PRICE CONTRACT – The term “Fixed Unit Price Contract” means an agreement that pays a Contractor a specified price for specified deliverables regardless of the Contractors actual costs incurred. This contract type places maximum risk and full responsibility on the contractor for all costs and resulting profit/program income or loss.

PERFORMANCE BASED CONTRACT – A “Fixed Unit Price contract where the contractor agrees to be paid for performance based on outcomes.

FOLLOW-UP SERVICES FOR YOUTH – 1. Follow-up services for youth may include:  The leadership development and supportive service activities;  Regular contact with a youth participant's employer, including  assistance in addressing work-related problems that arise;  Assistance in securing better paying jobs, career development  and further education;  Work-related peer support groups;  Adult mentoring; and  Tracking the progress of youth in employment after training. 2. All youth participants must receive some form of follow-up services for a minimum duration of 12 months. Follow-up services may be provided beyond twelve (12) months at the State or Local Board's discretion. The types of services provided and the duration of services must be determined based on the needs of the individual. The scope of these follow-up services may be less intensive for youth who have only participated in summer youth employment opportunities.

FULL LEVEL OF STAFF - The term “Full Level of Staff” refers to the employment of individuals and their assignment to work on the Contract at a level sufficient to occupy all the positions found on the Staff section of the Statement of Work, for the hours specified there. An individual is considered to occupy a position when carrying out the duties of the position or on paid leave, consistent with Contractor personnel policies while assigned to that position.

HOMELESS – The term “Homeless” means an individual who lacks a fixed, regular, and adequate nighttime residence; and who has a primary nighttime residence that is: a. a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); or

15 b. an institution that provides a temporary residence for individuals intended to be institutionalized; or c. a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.

IN-SCHOOL YOUTH – A Youth attending any school, including alternative school, when the education leads to a High School Diploma.

INDIVIDUAL WITH A DISABILITY - (A) IN GENERAL - The term "individual with a disability" means an individual with any disability (as defined in section 3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102)). (B) INDIVIDUALS WITH DISABILITIES - The term "individuals with disabilities" means more than one individual with a disability.

INDIVIDUAL SERVICE STRATEGY (ISS) – The term “Individual Service Strategy” means an individual plan for a participant which shall include an employment goal (including, for women, consideration of non-traditional employment), appropriate achievement objectives, and the appropriate combination of services for the participant based on the objective assessment.

LEADERSHIP DEVELOPMENT OPPORTUNITIES – The term “Leadership Development Opportunities” means the following activities: . Exposure to post-secondary educational opportunities; . Community and service learning projects; . Peer-centered activities, including peer mentoring and tutoring; . Organizational and team work training, including team leadership training; . Training in decision-making, including determining priorities; . Citizenship training, including life skills training such as parenting, work behavior training, and budgeting of resources; . Employability; and positive social behaviors [WIA sec. 129(c)(2)(F).]

LEARNING RICH – The term “Learning Rich” means training in which a variety of important basic skills are learned in the context of the functional task required to accomplish the work. Learning may occur in a work or training setting. Training is characterized by high expectations, real challenges, real work, and the real world. The learner is continually involved in problem solving, communication, and critical thinking.

LOWER LIVING STANDARD INCOME LEVEL - The term "lower living standard income level" means that income level (adjusted for regional, metropolitan, urban, and rural differences and family size) determined annually by the Secretary based on the most recent lower living family budget issued by the Secretary.

LOW-INCOME INDIVIDUAL - The term "low-income individual" means an individual who (A) receives, or is a member of a family that receives, cash payments under a Federal, State, or local income-based public assistance program; (B) received an income, or is a member of a family that received a total family income, for the 6-month period prior to application for the program involved (exclusive of

16 unemployment compensation, child support payments, payments described in subparagraph (A), and old-age and survivors insurance benefits received under section 202 of the Social Security Act (42 U.S.C. 402)) that, in relation to family size, does not exceed the higher of (i) the poverty line, for an equivalent period; or (ii) 70 percent of the lower living standard income level, for an equivalent period; (C) is a member of a household that receives (or has been determined within the 6-month period prior to application for the program involved to be eligible to receive) food stamps pursuant to the Food Stamp Act of 1977 (7 U.S.C. 2011 et seq.); (D) qualifies as a homeless individual, as defined in subsections (a) and (c) of section 103 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11302); (E) is a foster child on behalf of whom State of local government payments are made; or (F) in case permitted by regulations promulgated by the Secretary of Labor, is an individual with a disability whose own income meets the requirements of a program described in subparagraph (A) or of subparagraph (B), but who is a member of a family whose income does not meet such requirements.

NONTRADITIONAL EMPLOYMENT - The term "nontraditional employment" refers to occupations or fields of work for which individuals from one gender comprise less than 25 percent of the individuals employed in each such occupation or field of work.

OFFENDER - The term "offender" means any adult or juvenile (A) who is or has been subject to any stage of the criminal justice process, for whom services under this Act may be beneficial; or (B) who requires assistance in overcoming artificial barriers to employment resulting from a record of arrest or conviction.

OLDER INDIVIDUAL - The term "older individual" means an individual age 55 or older.

ON-THE-JOB TRAINING - The term "on-the-job training" means training by an employer that is provided to a paid participant while engaged in productive work in a job that (A) provides knowledge or skills essential to the full and adequate performance of the job; (B) provides reimbursement to the employer of up to 50 percent of the wage rate of the participant, for the extraordinary costs of providing the training and additional supervision related to the training; and (C) is limited in duration as appropriate to the occupation for which the participant is being trained, taking into account the content of the training, the prior work experience of the participant, and the service strategy of the participant, as appropriate.

OUT-OF-SCHOOL YOUTH - The term "out-of-school youth" means (A) an eligible youth who is a school dropout; or (B) an eligible youth who has received a secondary school diploma or its equivalent but is basic skills deficient, unemployed, or underemployed.

PARTICIPANT - The term "participant" means an individual who has been determined to be eligible to participate in and who is receiving services (except follow-up services authorized under this title) under a program authorized by this title. Participation shall be deemed to commence on the

17 first day, following determination of eligibility, on which the individual began receiving subsidized employment, training, or other services provided under this title.

PLACEMENT – The term “Placement” means the act of securing for or by a participant unsubsidized employment for the duration of 1 calendar day, with an anticipated permanent duration. For reporting purposes, a placement may not begin prior to the day of the last leave from any activity in AJLA (management information system) is reported. Full-time placement requires 30 or more hours per normal workweek. Part-time placement requires 25 or more hours per normal workweek.

POSITIVE SOCIAL BEHAVIORS - The outcomes of leadership opportunities, often referred to as soft skills, which are incorporated by many local programs as part of their menu of services. Positive social behaviors focus on areas that may include the following: (a) Positive attitudinal development; (b) Self esteem building; (c) Openness to working with individuals from diverse racial and ethnic backgrounds; (d) Maintaining healthy lifestyles, including being alcohol and drug free; (e) Maintaining positive relationships with responsible adults and peers, and contributing to the well being of one's community, including voting; (f) Maintaining a commitment to learning and academic success; (g) Avoiding delinquency; (h) Postponed and responsible parenting; and (i) Positive job attitudes and work skills.

POSTSECONDARY EDUCATIONAL INSTITUTION - The term "postsecondary educational institution" means an institution of higher education, as defined in section 481 of the Higher Education Act of 1965 (20 U.S.C. 1088).

POVERTY LINE - The term "poverty line" means the poverty line (as defined by the Office of Management and Budget, and revised annually in accordance with section 673(2) of the Community Services Block Grant Act (42 U.S.C. 9902(2))) applicable to a family to the size involved.

PUBLIC ASSISTANCE - The term "public assistance" means Federal, State, or local government cash payments for which eligibility is determined by a needs or income test.

SCHOOL DROPOUT - The term "school dropout" means an individual who is no longer attending any school and who has not received a secondary school diploma or its recognized equivalent.

SECONDARY SCHOOL - The term "secondary school" has the meaning given the term in section 14101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 8801).

SIMULATED WORK - The term “Simulated Work” means an activity that takes place in a training situation where a work product is produced for the purpose of learning work maturity skills and/or specific occupational skills rather than for the purpose of producing the work product.

SKILL ATTAINMENT RATE - If a participant is deficient in basic literacy skills, the contractor will establish at a minimum, one participant basic skills goal for the year. A minimum of one

18 participant skill goal must be set for the year with a maximum of three goals per year. Skill goals will fall into the category of basic, work readiness, or occupational skills.

The performance percentage established for Skill Attainment Rate is calculated by dividing the Skills Goals (Basic, Work Readiness, and Occupational) achieved by the number of Skills Goals set.

SUPPORTIVE SERVICES - The term "supportive services" means services such as transportation, child care, dependent care, housing, and needs-related payments, that are necessary to enable an individual to participate in activities authorized under this title, consistent with the provisions of this title.

SUPPORTIVE SERVICES may include the following: (1) Linkages to community services; (2) Assistance with transportation costs; (3) Assistance with child care and dependent care costs; (4) Assistance with housing costs; (5) Referrals to medical services; and (6) Assistance with uniforms or other appropriate work attire and work-related tool costs, including such items as eye glasses and protective eye gear. [WIA sec. 129(c)(2)(G).]

TRAINING – The term “Training” means a systematic, planned sequence of instruction or other learning experiences on an individual or group basis under competent supervision which is designed to impart skills, knowledge, or abilities to prepare individuals for unsubsidized employment.

TRAINING RELATED JOB – The term “Training Related Job” means a job in which a major vocational skill learned in training, as specified in the training plan or curriculum, is a predominant activity.

TUITION BASED – The term “Tuition Based” means that payments to a vendor educational institution of tuition charges, entrance fees, and other usual and customary fees of an educational institution are not more than the educational institutions catalogue price, necessary to receive specific training, and are for training of participants.

UNEMPLOYED INDIVIDUAL - The term "unemployed individual" means an individual who is without a job and who wants and is available for work. The determination of whether an individual is without a job shall be made in accordance with the criteria used by the Bureau of Labor Statistics of the Department of Labor in defining individuals as unemployed.

VETERAN; RELATED DEFINITION (A) VETERAN - The term "veteran" means an individual who served in the active military, naval, or air services, and who was discharged or released from such service under conditions other than dishonorable. (B) RECENTLY SEPARATED VETERAN - The term "recently separated veteran" means any veteran who applies for participation under this title within 48 months after the discharge or release from active military, naval, or air service.

WORK EXPERIENCES FOR YOUTH (664.460 Federal Register / Vol.65, No 156/Friday, August 11, 2000) -

19  Work experiences are planned, structured learning experiences that take place in a workplace for a limited period of time. Work experiences may be paid or unpaid.  Work experience workplaces may be in the private, for-profit sector; the non-profit sector; or the public sector. (664.470 – “funds under the act may be used to pay wages and related benefits for work experience in the public, private, for profit, or non-profit sectors where the objective assessment and individual service strategy indicate the work experiences are appropriate.”)  Work experiences are designed to enable youth to gain exposure to the working world and its requirements. Work experiences are appropriate and desirable activities for many youth throughout the year. Work experiences should help youth acquire the personal attributes, knowledge, and skills needed to obtain a job and advance in employment. The purpose is to provide the youth participant with the opportunities for career exploration and skill development and is not to benefit the employer, although the employer may, in fact, benefit from the activities performed by the youth. Work experiences may be subsidized or unsubsidized and may include the following elements:

20 PART B

PROPOSAL FORMS

21 PROPOSAL INSTRUCTIONS

A. A complete, separate Best & Final offer will be submitted for each specific program.

B. Proposers will submit six (6) signed original copies of the proposal on 8 ½ x 11 inch paper in the designated proposal format, stapled in the upper left hand corner. Please do not place in covers, binders or rings.

C. Best & Final Offers must be received by 4:00 p.m. on April 20, 2010 at: .

Delaware Workforce Investment Board (DWIB) (Note Location) c/o DE Dept of Labor, Division of Employment & Training, 4th Floor 4425 N. Market Street, Wilmington, DE. 19802

D. Best & final Offer items should be numbered exactly as indicated on the proposal forms.

E. No cover sheet should be added to this proposal.

22 PROPOSAL FORMAT

This RFP requires proposers to submit their proposals using a standard and streamlined proposal format (Performance Target Outline). This outline asks proposers to present a clear, concise, and simply stated description of their:

STIMULUS FUNDS

1. Proposal Data Summary – The summary data for your proposal (Federal Stimulus).

2. Product Steps - A clear presentation of some of the core aspects of your approach. What is unique? Why are you proposing to use this approach over alternatives? And, what are some of the key features of the delivery/ service approach of this proposed program? (Federal Stimulus)

3. Key People - Who are the key persons for this program? What are their qualifications (skills, experience, background, etc), that make them ideally suited to make this program successful. If not known, describe the position, its qualifications and who will be doing the hiring. (Federal Stimulus)

4. Likely Milestones & Verification - What is the logic and sequence of major customer milestones anticipated? How many will likely (projection) reach these milestones toward your Performance Target and what is the corresponding means of verification? (Federal Stimulus)

5. Budget

23 PROPOSAL DATA SUMMARY

1.0 Name and Address of Applicant Organization

______(NAME)

______(STREET)

______(CITY, STATE) (ZIP CODE)

______(CONTACT PERSON)

______(TELEPHONE NUMBER) (FAX NUMBER)

______(E-MAIL ADDRESS)

______(Website URL)

______(LOCATION(S) OF PROGRAM OPERATION - CITY/TOWN, COUNTY)

______(GEOGRAPHIC AREA THE PROGRAM WILL SERVE)

2.0 Organization Type:

[ ] Non Profit [ ] Governmental [ ] Private for Profit

3.0 Proposed Contract Period

START DATE:______END DATE:______

4.0 Proposed Services:

[ ] Summer Youth Employment

4.1 Total Number of Enrollments ______

4.2 Total Training Hours per Enrollment ______

24 5.0 If more than one cycle of training is proposed, can training be offered on a per cycle basis? If yes, complete the following:

Cycle # Cost

Funding:

6.0 Total Amount Requested: $______

6.1 Requested funds for this program are % of organization's total budget.

6.2 Funds (dollars or in-kind) will be provided, matching funds, by the proposer to support this proposed program activity. The matching funds will support the following:

______

7. Program Performance (Provide a performance history for your proposed program or for your organization if the proposed program is new) – limited to one (1) page

8. If you have operated this training program in the past, did you refine or revise it in any way in response to this proposal or your recent experiences? ) – limited to one (1) page

Certificate of Information and Authorized Signature

I hereby certify that to the best of my knowledge all information contained in this proposal is accurate and complete, that this is a valid proposal and that I am legally authorized to sign and to represent this organization.

______SIGNATURE DATE

______NAME

______TITLE

25 Target Outline Question # 1 YOUR PRODUCT

What are the CORE FEATURES of your product? I. Intensity/Duration – Describe the intensity of the service to participants, including hours of participation. In addition identify the enrollment schedule, training schedule and the duration of the program including post-exit follow-up. II. Essential Elements: At a minimum the milestones established in Target Question 6 must be described.

III. Comparative Advantages Over other Products.

IV. Delivery Strategy – In a narrative fashion describe how a specific client will flow through the elements of your program

V. Other Core Features (up to one page per item may be used). a. Describe your assessment and individual service strategy process that will be used to establish the need for work experience training and the work readiness outcomes to be achieved. b. Describe your process for recruiting youth c. Describe your process for recruiting and developing work sites d. Describe how will you ensure the youth’s participants’ pay lag will not exceed two weeks and that youth are paid in a timely manner e. Describe the method that you will use to monitor and evaluate work experience sites. f. At this point in time, total funding amounts for the program have not been determined. What is the maximum amount of youth your agency could serve given the following factors: o 75% of the award amount must be spent on youth wages (not including fringes) o Youth may not work more than 210 hours o You must pay youth the minimum wage at 7.25 an hour

26 Target Outline Question #2 MILESTONES

At a minimum, Milestones must include all mandated Design Components and Program Elements in a manner consistent with the required performance standards. New Enrollments, Carry-in Enrollments and Post Exit individuals need to be broken out individually (may be done on separate rows or separate Milestone Sheets.) l a t o T

Milestones Verification

1. Recruitment

2. Assessment

3. Determine Eligible

4. Enrollment/ Placement in Work Experience

5. ISS Development

6. Achieve Work Readiness Gain

10.

11.

12.

13. Performance Target:

Milestone: A critical point that customers must reach to ensure that a project is on course to achieving its performance target.

27 Verification: Establishing that something represented to happen does in fact take place. Verification in Outcome Funding replaces measuring. It is kept as simple as possible and looks more to answer the question yes or no than to measure small differences. Verification typically focuses on milestones and performance target accomplishments.

28 BUDGET SUMMARY

Area of Training: Contract #: Organization: Program Year:

TOTAL 1. Staff Salaries 2. Staff Fringe Benefits 3. SUBTOTAL 4. Direct Benefits To Participants 5. Rent (inc. cost per sq. ft./hr. rates) 6. Custodial Services 7. Utilities (List as a % of Annual Expense) a. Heat/AC b. Phone c. Electric d. Other 8. Consumable Office Supplies 9. Postage 10. Equipment and Furniture Purchase: (Itemize on Attached Page) 11. Equipment Rental: (Itemize on Attached Page) 12. Tuition 13. Entrance Fees

34 BUDGET SUMMARY

Area of Training: Contract #: Organization: Program Year:

14. Training Materials A. Books B. Software C. Videos D. Other (specify)

19. Printing/Advertising 20. Travel A. Student B. Staff

17. Staff Training 18. Participant Payments (Wages. OJT Payments, etc...) 19. Participant Fringes 20. Insurance: 21. Professional Services: (List) 22. Overhead/Indirect for Parent Organization: 23. Profit: 24. Other: (Please specify) 25. Other: (Please specify) 26. TOTAL

35 EMPLOYEE LISTING SALARY AND FRINGE EXPENSES

AREA OF TRAINING:______YEAR: ______ORGANIZATION:______

LIST EVERY EMPLOYEE BY TITLE (USE ADDITIONAL PAGES TO LIST EACH EMPLOYEE NUMERICALLY)

DATES OF SALARY FRINGE TOTAL FUNDED STAFF POSITION EMPLOYMENT HOURS HOURS PER WEEK (if seasonal give # of weeks and hourly rate) (If part-time, indicate hourly rate) Person #1 THIS PROGRAM

OTHER

Person #2 THIS PROGRAM

OTHER

Person #3 THIS PROGRAM

OTHER

36 Organization______

Type of Training ______

BUDGET BACK-UP PAGE

LINE NUMBER EXPLANATION/ NUMBER ITEM OF EACH AMOUNT REMARKS

37 DIRECT BENEFITS TO PARTICIPANTS

CONTRACTOR:______

TYPE OF TRAINING______

TOTAL AMOUNT OF DIRECT BENEFITS: $______

(COMPLETE THE FOLLOWING FOR EACH TYPE OF PAYMENT, IE: TRANSPORTATION, NEEDS BASED, ETC. CLIENTS MUST NOT RECEIVE CASH. VOUCHERS ARE TO BE USED FOR GOODS AND SERVICES)

AMOUNT: $______

TYPE OF PAYMENT: ______

EXPLANATION: ______

______

______.

38 PART C

Appendices

38 Appendix A Youth Name: ______Work Site: ______Site Supervisor Name:______

Work Habits – Displays initiative, flexibility, and time management. Minimal/1 Initial/2 Progress/3 Proficient/4 Exemplary/5 Date Pre Date Post Sc S or c e o r e Resistant to begin tasks. Reluctant to begin tasks Inconsistently begins and remains Usually begins and remains Consistently begins and remains on Poor use of time. Rarely without significant staff on task. Needs occasional on task without prompting task until the work is completed. adjusts well to new intervention. Needs prompting. Sometimes uses time until the work is completed. Maximizes time available. situations. frequent reminders to use effectively. Adjusts to new Generally uses time Consistently responds to changing available time. Has situations in an inconsistent effectively. Usually adjusts situations in a successful manner. difficulty adjusting to new manner. well to new situations. situations. Communication – Reads with comprehension, writes with skill, and communicates effectively and responsibly in a variety of ways and settings. Minimal/1 Initial/2 Progress/3 Proficient/4 Exemplary/5 Date Client Date Client Sc S or c e o r e Understands and Seldom understands and Inconsistently receives, Usually receives, Consistently receives, understands interprets information interprets information understands and interprets understands and interprets and interprets information incorrectly. Presents accurately. Presents information accurately. information accurately. accurately. Consistently presents information in a vague information in an Demonstrates a limited ability to Presents information in a information in a clear, organized and and unorganized manner. unorganized manner. present information in an clear and organized manner engaging manner using a variety of Refuses to access or use Accesses minimal resources. organized manner. Inconsistently using appropriate methods methods and resources. appropriate resources. accesses appropriate resources. and resources. Interpersonal Effectiveness – Works effectively with others and contributes productively as a member of a work team. Minimal/1 Initial/2 Progress/3 Proficient/4 Exemplary/5 Date Client Date Client Sc S or c e o r e Uncooperative and Demonstrates inappropriate Utilizes a limited number of Consistently works well with Facilitates positive group dynamics disrespectful in working group behaviors. positive group behaviors. others and is respectful. and respectful environment. with others. Disruptive Improvement needed in Generally respectful of others. Contributes significantly to Demonstrates leadership that plays a to group efforts. treating others with respect. Contributes to group efforts in an group efforts. significant role in the success of Rarely contributes to group inconsistent manner. group efforts. efforts. Attendance and Punctuality – Contributes to the learning environment in a consistent and responsible manner. Minimal/1 Initial/2 Progress/3 Proficient/4 Exemplary/5 Date Client Date Client Sc S or c e o r e Excessive absences make it Absences limit opportunities Absences impact opportunity to Absences rarely impact Absences do not limit opportunity to difficult to contribute in to contribute in program and contribute in program and opportunity to contribute in contribute in program and do not class/program and are a consistently impact noticeably impact performance. program and rarely affect affect performance. Client is serious obstacle to performance. Client makes Client needs occasional reminders overall performance. Client consistently responsible in seeking successful performance. up missed work only after before missed work is made up. is usually responsible in out and making up missed work. PUNCTUALITY frequent reminders. seeking out and making up Pattern of tardiness indicates PUNCTUALITY missed work. PUNCTUALITY lack of self-discipline related Instances of tardiness indicate Exemplary self-discipline related to to punctuality. punctuality may become a punctuality. concern. Did client gain work readiness skills based on the pre and post scores? YES NO (To be completed within client’s last week of work experience) Comments: Appendix B Procedure on Summer Youth Individual Service Strategy

Introduction: Effective July 20, 2009, the following Individual Service Strategy (Strategies) format will be used for all summer youth enrollments. Contractors may add additional items to this document but the items contained here are the minimum elements to be included and must be completed. Individual Service Strategies will be jointly developed by the participant and contractor. All participants must have a complete up to date Individual Service Strategy prior to the end of the contract.

For any participant dually enrolled in a year round WIA youth and Summer Youth program, the Summer Youth Contractor should send a copy of the completed Summer Youth ISS to the year round WIA youth provider.

Contractors are permitted to maintain plans electronically as long as an original signed copy is available. Updates that are maintained electronically do not require a signed form as long as the case notes describe the process of the update

Contractors that wish to maintain Strategies in a different format may do so only after they have made a request to and have received approval from their contract manager. The request must contain the proposed format. The requested format when approved will be incorporated as an attachment into the contract.

The following is the ISS Document Format: Individual Service Strategy

Participant Name: ______

Participant Work Site(s): ______

1. Participants Goal Statements:

 Clients long term employment goal

 Short term employment goal (How will I achieve the long term goal?)

 Clients long term educational/training goal

 Short term educational goal (How will I achieve the long term goal?)

2. Assessment

 Education Last grade completed:_____ Returning to school in the Fall? Yes No

If no, what are your plans?

 Skills/Abilities (include the results from the work readiness skills profile pre test.)

 Activities/interests

 Work/Volunteer Experience

3. Work Readiness Skills Attainment (At a minimum, plan must include how youth will gain work readiness skill(s) based on pre assessment.)

Area Pre Test Post Test Plan to achieve Work Readiness Skills Score Score (1-5) (1-5) Work Habits

Communication Interpersonal Effectiveness Attendance and Punctuality

Comments: Staff Participant initial/date initial/date

Summer Youth Procedure – Revised 3/27/2010 Appendix C WORKFORCE INVESTMENT ACT FAMILY INCOME GUIDELINES EFFECTIVE MAY 1, 2009

A B C FAMILY SIZE LOW-INCOME 200% of Poverty (WIA Youth) 70% Level (TANF of LLSIL funds) 1 10,830 21,660 2 14,570 29,140 3 18,225 36,620 4 22,500 44,100 5 26,556 51,580 6 31,058 59,060 For families greater than 6, add this 4,502 3,740 amount for each additional family member Appendix D

ETO Policy14.8-Documentation of Program Eligibility (Youth and Adult)

14.8 Documentation of Program Eligibility

1. Purpose. To provide an easy reference for Title I WIA Program Eligibility Criteria for Registration along with Corresponding Act/Regulation Citations for adults, youth, and dislocated workers. Program Eligibility and Criteria for Registration for State Blue Collar and Skills Grant Programs is also provided. Information is provided on Definitions, Selective Service Registration, Poverty Income Guidelines, 70% of the Lower Living Standard Income Level, Acceptable Verification Sources, a Acceptable Eligibility Verification Listing, Statement of Family Size/Family Income, Self-Certification Requirements, and Telephone/Document Inspection Verification Requirements.

2. Reference. Public Law 105-220, dated August 7, 1998; WIA Final Regulations, dated August 11, 2000; Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, dated November 19, 2001; Federal Register, Vol. 64, No. 218, dated November 12, 1999; Federal Register, Vol. 67, No. 31, dated February 14, 2002; and Local Workforce Investment Area (LWIA) Plan Instructions. Delaware Blue Collar Jobs Act and, Division of Employment and Training (DET) / Delaware Workforce Investment Board (DWIB) Policy.

3. Discussion. Title I WIA, State Blue Collar, and Skills Grant Program Eligibility Criteria for Registration and Corresponding Act/Regulation Citations, WIA, State Blue Collar, and Skills Grant Eligibility Statement/Definitions, Selective Service Registration, WIA Definitions for Title I Eligibility, State Blue Collar and Skills Grant Definitions for Program Eligibility Poverty Guidelines and 70% of the Lower Living Standard Income Level, Composite of WIA Acceptable Verification, WIA, State Blue Collar, and Skills Grant Acceptable Eligibility Verification Listing, Statement of Family Size/Family Income, Self-Certification, and Telephone/ Document Inspection Verification Requirements.

4. Action Required. Contractors and Case Managers are requested to copy this information and distribute to all staff that are involved in the enrollment of participants and collection of eligibility documentation.

5. Attachments.

 ATTACHMENT A

 Title I WIA Program Eligibility  Criteria for Registration and Corresponding Act/Regulation Citations.  State Blue Collar and Skills Grant Eligibility Criteria for Registration and Corresponding Act / Policy Citations

 ATTACHMENT B

 WIA Eligibility Statement/Definitions – Adult (18 or older)  WIA Eligibility Statement/Definitions – Youth (14 – 21)  WIA Eligibility Statement/Definitions – Dislocated Worker  State Blue Collar Eligibility Statement / Definitions – Youth (14-21)  State Blue Collar Eligibility Statement / Definitions – Adult (18 or older)  Skills Grant Eligibility Statement / Definitions – Adult (18 or older)

 ATTACHMENT C

Selective Service Registration

NOTE: For information on Selective Service regulations, please refer to the following:

Revised 06/04/2009 Page 1 Appendix D

ETO Policy14.8-Documentation of Program Eligibility (Youth and Adult)

Selective Service Telephone Verification No. (847) 688-6888; Internet Verification/Registration (www.sss.gov).

 ATTACHMENT D

Definitions for Eligibility

 ATTACHMENT E

 70% of the Lower Living Standard Income Level  Self Sufficiency Income Guidelines

 ATTACHMENT F

Composite of Acceptable Verification

 ATTACHMENT G

 Acceptable Eligibility Verification Listing  WIA, Blue Collar, and Skills Grant General Eligibility Acceptable Verification Listing

 ATTACHMENT H

Statement of Family Size/Family Income

 ATTACHMENT I

Self-Certification

 ATTACHMENT J

Telephone/Document Inspection Verification Requirements

 ATTACHMENT K

Family Income Documentation Requirements/Worksheet

6. Expiration Date This policy will be updated as necessary to reflect amendments to WIA, changes in federal regulations, and new USDOL policy directives.

Revised 06/04/2009 Page 2 Appendix D

ETO Policy14.8-Documentation of Program Eligibility (Youth and Adult)

ADULT*YOUTH* DISLOCATED* ELIGIBILITY (18 or Older) (14 – 21) WORKER GENERAL ELIGIBILITY – All registered individuals must meet Citizenship/Eligible to Work, Selective Service (if applicable), Residency & Age. CITIZENSHIP OR ELIGIBLE TO WORK Act 188(a)(5) Act 188(a)(5) Act 188(a)(5) SELECTIVE SERVICE REGISTRANT Act 189(h) Act 189(h) Act 189(h) RESIDENCY DWIB Policy DWIB Policy DWIB Policy SOCIAL SECURITY NUMBER DWIB Policy DWIB Policy DWIB Policy Act 101(1) Act 101(13)(A) 20 CFR 663.110 AGE 20 CFR 663.110 20 CFR 664.200(a) ECONOMIC ELIGIBILITY – Youth must meet the definition of Section 1 (Low Income) AND Section 2 (Barrier) 1. LOW INCOME INDIVIDUAL [Act 101(25)] Any one of the following six elements:

A. Cash public assistance B. Family income at or below the Poverty Line or 70% of the Lower Living Standard Income Level Income based on Self Act 101(25) C. Receives Food Stamps or was determined eligible to receive in Sufficiency Income last six months found in Attachment 20 CFR 664.200(b) D. Homeless per 103(a) & (c) of the McKinney Act E otherwise same as E. Publicly supported foster child Youth Individual with a disability whose own income is at or below the Poverty Line or 70% of the Lower Living Standard Income Level [20 CFR 664.250] 2. BARRIERS – is within one or more of the following categories: [Act 101(13)]

A. Basic Skills Deficient [Act 101(4); 20 CFR 664.200(c)(1) and 20 CFR 664.205] B. School Dropout [Act 101(39); 20 CFR 664.200(c)(2)] Act 101(13)(c) C. Homeless, Runaway, or Foster Child [20 CFR 664.200(c)(3)] 20 CFR 664.200(c) D. Pregnant or Parenting [20 CFR 664.200(c)(4)] E. Offender [20 CFR 664.200(c)(5)] F. Is an individual (including a youth with a disability) who requires additional assistance to complete an educational program, or to secure and hold employment [20 CFR 664.200(c)(6) and 20 CFR 664.210] DISLOCATED WORKER ELIGIBILITY 1. DISLOCATED WORKER [Act 101(9)] Any one of the five categories: A. Terminated/Laid Off; Eligible for UC and Unlikely to Return Act 101(9)(A); 20 CFR 663.115 B. Permanent Closure/Substantial Layoff Act 101(9)(B); 20 CFR 663.115 C. General Announcement of Closure Act 101(9)(B); 20 CFR 663.115 D. Formerly Self-Employed/Currently Unemployed Act 101(9)(C); 20 CFR 663.115 E. Displaced Homemaker [Act 101(10)] Act 101(9)(D); 20 CFR 663.120 * Training funded with State Skills Grant or Blue Collar funds requires only general eligibility documentation.

Revised 06/04/2009 Page 3 ATTACHMENT A TITLE I WIA, STATE BLUE COLLAR AND SKILLS GRANT PROGRAM ELIGIBILITY CRITERIA FOR REGISTRATION AND CORRESPONDING ACT/REGULATION CITATIONS PURPOSE – the Program Eligibility for Registration chart shows “AT-A-GLANCE” the Title I WIA eligibility criteria for the Adult (18 or older), Youth (14–21), and Dislocated Worker programs.

REGISTRATION – the process for collecting information to support a determination of eligibility. [20 CFR 663.105 (Adult and Dislocated Worker); 20 CFR 664.215 (Youth)]

DESCRIPTION: This chart is displayed as a four-column chart that consists of Eligibility, Adult (18 or older), Youth (14–21), and Dislocated Worker programs. When an Act/Regulation Citation is listed in a specific column, the registered individual must meet the eligibility criteria if they are to receive staff-assisted core, intensive, and training services under WIA as an adult (18 or older) and/or dislocated worker. Likewise, a registered individual who is a youth must meet the youth eligibility criteria if they are to receive youth services.

Blue Collar and State Skills Grant participants do not need to meet specific eligibility requirements unless specified in agreements/contracts. Participants are required at a minimum to document the General Eligibility Items.

GENERAL INSTRUCTIONS:

 Eligibility column denotes the three areas for Eligibility (General, Economic, and Dislocated Worker).

For General Eligibility Criteria, all registered individuals must meet the definition of Citizenship or Eligible to Work, Selective Service Registrant (if applicable), Residency, and Age.

 Adult (18 or older) column denotes the specific Act and Regulation Citation for eligibility under the Adult (18 or older) program.

Registered adults (18 or older) must meet the definition of General Eligibility, which includes Citizenship or Eligible to Work, Selective Service Registrant (if applicable), Residency, and Age.

Adults who receive services funded under Title I other than self-service or informational activities must be registered and determined eligible. [20 CFR 663.105(b)]

 Youth (14–21) column denotes the specific Act and Regulation Citation for eligibility under the Youth (14– 21) program.

Registered youth (14–21) must meet the definition of General Eligibility, which includes Citizenship or Eligible to Work, Selective Service Registrant (if applicable), Residency, and Age, plus be a Low Income Individual and have one or more Barriers.

If the youth does not meet the definition of low income and barriers, they must meet the definition of one or more of the categories listed under Exceptions.

All youth participants must be registered. [20 CFR 664.215]

 Dislocated Worker column denotes the specific Act and Regulation Citation for eligibility under the Dislocated Worker program.

Registered dislocated workers must meet the definition of General Eligibility, which includes Citizenship or Eligible to Work, Selective Service Registrant (if applicable), Residency, and any one of the five categories of Dislocated Worker.

Revised 06/04/2009 Page 1 ATTACHMENT A TITLE I WIA, STATE BLUE COLLAR AND SKILLS GRANT PROGRAM ELIGIBILITY CRITERIA FOR REGISTRATION AND CORRESPONDING ACT/REGULATION CITATIONS Dislocated workers who receive services funded under Title I other than self-service or informational activities must be registered and determined eligible. [20 CFR 663.105(b)]

PARTICIPANT – an individual who has registered under 20 CFR 663.105 or 20 CFR 664.215 and has been determined to be eligible to participate in and who is receiving services (except for follow-up services) under a program authorized by WIA Title I. Participation commences on the first day, following determination of eligibility, on which the individual begins receiving core, intensive, training, or other services provided under WIA Title I. [20 CFR 660.300]

Revised 06/04/2009 Page 2 ATTACHMENT B

Revised 06/04/2009 Page 1 ATTACHMENT B

ACT AND/OR REGULATION CITATION WIA ELIGIBILITY STATEMENT ADULT (18 OR OLDER) An individual (18 or older) shall be eligible to participate in the WIA Title I Adult Program if such individual meets:

General Eligibility consists of:

 Citizenship or Eligible to Work  Selective Service Registrant (if applicable) Act 188(a)(5)  Residency Act 189(h)  Age

Act 101(1); 20 CFR 663.110 AND  Unemployed, and, unable to obtain employment Act 134(d)(4)(E); 20 CFR 663.600 through core services, and, in need of more intensive services in order to obtain employment, and meets the Delaware Workforce Investment Board (DWIB) Policy definition of “low-income individual”, or

 Employed, but in need of intensive services in order to obtain or retain employment that allows for self-sufficiency. Self-sufficiency for WIA adult programs is a Total Family Income which exceeds 100% of the Lower Living Standard Income Level (LLSIL)

NOTE: Priority shall be given to recipients of public assistance and other low-income individuals for intensive and training services.

Revised 06/04/2009 Page 1 ATTACHMENT B WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT ADULT (18 or older)

Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Age, Residency, and Selective Service Registration.

Citizenship or Eligible to Work – participation in programs and activities financially assisted in whole or part under WIA shall be open to citizens and nationals of the United States, lawfully admitted permanent resident aliens, lawfully admitted refugees and parolees, and other individuals authorized by the Attorney General to work in the United States (applies to all programs under Title I). [Act 188(a)(5)]

Selective Service Registrant – the Secretary shall ensure that each individual participating in any program established under WIA, or receiving any assistance or benefit under WIA, has not violated Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not presenting or submitting to registration as required pursuant to such section. The Director of the Selective Service System shall cooperate with the Secretary in carrying out this section.

NOTE: Males born on or after January 1, 1960 must register with the selective service system within 30 days after their 18th birthday or at least before they reach the age of 26. [Act 189(h)]

Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated November 4, 1998 must be followed.

Age – the term adult means an individual who is age 18 or older. [Act 101(1) and 20 CFR 663.110].

Low Income Status – employed but family income does not exceed 100% of the Lower Living Standard Income Level.

Revised 06/04/2009 Page 2 ATTACHMENT B

ACT AND/OR REGULATION CITATION WIA ELIGIBILITY STATEMENT YOUTH (14 – 21)

An individual who is not less than 14 and not more than 21 shall be eligible to participate in the WIA Title I Youth Program if such individual:

Meets General Eligibility, which consists of providing a verification source for each applicable category.  Citizenship or Eligible to Work Act 188(a)(5)  Selective Service Registrant (if applicable) Act 189(h)  Residency  Age Act 101(13)(A); 20 CFR 664.200(a) AND

Meets the definition and provides a verification source Act 101(25); 20 CFR 664.200(b) for one of the following Low-income categories:  Cash Public Assistance DWIB Policy  Family Income at or below the Poverty Line or 70% of the Lower Living Standard Income Level (LLSIL)  Receives Food Stamps or was determined eligible to receive in the last six months  Homeless per 103(a) and 103(c) of the McKinney Act  Publicly supported Foster Child  Individual with a disability and own income at or below Poverty Line or 70% of the LLSIL

AND

Meets the definition and provides a verification source for one or more of the following Barrier categories:  Basic Skills Deficient  School Dropout  Homeless, Runaway, or Foster Child  Pregnant or Parenting Act 101(13)(c); 20 CFR 664.200(c)  Offender  Is an individual (including a youth with a disability) who requires additional assistance to complete an educational program or to secure and hold employment

Revised 06/04/2009 Page 3 ATTACHMENT B WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT

YOUTH (14 – 21)

Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Residency, Age, and Selective Service Registration.

Note: Males born on or after January 1, 1960 must register with the selective service system within 30 days after their 18th birthday or at least before they reach the age of 26. [Act 189(h)]

Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated November 4, 1998, must be followed.

Age – for youth is not less than age 14 and not more than age 21 [Act 101(13) and 20 CFR 664.200(a)]

Residency – participation in a program administered by the DWIB / Delaware Department of Labor, Division of Employment and Training (DE DOL / DET) shall be open to all residents of Delaware. Residency is determined at time of application. An exception to Delaware residency may be permissible if the youth is enrolled in a Delaware school and lives in a town split by state boundaries (for example Delmar and Marydel).

Youth must meet the definition of one of the six Low-income categories AND must meet the definition of one of the six youth Barriers.

Low-income Individual – an individual who (A) receives, or is a member of a family that receives cash payments under a Federal, State, or local income-based public assistance program; (B) received an income, or is a member of a family that received a total family income, for the six-month period prior to application for the program involved (exclusive of unemployment compensation, child support payments, payments described in subparagraph (A), and old-age and survivors insurance benefits received under Section 202 of the Social Security Act (42 U.S.C. 402) that, in relation to family size, does not exceed the higher of (i) the poverty line, for an equivalent period; or

YOUTH (14 – 21) (continued)

(ii) 70 percent of the lower living standard income level for an equivalent period;

Revised 06/04/2009 Page 4 ATTACHMENT B WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT

(C) is a member of a household that receives (or has been determined within the six month period prior to application for the program involved to be eligible to receive) food stamps pursuant to the Food Stamp Act of 1977 (7 U.S.C. 2011 et seq.); (D) qualifies as a homeless individual, as defined in subsections (a) and (c) of Section 103 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11302); (E) is a foster child on behalf of whom State or local government payments are made; or (F) in cases permitted by regulations promulgated by the Secretary of Labor, is an individual with a disability whose own income meets the requirements of a program described in subparagraph (A) or of subparagraph (B), but who is a member of a family whose income does not meet such requirements.

BARRIERS

A low-income youth (14 – 21) who has one or more of the following barriers:

Deficient in Basic Literacy Skills – an individual who (1) Computes or solves problems, reads, writes, or speaks English at or below the 8th grade level on a generally accepted standardized test or a comparable score on a criterion-referenced test; or (2) Is unable to compute or solve problems, read, write, or speak English at a level necessary to function on the job, in the individual’s family or in society.

School Dropout – an individual who is no longer attending any school and who has not received a secondary school diploma or its recognized equivalent.

Homeless, Runaway Youth, or Foster Child  Homeless – qualifies as a homeless individual that is an individual who lacks a fixed regular, adequate nighttime residence, and any adult or youth who has a primary nighttime residence that (a) is a publicly or privately operated shelter for temporary accommodation; (b) an institution providing a temporary residence for individuals intended to be institutionalized; or (c) a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings.

The term does not include a person imprisoned or detained pursuant to an Act of Congress or State law (Section 103 of the Stewart B. McKinney Act); or is a runaway youth.

 Runaway Youth – a youth (14–18) who absents himself or herself from home or place of legal residence without the permission of parents or legal guardian.

Revised 06/04/2009 Page 5 ATTACHMENT B WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT

YOUTH (14 – 21) (continued)

 Foster Child – a foster child is an individual on behalf of whom State or local government payments are made.

 Pregnant or Parenting Youth – an individual who is under 22 years of age and who is pregnant, or a youth (male or female) who is providing custodial care for one or more dependents under age 18.

 Offender – any adult or juvenile (A) who is or has been subject to any stage of the criminal justice process, for whom services under this Act may be beneficial; or (B) who requires assistance in overcoming artificial barriers to employment resulting from a record of arrest or conviction.

An individual (including youth with a disability) who requires additional assistance to complete an educational program, or to secure and hold employment – definitions and eligibility verification requirements regarding the “requires additional assistance to complete an educational program, or to secure and hold employment” criterion must documented and rationale provided for each youth using this barrier for eligibility.

Revised 06/04/2009 Page 6 ATTACHMENT B

ACT AND/OR REGULATION CITATION WIA ELIGIBILITY STATEMENT DISLOCATED WORKER

An individual shall be eligible to participate in the WIA Title I Dislocated Worker Program if such individual:

Meets General Eligibility, which consists of providing the appropriate verification to verify:

 Citizenship or Eligible to Work Act 188(a)(5)  Selective Service Registrant (if applicable) Act 189(h)  Residency  Age 20 CFR 663.110 AND DWIB Policy Meets the definition and provides the verification source for one of the following categories:

 Terminated/Laid Off; Eligible for UC and Unlikely to Return to Previous Industry or Occupation  Permanent Closure/Substantial Layoff Act 101(9)(A); 20 CFR 663.115  General Announcement of Closure  Formerly Self-Employed/Currently Unemployed Act 101(9)(B); 20 CFR 663.115 Act 101(9)(B); 20 CFR 663.115  Displaced Homemaker Act 101(9)(C); 20 CFR 663.115

Act 101(9)(D); 20 CFR 663.120

Revised 06/04/2009 Page 7 ATTACHMENT B WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT

DISLOCATED WORKER

Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Residency, Age, and Selective Service Registration.

NOTE: Males born on or after January 1, 1960 must register with the selective service system within 30 days after their 18th birthday or at least before they reach the age of 26. [Act 189(h)]

Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated November 4, 1998, must be followed.

Age – to be eligible for the dislocated worker program, an individual must be 18 years of age or older. [20 CFR 663.110]

Unemployed – unemployed and unable to obtain employment through core services, and in need of more intensive services in order to obtain employment

A dislocated worker must meet the definition of one of the five dislocated worker categories.

A dislocated worker is an individual who has been:

 Terminated/Laid Off and Eligible for UC and Unlikely to Return – has been terminated or laid off, or who has received a notice of termination or layoff, from employment and is eligible for or has exhausted entitlement to unemployment compensation; OR

has been employed for a duration sufficient to demonstrate, to the appropriate entity at a one-stop center referred to in Section 134(c), attachment to the workforce, but is not eligible for unemployment compensation due to insufficient earnings or having performed services for an employer that was not covered under a State unemployment compensation law and is unlikely to return to a previous industry or occupation;

Revised 06/04/2009 Page 8 ATTACHMENT B WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT

 Permanent Closure/Substantial Layoff – has been terminated or laid off, or has received a notice of termination or layoff, from employment as a result of any permanent closure of, or any substantial layoff at, a plant, facility, or enterprise;

 General Announcement of Closure – is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days; or for purposes of eligibility to receive services other than training services described in Section 134(d)(4), intensive services described in Section 134(d)(3), or supportive services, is employed at a facility at which the employer has made a general announcement that such facility will close;

 Formerly Self-Employed/Currently Unemployed – was self-employed (including employment as a farmer, a rancher, or a fisherman) but is unemployed as a result of general economic conditions in the community in which the individual resides or because of natural disasters; or

 Displaced Homemaker – an individual who has been providing unpaid services to family members in the home and who (A) has been dependent on the income of another family member but is no longer supported by that income; AND (B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment. Underemployment for WIA Displaced Homemaker programs shall be determined relative to a Total Family Income, which does not exceed 100% of the LLSIL.

Additional Definition

For the purpose of all dislocated worker categories except Displaced Homemaker the following definition of employed applies:

Employed, but in need of intensive services in order to obtain or retain employment that allows for self – sufficiency. Self-sufficiency for employed Dislocated Worker Program participants shall be determined by whether or not their current wage exceeds 90% of the layoff wage.

Revised 06/04/2009 Page 9 ATTACHMENT B BLUE COLLAR JOBS ACT AND STATE SKILLS GRANT ELIGIBILITY STATEMENT

ACT AND/ OR POLICY CITATION ELIGIBILITY STATEMENT

An individual shall be eligible to participate in the State Blue Collar and Skills Grant Programs if such individual meets:

General Eligibility consists of:

Delaware Blue Collar Jobs Act  Citizenship or Eligible to Work  Selective Service Registrant (if applicable) Delaware Workforce Investment Board (DWIB) Policy  Residency  Age

Revised 06/04/2009 Page 10 ATTACHMENT B BLUE COLLAR JOBS ACT AND STATE SKILLS GRANT ELIGIBILITY STATEMENT

Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Residency, Age, and Selective Service Registration.

Citizenship or Eligible to Work – participation in programs and activities financially assisted in whole or part under DWIB / DE DOL / DET shall be open to citizens and nationals of the United States, lawfully admitted permanent resident aliens, lawfully admitted refugees and parolees, and other individuals authorized by the Attorney General to work in the United States (applies to all programs under Blue Collar).

Selective Service Registrant – the Secretary shall ensure that each individual participating in any program established under DWIB / DE DOL / DET or receiving any assistance or benefit under Blue Collar, has not violated Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not presenting or submitting to registration as required pursuant to such section. The Director of the Selective Service System shall cooperate with the Secretary in carrying out this section.

Note: Males born on or after January 1, 1960 must register with the selective service system within 30 days after their 18th birthday or at least before they reach the age of 26.

Age – Not less than than age 14 and not more than age 21(Youth Programs) or any age beyond 14 (Adult Programs).

Revised 06/04/2009 Page 11 ATTACHMENT C

SELECTIVE SERVICE REGISTRATION

In accordance with Section 189(h) of the Workforce Investment Act, which states that the U.S. Secretary of Labor shall insure that each individual participating in any program established under this Act, has not violated Section 3 of the Military Selective Service Act (50 U.S.C. App. 453) by not presenting and submitting to registration as required pursuant to such section.

WHO MUST REGISTER

Almost all male U.S. Citizens and male aliens living in the U.S., who are 18 through 25, are required to register with Selective Service. It’s important to know that even though he is registered, a man will not automatically be inducted into the military. In a crisis requiring a draft, men would be called in sequence determined by random lottery number and year of birth. Then, they would be examined for mental, physical, and moral fitness by the military before being deferred or exempted from military service or inducted into the Armed Forces.

A chart of who must register is available on page three of Attachment C.

NON-CITIZENS Some non-citizens are required to register. Others are not. Non-citizens who are not required to register with Selective Service include men who are in the U.S. on student or visitor visas and men who are part of a diplomatic or trade mission and their families. Almost all other male non-citizens are required to register, including illegal aliens, legal permanent residents, and refugees. The general rule is that if a male non-citizen takes up residency in the U.S. before his 26th birthday, he must register with Selective Service. For a more detailed list of which non- citizens must register, see the Who Must Register for Selective Service Chart.

DUAL NATIONALS Dual nationals of the U.S. and another country are required to register, regardless of where they live, because they are U.S. nationals.

HOSPITALIZED OR INCARCERATED MEN Young men in hospitals, mental institutions, or prisons do not have to register while they are committed. However, they must register within 30 days after being released if they have not yet reached their 26th birthday.

DISABLED MEN Disabled men who live at home must register with Selective Service if they can reasonably leave their homes and move about independently. A friend or relative may help a disabled man fill out the registration form if he can’t do it himself.

Men with disabilities that would disqualify them from military service still must register with Selective Service. Selective Service does not presently have authority to classify men, so even men with obvious handicaps must register now, and if needed, classifications would be determined later.

Revised 06/04/2009 Page 1 ATTACHMENT C

FULL-TIME MILITARY EXEMPTED FROM REQUIREMENT Young men serving in the military on full-time active duty do not have to register. Those attending the service academies do not have to register. If a young man leaves the military before turning 26, he must register.

NATIONAL GUARD AND RESERVES Members of the Reserve and National Guard not on full-time active duty must register.

CONSCIENTIOUS OBJECTORS Men who would be classified as conscientious objectors if they were drafted must also register with Selective Service. If a draft begins and they are called, they would have the opportunity to file a claim for exemption from military service based upon their religious or moral objection to war.

For information on selective service regulations, please refer to the following:

 TEGL 4-89 (dated 03/19/90) – Application of Selective Service Registration Requirements in Section 504 of the Job Training Partnership Act (JTPA)  TEGL 8-98 (dated 11/04/98) – Selective Service Registration  Selective Service Telephone Verification No. (847) 688-6888  Internet Verification/Registration (www.sss.gov).

Revised 06/04/2009 Page 2 ATTACHMENT C

WHO MUST REGISTER FOR SELECTIVE SERVICE?

CATEGORY All male U.S. citizens born on or after January 1, 1960, who are 18 but not yet X 26 years old, except as noted below: MILITARY-RELATED X* Active duty military Men attending service academies, like the U.S. Air Force Academy X* Men attending the U.S. Coast Guard Academy X* Men attending the Merchant Marine Academy X Men receiving Officer Training at The Citadel, North George College, X* Norwich University, and Virginia Military Institute Members of the National Guard or Reserves not on active duty X Delayed Entry Program Enlistees X Men who separate from active duty for any reason before they turn 26 X* Men rejected for enlistment for any reason before turning 26 X ALIENS** Lawful non-immigrants on visas (e.g., diplomatic and consular personnel and families, foreign students, tourists with unexpired visas (Forms I-94, I- X 95A), or those with Border Crossing Documents (Forms I-185, I-186, or I- 444)) Permanent resident aliens X Special (seasonal) agricultural workers (Form I-688) X Special agricultural workers (Form I-688A) X Refugee, parolee, and asylee aliens X Undocumented (illegal) aliens X CONFINED X* Incarcerated, hospitalized, or institutionalized for medical reasons HANDICAPPED PHYSICALLY OR MENTALLY Able to function in public with or without assistance X

Continually confined to a residence, hospital, or institution X

* MUST register within 30 days of release unless already age 26 or already registered when released, or exempt during entire period age 18 through 25.

** Residents of Puerto Rico, Guam, Virgin Islands, and Northern Mariana Islands are U.S. citizens. Citizens of American Samoa are nationals and must register when their address is permanent in the United States. Habitual residence is presumed whenever a national, or a citizen of the Republic of the Martial Islands or the Federated States of Micronesia resides in the United States for more than one year in any status, except as a student or employee of the government of his homeland.

Revised 06/04/2009 Page 3 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Adult – except in Sections 127 and 132, an adult is an individual with an age of 18 or older. [Act 101(1) and 20 CFR 663.110]

 Age – the term adult means an individual who is age 18 or older [Act 101(1) and 20 CFR 663.110]; for youth age is not less than 14 and not more than 21 [Act 101(13) and 20 CFR 664.200(a)].

 Basic Skills Deficient – an individual who (1) computes or solves problems, reads, writes, or speaks English at or below the 8th grade level on a generally accepted standardized test or a comparable score on a criterion-referenced test; or (2) is unable to compute or solve problems, read, write, or speak English at a level necessary to function on the job, in the individual’s family or in society. [Act 101(19); Act 203(12); and 20 CFR 664.205]

 Behind Grade Level – individuals with educational attainment that is one or more grade levels below the grade level appropriate to the age of the individual. [Act 129(C)(5)]

When determining the level of deficiency for a youth participant, it is essential to determine the grade level at which they should be functioning. In order to enter the first grade, a child must be six years old on or before September 1st.

 Cash Public Assistance – an individual who is listed on the grant and/or is receiving assistance under any of the following programs at any time during participation.

 Temporary Assistance to Needy Families (TANF) (also include individuals receiving Aid to Families with Dependent Children (AFDC) during JTPA application or participation who were grandfathered into WIA)  General Assistance (GA) (State/local government)  Refugee Cash Assistance (RCA)  Supplemental Security Income (SSI-SSA Title XVI)

Public assistance recipients may also include participants, who were referred by the TANF agency, participated in the TANF assessment program as a requirement prior to opening a TANF grant, and who received support services from the TANF agency. [Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]

 Citizenship/Eligible to Work – participation in programs and activities financially assisted in whole or part under WIA shall be open to citizens and nationals of the United States, lawfully admitted permanent resident aliens, lawfully admitted refugees and parolees, and other individuals authorized by the in the United States (applies to all programs under Title I Attorney General to work). [Act 188(a)(5)]

Revised 06/04/2009 Page 1 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY Corroborative Witness – a person who personally knows or can identify the WIA applicant and who is reasonably likely to be able to verify the applicant’s statement on the Statement of Family Size/Family Income Form. The witness signing the Statement of Family Size/Family Income Form may accomplish such verification. [See Attachment H of WIIN 3-99, Change 2]

 Dislocated Worker – an individual who (A) (i) has been terminated or laid off, or who has received a notice of termination or layoff from employment; (ii) (I) is eligible for or has exhausted entitlement to unemployment compensation; or (II) has been employed for a duration sufficient to demonstrate to the appropriate entity at a one-stop center, referred to in Section 134(c), attachment to the workforce, but is not eligible for unemployment compensation due to insufficient earnings or having performed services for an employer that was not covered under a State unemployment compensation law; AND (iii) is unlikely to return to a previous industry or occupation. (B) (i) has been terminated or laid off, or has received a notice of termination or layoff from employment as a result of any permanent closure of, or any substantial layoff at, a plant, facility, or enterprise; (ii) is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days; OR (iii) for purposes of eligibility to receive services other than training services described in Section 134(d)(4), intensive services described in Section 134(d)(3), or supportive services, is employed at a facility at which the employer has made a general announcement that such facility will close. (C) was self-employed (including employment as a farmer, a rancher, or a fisherman), but is unemployed as a result of general economic conditions in the community in which the individual resides or because of natural disasters; OR (D) is a displaced homemaker. [Act 101(9)]

 Documentation – to maintain physical evidence, which is obtained during the verification process, in participant files. Such evidence would be copies of documents, completed telephone/document inspection forms and signed self-certification statement.

 Eligible Youth – an individual who (A) is not less than age 14 and not more than age 21; (B) is a low-income individual; and (C) is an individual who has one or more of the following barriers: (i) deficient in basic literacy skills; (ii) a school dropout; (iii) homeless, a runaway, or a foster child; (iv) pregnant or a parent; (v) an offender; (vi) an individual who requires additional assistance to complete an educational program, or to secure and hold employment. [Act 101(13)]

Revised 06/04/2009 Page 2 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY A. Emancipated Youth – a youth who at time of eligibility determination was 19 or older and who was 19 or older on the previous January 1, except full time students. B. At time of eligibility determination was 18 or older and who was 18 or older on the previous January 1, except full time students, that on their tax return for the most recent year, claimed themselves. C. Other youth may be determined to be emancipated due to their family status, personal income and housing arrangements etc.. (This is subject to a “reasonable person” test, requires documentation, and is solely the responsibility of the contractor (See definition of family for additional information)).

 Employed at Registration – an employed individual is currently working as a paid employee or who works in his or her own businesses or profession or on his or her own farm, or works 15 hours or more per week as an unpaid worker on a farm or in an enterprise operated by a member of the family, or is one who is not working, but has a job or business from which he or she was temporarily absent because of illness, bad weather, vacation, labor-management dispute, or personal reasons, whether or not paid by the employer for time-off, and whether or not seeking another job. [Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]

 Exceptions/Youth Only – up to five percent of youth participants served by youth programs in a local area may be individuals who do not meet the income criterion for eligible youth provided that they are within one or more of the following categories. (This is only available when it is specifically identified in the agreement / contract).

(a) School Dropout; (b) Basic Skills Deficient; (c) Are one or more grade levels below the grade level appropriate to the individual’s age; (d) Pregnant or Parenting (e) Possess one or more disabilities, including learning disabilities; (f) Homeless or Runaway; (g) Offender; or (h) Face Serious Barriers to employment as identified by the Local Board. [20 CFR 664.220 and Act 129(c)(2)(5)]

 Family – two or more persons related by blood, marriage, or decree of court, who are living in a single residence, and are included in one or more of the following categories:

(A) a husband, wife, and dependent children. (B) a parent or guardian and dependent children. (C) a husband and wife. [Act 101(15)]

A dependent child is defined as a child: Under age 19 at the end of the previous calendar year; or Under age 24 at the end of the previous calendar year and was a student.

Revised 06/04/2009 Page 3 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

A dependent child was a student if he or she: Was enrolled as a full-time student at a school during any 5 months of the previous calendar year or took a full-time, on-farm training course during any 5 months of the previous calendar year. The course had to be given by a school or a state, county or local government agency. A school includes technical, trade and mechanical schools. It does not include on-the-job training courses or correspondence schools.

Also, regardless of residence and/or citizenship, anyone claimed as a dependent on another person’s Federal Income Tax return for the previous year shall be presumed to be part of the person’s family for the current year. To negate this assumption, the person who was claimed as a dependent for income tax purposes would be required to provide information that demonstrates the individual is no longer financially dependent.

In applying the definition of family, runaway youth, emancipated youth, and court adjudicated youth separated from the family through involuntary temporary residence elsewhere (e.g., institutionalized, incarcerated, or placed as a result of a court order) shall not be classified as dependent children.

Individual with a disability and own income at or below the Poverty Line or 70% of the Lower Living Standard Income Level. [20 CFR 663.640 – Adult; 20 CFR 664.250 – Youth]

Revised 06/04/2009 Page 4 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Family Income – for the purpose of determining WIA income eligibility. List the total income received by you and members of your family from (1) gross wages and salaries (before deductions); (2) net self-employment income (gross receipts minus operating expenses); and (3) other money income from sources such as net rents, social security, pensions, alimony, government and armed forces retirement payments, insurance policy annuities, and other sources of periodic income.

Inclusions for Family Income

 Money wages and salaries before any deductions;  WIA OJT wage payments to participants;  Disaster Relief Employment Wages;  Net receipts from non-farm self-employment (receipts from a person’s own unincorporated business, professional enterprise, or partnership after deductions for business expense);  Net receipts from farm self-employment (receipts from a farm which one operates as an owner, renter, or sharecropper, after deductions for farm operating expenses);  Regular payments from social security, railroad retirement, strike benefits from union funds, worker’s compensation (public/private), and training stipends;  Alimony;  Military family allotments or other regular support from an absent family member or someone not living in the household;  Pensions whether private government employee (including military retirement pay);  Regular insurance or annuity payments;  College or university grants, fellowships and assistantships;  Dividends, interest, net rental income, net royalties, periodic receipts from estates or trust;  Net gambling or lottery winnings;  Net self-employment income (gross receipts minus operating expenses).

Exclusions for Family Income

 Unemployment compensation; [Act 101(25)(B)]  Child support payments; [Act 101(25)(B)]  Cash welfare payments (including TANF, SSI, RCA, GA); [Act 101(25)(B)]  Old Age and Survivors Insurance (OASI) benefits received under Section 202 of the Social Security Act (42 U.S.C. 402); [Act 101(25)(B)]  Foster care payments; [Act 101(25)(B)]  Needs-based scholarship assistance;  Financial assistance under Title IV of the Higher Education Act, i.e., Pell Grants, Federal Supplemental Educational Opportunity Grants and  Federal Work Study, PLUS, Stafford and Perkins loans like any other kind of loan are debt and not income;  Income earned while the veteran was on active military duty and certain other veterans’ benefits, i.e., compensation for service-connected disability, compensation for service-connected death, vocational rehabilitation, and education assistance;  Tax refunds, gifts, loans, lump-sum inheritances, one-time insurance payments, or compensation for injury;  Any assets drawn down as withdrawals from a bank, the sale of property, a house or a car;  IRA withdrawals;  Capital gains;

Revised 06/04/2009 Page 5 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Non-cash benefits such as employer-paid fringe benefits, food or housing received in lieu of wages, Medicare, Medicaid, food stamps, school meals, and housing assistance;  WIA payments to participants (except OJT wages) shall not be considered as income for the purposes of determining eligibility.

Revised 06/04/2009 Page 6 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

NOTE: When a federal statute specifically provides that income or payments received under such statute shall be excluded in determining eligibility for the level of benefits received under any other federal statute, such income or payments shall be excluded in WIA eligibility determination.

 Follow-up Services (Adult and Dislocated Worker) – follow-up services, including counseling regarding the workplace, for participants in workforce investment activities authorized under subtitle (B) of Title I of WIA who are placed in unsubsidized employment, for not less than 12 months after the first day of the employment, as appropriate. [20 CFR 662.240(b)(11)]

 Follow-up Services (Youth) – follow-up services for youth may include:

(1) leadership development and supportive service activities listed in 20 CFR 664.420 and 20 CFR 664.440; (2) regular contact with a youth participant’s employer, including assistance in addressing work-related problems that arise; (3) assistance in securing better paying jobs, career development and further education; (4) work-related peer support groups; (5) adult mentoring; and (6) tracking the progress of youth in employment after training.

All youth participants must receive some form of follow-up services for a minimum duration of 12 months. Follow- up services may be provided beyond 12 months at the State or Local Board’s discretion. The types of services provided and the duration of services must be determined based on the needs of the individual. The scope of these follow-up services may be less intensive for youth who have only participated in summer youth employment opportunities. [20 CFR 664.450]

 Food Stamps – is a member of a household that receives (or has been determined within the 6-month period prior to application for the program involved to be eligible to receive) food stamps pursuant to the Food Stamp Act of 1977. [Act 101(25)(C)]

 Foster Child – a foster child is an individual on behalf of whom state or local government payments are made. [Act 101(25)(E)]

 Homeless – an individual who lacks a fixed regular, adequate night time residence; and any individual who has a primary night time residence that is: (a) a publicly or privately operated shelter for temporary accommodation; (b) an institution providing temporary residence for individuals intended to be institutionalized; or (c) a public or private place not designated for or ordinarily used as a regular sleeping accommodation for human beings.

The term homeless does not include a person imprisoned or detained pursuant to an Act of Congress or State law. [Section 103(a) and Section 103(c) of the Stewart B. McKinney Act]

 Individual with a Disability – means an individual with any disability (as defined in Section 3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102)). [Act 101(17)]

Disability means, with respect to an individual, a physical or mental impairment that substantially limits one or more of the major life activities of such individual; a record of such an impairment; or being regarded as having such an impairment.

Revised 06/04/2009 Page 7 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

(1) (i) the phrase physical or mental impairment means (A) any physiological disorder or condition, cosmetic disfigurement, or anatomical loss affecting one or more of the following body systems: neurological, musculoskeletal, special sense organs, respiratory (including speech organs), cardiovascular, reproductive, digestive, genitourinary, hemic and lymphatic, skin, and endocrine. (B) any mental or psychological disorder such as mental retardation, organic brain syndrome, emotional or mental illness, and specific learning disabilities. (ii) the phrase physical or mental impairment includes, but is not limited to, such contagious and non- contagious diseases and conditions as orthopedic, visual, speech and hearing impairments, cerebral palsy, epilepsy, muscular dystrophy, multiple sclerosis, cancer, heart disease, diabetes, mental retardation, emotional illness, specific learning disabilities, HIV disease (whether symptomatic or asymptomatic), tuberculosis, drug addiction, and alcoholism. The phrase “physical or mental impairment” does not include homosexuality or bisexuality. (2) the phrase major life activities means functions such as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning, and working. (3) the phrase has a record of such an impairment means has a history of, or has been misclassified as having, a mental or physical impairment that substantially limits one or more major life activities. (4) the phrase is regarded as having an impairment means (i) has a physical or mental impairment that does not substantially limit major life activities but that is treated by the recipient as being such a limitation; (ii) has a physical or mental impairment that substantially limits major life activities only as a result of the attitudes of others toward such impairment; or (iii) has none of the impairments defined in paragraph (1) of this definition but is treated by the recipient as having such an impairment. [20 CFR 37.4]

The following questions and answers are in regard to disabled individuals and can be found in 20 CFR 663.640 (Adult) and 20 CFR 664.250 (Youth) of the Final Rules.

20 CFR 663.640 May an individual with a disability whose family does not meet income eligibility criteria under the Act be eligible for priority as a low-income adult?

Yes. Even if the family of an individual with a disability does not meet the income eligibility criteria, the individual with a disability is to be considered a low-income individual if the individual’s own income: (a) meets the income criteria established in WIA section 101(25)(B); or (b) meets the income eligibility criteria for cash payments under any Federal, State or local public assistance program. (WIA section 101(25)(F))

20 CFR 664.250 May a disabled youth whose family does not meet income eligibility criteria under the Act be eligible for youth services?

Yes. Even if the family of a disabled youth does not meet the income eligibility criteria, the disabled youth may be considered a low-income individual if the youth’s own income: (a) meets the income criteria established in WIA section 101(25)(B); or (b) meets the income eligibility criteria for cash payments under any Federal, State or local public assistance program. (WIA section 101(25)(F))

 Individual Employment Plan (IEP) – the individual employment plan is an ongoing strategy jointly developed by the participant and the case manager that identifies the participant’s employment goals, the appropriate achievement

Revised 06/04/2009 Page 8 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY objectives, and the appropriate combination of services for the participant to achieve the employment goals. [20 CFR 663.245]

Revised 06/04/2009 Page 9 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Individual Who Requires Additional Assistance – definitions and eligibility verification requirements regarding the “requires additional assistance to complete an educational program, or to secure and hold employment” criterion of 20 CFR 664.200(c)(6) must be specified in the agreement / contract. [20 CFR 664.210]

 Literacy – an individual’s ability to read, write, and speak in English, and to compute and solve problems at levels of proficiency necessary to function on the job, in the family of the individual, and in society. [Act 203(12); 20 CFR 660.300]

 Local Board – a local workforce investment board established under WIA section 117 to set a policy for the local workforce investment system. [20 CFR 660.300]

 Lower Living Standard Income Level (LLSIL) – the income level (adjusted for regional, metropolitan, urban, and rural differences and family size) determined annually by the Secretary of the U.S. Department of Labor based on the most recent lower living family budget issued by the Secretary. [See Attachment E of WIIN 3-99, Change 2]

 Low-income Individual – an individual who (A) receives, or is a member of a family that receives, cash payments under a Federal, State, or local income-based public assistance program; (B) received an income, or is a member of a family that received a total family income, for the six month period prior to application for the program involved (exclusive of unemployment compensation, child support payments, payments described in subparagraph (A), and old-age and survivors insurance benefits received under Section 202 of the Social Security Act (42 U.S.C. 402)) that, in relation to family size, does not exceed the higher of (i) the Poverty Line for an equivalent period; or (ii) 70 percent of the Lower Living Standard Income Level (LLSIL) for an equivalent period; (C) is a member of a household that receives (or has been determined within the six month period prior to application for the program involved to be eligible to receive) food stamps pursuant to the Food Stamp Act of 1977 (7 U.S.C. 2011 et seq.); (D) qualifies as a homeless individual, as defined in subsections (a) and (c) of Section 103 of the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11302); (E) is a foster child on behalf of whom State or local government payments are made; or (F) in cases permitted by regulations promulgated by the Secretary of Labor, is an individual with a disability whose own income meets the requirements of a program described in subparagraph (A) or of subparagraph (B), but who is a member of a family whose income does not meet such requirements. [Act 101(25)]

Revised 06/04/2009 Page 10 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Not Employed at Registration – an individual who does not meet the definition of employed or who, although employed, has received notice of termination of employment. [Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]

 Offender – an individual (A) who is or has been subject to any stage of the criminal justice process for whom services under WIA may be beneficial; or (B) who requires assistance in overcoming artificial barriers to employment resulting from a record of arrest or conviction. [Act 101(27)]

 Out-of-School Youth – an eligible youth, at the time of registration, who is a school dropout or who has received a secondary school diploma or its equivalent but is basic skills deficient, unemployed, or underemployed. [Act 101(33)]

An individual who is out-of-school at any time, has not received a secondary school diploma or its recognized equivalent and then enrolled in an alternative school, may be considered an out-of-school youth. [20 CFR 664.310]

 Participant – an individual who has registered under 20 CFR 663.105 or 20 CFR 664.215 and has been determined to be eligible to participate in and who is receiving services (except for follow-up services) under a program authorized by WIA Title I. Participation commences on the first day, following determination of eligibility, on which the individual begins receiving other core, intensive, training or other services provided under WIA Title I. [Act 101(34); 20 CFR 660.300]

 Poverty Guidelines – are issued by the Department of Health and Human Services and are used for administrative purposes – for instance, for determining whether a person or family is financially eligible for assistance or services under a particular Federal program. [Federal Register, Volume 67, Number 31, February 14, 2002, pp. 6931 – 6933; See Attachment E of WIIN 3-99, Change 2]  Poverty Line – the poverty line (as defined by the Office of Management and Budget, and revised annually in accordance with Section 673(2) of the Community Services Block Grant Act (42 U.S.C. 9902(2)) applicable to a family of the size involved. [Act 101(36)]

 Priority Policy (for intensive and training services) – if funds are limited, priority shall be given to recipients of public assistance and other low-income individuals for intensive and training services. [20 CFR 663.600 and Act 134(d)(4)(E)]

Funds allocated for dislocated workers, blue collar, or skills grant are not subject to this requirement.

Revised 06/04/2009 Page 11 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Public Assistance – Federal, State, or local government cash payments for which eligibility is determined by a needs or income test. [Act 101(37)]

 Public Assistance Recipient – a participant who is listed on the grant and/or is receiving assistance under any of the following programs at any time during participation.

Public assistance recipients may also include participants who were referred by the TANF agency, participated in the TANF assessment program as a requirement prior to opening a TANF grant, and who received support services from the TANF agency. [Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]

 Register – the process for collecting information to determine an individual’s eligibility for services under WIA Title I. Individuals may be registered in a variety of ways as described in 20 CFR 663.105 and 20 CFR 664.215. [20 CFR 660.300]

Revised 06/04/2009 Page 12 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Registration (Adults and Dislocated Workers)

(a) Registration is the process for collecting information to support a determination of eligibility. This information may be collected through methods that include electronic data transfer, personal interview, or an individual’s application. (b) Adults and dislocated workers who receive services funded under Title I other than self-service or informational activities must be registered and determined eligible. (c) EO data must be collected on every individual who is interested in being considered for WIA Title I financially assisted aid, benefits, services, or training by a recipient, and who has signified that interest by submitting personal information in response to a request from the recipient. [20 CFR 663.105]

 Registration (Youth) (a) All youth participants must be registered. (b) Registration is the process of collecting information to support a determination of eligibility. (c) EO data must be collected on individuals during the registration process. [20 CFR 664.215]

 Runaway Youth – a youth (14 – 18) who absents himself or herself from home or place of legal residence without the permission of parents or legal guardian.

 School Dropout – an individual who is no longer attending any school and who has not received a secondary school diploma or its recognized equivalent. [Act 101(39)]

 Selective Service Registrant – the Secretary shall ensure that each individual participating in any program established under WIA, or receiving any assistance or benefit under WIA, has not violated Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not presenting or submitting to registration as required pursuant to such section. The Director of the Selective Service System shall cooperate with the Secretary in carrying out this section.

NOTE: Males born on or after January 1, 1960 must register with the selective service system within 30 days after their 18th birthday or at least before they reach the age of 26. [Act 189(h)]

Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated November 4, 1998 must be followed. [See Attachment C of WIIN 3-99, Change 2]

 Self-Certification – an individual’s signed attestation that the information he/she submits to demonstrate eligibility for a program under Title I of WIA is true and accurate. [20 CFR 660.300]

 Self-Sufficiency – local boards must set the criteria for determining whether employment leads to self-sufficiency. At a minimum, such criteria must provide that self-sufficiency means employment that pays at least the lower living standard income level, as defined in WIA Section 101(24). Self-sufficiency for a dislocated worker may be defined in a relation to a percentage of the layoff wage. The special needs of individuals with disabilities or other barriers to employment should be taken into account when setting criteria to determine self-sufficiency. Self-sufficiency may be defined differently for an adult and a dislocated worker. The self-sufficiency definition can be found in your Local Plan. [20 CFR 663.230]

Revised 06/04/2009 Page 13 ATTACHMENT D DEFINITIONS FOR ELIGIBILITY

 Supportive Services – services such as transportation, child care, dependent care, housing, and needs-related payments that are necessary to enable an individual to participate in activities authorized under this title, consistent with the provisions of this title. [Act 101(46); Also see Youth Supportive Services]

 Underemployed – occurs when an individual who is working part-time but desires full-time employment, or who is working in employment not commensurate with the individual’s demonstrated level of educational attainment. [Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1]

 Verification – to confirm eligibility requirements through examination of official documents (e.g., birth certificates, public assistance records, or speaking with official representatives of cognizant agencies).

 Youth Leadership Development Opportunities – leadership development opportunities are opportunities that encourage responsibility, employability, and other positive social behaviors such as:

(a) exposure to postsecondary educational opportunities; (b) community and service learning projects; (c) peer-centered activities, including peer mentoring and tutoring; (d) organizational and team work training, including team leadership training; (e) training in decision-making, including determining priorities; and (f) citizenship training, including life skills training such as parenting, work behavior training, and budgeting of resources. [20 CFR 664.420]

 Youth Supportive Services – supportive services for youth, as defined in WIA section 101(46), may include the following: (a) linkages to community services; (b) assistance with transportation; (c) assistance with child care and dependent care; (d) assistance with housing; (e) referrals to medical services; and (f) assistance with uniforms or other appropriate work attire and work-related tools, including such items as eyeglasses and protective eye gear. [20 CFR 664.440; Also see Supportive Services]

Revised 06/04/2009 Page 14 ATTACHMENT E

INTRODUCTION

The 70% of the Lower Living Standard Income Levels and Self Sufficiency Income Guidelines are updated each year, but not at the same time.

When the 70% of the Lower Living Standard Income Level and Self Sufficiency Income charts are updated, they are sent out via e-mail and then updated in this Workforce Investment Information Notice. Please note that we will not replace the page providing the income guidelines for the previous years. Instead, we will issue the updated income guidelines as a new page, which will allow you to keep a history of these guidelines as part of this Workforce Investment Information Notice.

Revised 06/04/2009 Page 1 ATTACHMENT E

70% of the LLSIL Guidelines for Delaware effective 5/27/2009

This table is annual income

Family Size Low Income (Youth) Table 1 10,830 2 14,570 3 18,225 4 22,500 5 26,556 6 31,058 For families greater than 6, add this amount for 4,502 each additional family member

Revised 06/04/2009 Page 2 ATTACHMENT E

Self Sufficiency Income Guidelines

This table is annual income

Family Size Self Sufficiency Table (WIA Adult) 1 19,681 2 32,247 3 44,261 4 54,643 5 64,493 6 75,427 For families greater than 6, add this amount for 10,934 each additional family member.

Revised 06/04/2009 Page 3 ATTACHMENT F

COMPOSITE OF ACCEPTABLE ELIGIBILITY VERIFICATION

Introduction

All eligibility will be documented and verified.

It is important to note that verification is far different than hard copy documentation.

Verification means to confirm eligibility requirements through examination of official documents (e.g., birth certificates, public assistance records, or speaking with official representatives of cognizant agencies).

Documentation means to maintain physical evidence, which is obtained during the verification process, in participant files. Such evidence would be copies of documents, completed telephone/document inspection forms, and signed self-certification statement.

All registrants for intensive and training services must verify and document the General Eligibility criteria, which consist of citizenship or eligible to work, residency selective service registrant (if applicable), and age. Registrants to be served with WIA funds (Adult, Youth, Dislocated Workers will also verify and document all remaining eligibility requirements.

Revised 06/04/2009 Page 1 ATTACHMENT F

COMPOSITE OF ACCEPTABLE ELIGIBILITY VERIFICATION

GENERAL ELIGIBILITY DISLOCATED WORKER ELIGIBILITY Must meet all of the following: Must meet at least one of the following: Citizenship/Alien Status Terminated/Laid Off; Eligible for UC and Birth Date/Age Unlikely to Return Residency Permanent Closure or Substantial Lay-Off Selective Service Registrant General Announcement of Closure Formerly Self-Employed/Currently Unemployed Displaced Homemaker YOUTH ECONOMIC ELIGIBILITY (Low Income) Must meet at least one of the following: YOUTH BARRIERS Cash Public Assistance Must meet one or more of the following: Individual/Family Income Basic Skills Deficient Individual Status/Family Size School Dropout Food Stamps Homeless, Runaway Youth, or Foster Child Homeless Pregnant or Parenting Supported Foster Child Offender Individual with a Disability Requires Additional Assistance to complete educational program or to secure and hold employment

Revised 06/04/2009 Page 2 ATTACHMENT G WIA, BLUE COLLAR, AND SKILLS GRANT ACCEPTABLE ELIGIBILITY VERIFICATION GENERAL ELIGIBILITY CRITERIA

Individuals must meet the following General Eligibility Criteria, which consists of Citizenship or Eligible to Work, Age, Residency, and Selective Service Registration. Although an individual’s Social Security Number is not considered General Eligibility Criteria, it must be verified.

Revised 06/04/2009 Page 1 ATTACHMENT G WIA, BLUE COLLAR, AND SKILLS GRANT ACCEPTABLE ELIGIBILITY VERIFICATION GENERAL ELIGIBILITY CRITERIA Dislocated LIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker

SOCIAL SECURITY NUMBER DD-214, Report of Transfer or Discharge (if Social Security X X X Number is listed) Assignment of pseudo Social Security Employment Records Number is forbidden by IRS regulations. IRS Form Letter 1722 Letter from Social Service Agency NOTE: An unsigned social security card is Drivers License (if Social Security Number is listed) valid, and a child’s social security card is Pay Stub valid if signed by a parent. When the child Social Security Benefit Documents reaches working age (14 or 15), the parent Social Security Card/Notice of Social Security Number Assignment can apply for another card, which can then be W-2 Form signed by the child. U. C. Records (if Name and Social Security Number is shown) Self-Certification Form Telephone Verification Signed Documentation from School Officials Other CITIZENSHIP OR ELIGIBLE TO Alien Registration Card Indicating Right to Work (INS Form I-151, X X X WORK I-551, I-94, I-688A I-197, I-179) Baptismal Certificate (if Place of Birth is shown) State/Federal records of printout of a parent Birth Certificate can be used as proof of citizenship of DD-214, Report of Transfer or Discharge (if Place of Birth is shown) dependent children. Food Stamp Record Foreign Passport Stamped Eligible to Work If, on the verification source, the place of Hospital Record of Birth (if Place of Birth is shown) birth is not in the United States, additional Hand Gun Permit verification may be needed. Naturalization Certification Public Assistance Records * From List B of the I-9 Form the Voter U. S. Passport Registration Form cannot be used. Social Security Card Native American Tribal Document NOTE: For individuals that applied for a One verification source from List A of the I-9 Form OR one verification Social Security Card after 1972 the Social source from List B AND one verification source from List C of the Security Card only is acceptable I-9 Form* documentation of citizenship / alien status. Signed Documentation from School Officials Self-Certification Form TheRevised Social 06/04/2009 Security Administration on 11- Telephone Verification Page 2 18-03 provided this information. Other ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker AGE/BIRTHDATE Baptismal Record (if Date of Birth is shown) X X X Birth Certificate DD-214, Report of Transfer or Discharge Paper Driver’s License Federal, State or Local Government Identification Card Hospital Record of Birth (if Full Name is shown) Passport Public Assistance/Social Service Records School Records/Identification Card Work Permit Self-Certification Form Telephone Verification Other SELECTIVE SERVICE REGISTRANT Selective Service Advisory Opinion Letter X X X Selective Service Registration Record (Form 3A) DD-214, Report of Transfer or Discharge Stamped Post Office Receipt of Registration Internet Verification/Registration (www.sss.gov) Selective Service Telephone Verification (847) 688-6888 Other Residency Driver’s License or State ID X X X Utility Bill Lease or Landlord Statement Rent Receipt Voter Registration Card Letter from a State Social Service Agency Letter from a School / School District Other

Revised 06/04/2009 Page 3 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA

Must meet at least one of the following Economic Eligibility Criteria, which consists of Individual/Family Income, Individual Status/Family Size, Cash Public Assistance, Food Stamps, Homeless, Supported Foster Child, and Individuals with Disabilities.

Revised 06/04/2009 Page 4 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker

Revised 06/04/2009 Page 5 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA INDIVIDUAL/FAMILY INCOME Alimony Agreement X Not Statement of Family Size/Family Income a Award Letter from Veterans Administration p Verification should be provided for each Bank Statement (Direct Deposit) p applicable income source. Compensation Award Letter l Court Award Letter i If the applicant is low-Income based on Employer Statement/Contact c meeting the definition of TANF, Food Farm or Business Financial Records a Stamps, SSI, Homeless, or Foster Child, this Housing Authority Verification b must be verified. However, family size does Pay Stubs l not need to be verified, and family income Pension Statement e does not need to be verified or recorded. Public Assistance Records Quarterly Estimated Tax for Self-employed Persons (Schedule C) u Social Security Benefits n UI Documents and/or Printout l Self-Certification Form e Telephone Verification s Other s f u n d s a r e

l i m i t e d

a n d

a Revised 06/04/2009 Page 6 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA

p r i o r i t y

p o l i c y

i s i n

p l a c e

w i t h

t h e

l o c Revised 06/04/2009 Page 7 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA a l b o a r d

f o r

i n t e n s i v e

a n d / o r

t r a i n i n g

Revised 06/04/2009 Page 8 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA e r v i c e s INDIVIDUAL STATUS/FAMILY SIZE Statement of Family Size/Family Income X Not Birth Certificate a Decree of Court p If the applicant is low-Income based on Disabled (See Individuals with a Disability) p meeting the definition of TANF, Food Divorce Decree l Stamps, SSI, Homeless, or Foster Child to Landlord Statement i determine Low-Income Individual Family Lease c size; does not need to be verified, but the Marriage Certificate a family for the individual needs to be Medical Card b established. Most Recent Tax Return supported by IRS Documents (e.g., Form l Letter 1711) e Public Assistance/Social Service Agency Records Public Housing Authority (if Resident of or on Waiting List) u Written Statement from a Publicly supported 24-hour Care Facility n or l Institution (e.g., Mental, Prison) e Self-Certification Form s Telephone Verification s Other f u n d s a r e

l i m i t

Revised 06/04/2009 Page 9 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA e d

a n d

p r i o r i t y

p o l i c y

i s i n

p l a c e

w i t h Revised 06/04/2009 Page 10 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA

t h e

l o c a l b o a r d

f o r

i n t e n s i v e

a n d / o r

t r a Revised 06/04/2009 Page 11 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA i n i n g

s e r v i c e s

Revised 06/04/2009 Page 12 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA CASH PUBLIC ASSISTANCE Copy of Authorization to Receive Cash Public Assistance X Copy of Public Assistance Check If the applicant is low-income based on Medical Card Showing Cash Grant Status meeting the definition of TANF, Food Public Assistance Identification Card Showing Cash Grant Stamps, SSI, Homeless, or Foster Child, this Status must be verified. However, family size does Public Assistance Records/Printout not need to be verified and family income Refugee Assistance Records does not need to be verified or recorded. Self-Certification Form Telephone Verification Other FOOD STAMPS Current Authorization to Obtain Food Stamps X Current Food Stamp Recipient If the applicant is low-income based on Food Stamp Card with Current Date meeting the definition of TANF, Food Letter from Food Stamp Disbursing Agency Stamps, SSI, Homeless, or Foster Child, this Postmarked Food Stamp Mailer with Applicable Name and Address must be verified. However, family size does Public Assistance Records/Printout not need to be verified and family income Self-Certification Form does not need to be verified or recorded. Telephone Verification Other HOMELESS Written Statement from an Individual Providing Temporary X Residence If the applicant is low-income based on Written Statement from Shelter meeting the definition of TANF, Food Written Statement from Social Service Agency Stamps, SSI, Homeless, or Foster Child, this Self-Certification Form must be verified. However, family size does Telephone Verification not need to be verified and family income Other does not need to be verified or recorded.

Revised 06/04/2009 Page 13 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION ECONOMIC ELIGIBILITY CRITERIA

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker SUPPORTED FOSTER CHILD Court Contact X Court Documentation If the applicant is low-income based on Medical Card meeting the definition of TANF, Food Verification of Payments made on Behalf of the Child Stamps, SSI, Homeless, or Foster Child, this Written Statement from State/Local Agency must be verified. However, family size does Self-Certification Form not need to be verified and family income Telephone Verification does not need to be verified or recorded. Other INDIVIDUALS WITH DISABILITIES Letter from Drug or Alcohol Rehabilitation Agency X X Letter from Child Study Team stating Specific Disability 20 CFR 663.640 May an individual with a Medical Records disability whose family does not meet Observable Condition (Self-Certification Form Needed) income eligibility criteria under the Act be Physician’s Statement eligible for priority as a low-income adult? Psychiatrist’s Diagnosis Psychologist’s Diagnosis Yes, even if the family of a disabled Rehabilitation Evaluation individual does not meet the income Sheltered Workshop Certification eligibility criteria, the disabled individual is Social Service Records/Referral to be considered a low-income individual if Social Security Administration Disability Records the individual’s own income: Veterans Administration Letter/Records (a) Meets the income criteria established in Vocational Rehabilitation Letter WIA section 101(25)(B); or Signed Documentation from School Official (b) Meets the income eligibility criteria for Workers Compensation Record cash payments under any Federal, State Self-Certification Form or local public assistance program. (WIA Telephone Verification section 101(25)(F).) Other

Revised 06/04/2009 Page 14 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION YOUTH BARRIERS CRITERIA

Youth must be within one or more of the following Youth Barriers which consist of Basic Skills Deficient, Pregnant or Parenting, School Dropout, Offender, Homeless, Runaway Youth or Foster Child, and Requires Additional Assistance.

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker YOUTH BARRIERS BASIC SKILLS DEFICIENT X Assessed by a Generally Accepted Standardized Test School Records Self-Certification Form Telephone Verification Other YOUTH BARRIERS PREGNANT OR PARENTING X Birth Certificate Hospital Record of Birth Medical Card Physician’s Note Referrals from Official Agencies School Program for Pregnant Teens School Records Statement from Social Service Agency Self-Certification Form Telephone Verification Other YOUTH BARRIERS SCHOOL DROPOUT X Attendance Record Dropout Letter Self-Certification Form Telephone Verification Other

Revised 06/04/2009 Page 15 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION YOUTH BARRIERS CRITERIA

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker YOUTH BARRIERS OFFENDER X Court Documents Halfway House Resident Letter of Parole Letter from Probation Officer Police Records Self-Certification Form Telephone Verification Other YOUTH BARRIERS HOMELESS, RUNAWAY YOUTH X Written Statement from an Individual providing Temporary Residence Written Statement from Shelter Written Statement from Social Service Agency Self-Certification Form Telephone Verification Other OR FOSTER CHILD Court Contact Court Documentation Medical Card Verification of Payment made on Behalf of the Child Written Statement from State/Local Agency Self-Certification Form Telephone Verification Other YOUTH BARRIERS REQUIRES ADDITIONAL ASSISTANCE X Self-Certification Form Other

Revised 06/04/2009 Page 16 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION DISLOCATED WORKER CRITERIA

DISLOCATED WORKER – the term “dislocated worker” means an individual who (a) has been terminated or laid off, or who has received a notice of termination or layoff, from employment; is eligible for or has exhausted entitlement to unemployment compensation; or has been employed for a duration sufficient to demonstrate, to the appropriate entity at a one-stop center, attachment to the workforce, but is not eligible for unemployment compensation due to insufficient earnings or having performed services for an employer that were not covered under a State unemployment compensation law; and is unlikely to return to a previous industry or occupation; (b) has been terminated or laid off, or has received a notice of termination or layoff, from employment as a result of any permanent closure of, or any substantial layoff at, a plant, facility, or enterprise; is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days; or for purposes of eligibility to receive services other than training services, intensive services, or supportive services, is employed at a facility at which the employer has made a general announcement that such facility will close; (c) was self- employed (including employment as a farmer, a rancher, or a fisherman) but is unemployed as a result of general economic conditions in a community in which the individual resides or because of natural disasters; or (d) is a displaced homemaker.

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker DISLOCATED WORKER TERMINATED/LAID OFF/RECEIVED NOTICE OF X TERMINATION OR LAYOFF Certification of Expected Separation Layoff Letter from Employer Verification from Prospective Employer Verification from Employment Agency Self-Certification Form Other AND ELIGIBLE FOR UI UI Documents and/or Printout E.S. Contact Profile Reemployment Program (PREP) Service Activity Plan Other AND UNLIKELY TO RETURN (Reemployment Opportunity is poor) Contact with Separating Employer Job Service Contact Layoff/Termination Notice Profile Reemployment Program (PREP) Service Activity Plan Statewide/Local Labor Market Information UC Printout listing Reason for Termination Self-Certification Form Telephone Verification Other

Revised 06/04/2009 Page 17 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION DISLOCATED WORKER CRITERIA

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker DISLOCATED WORKER PERMANENT CLOSURE OF PLANT/FACILITY/ ENTERPRISE X OR SUBSTANTIAL LAYOFF Certification of Expected Separation Letter from Employer Media Announcement with Employment Verification Contact with Separating Employer Layoff Notice Public Notice as determined by the State’s Rapid Response Coordination Services UI Documents and/or Printout WARN Notice to Individual with Separating Employer WARN Notice to Labor Union which represents Worker Self-Certification Form Telephone Verification Other DISLOCATED WORKER GENERAL ANNOUNCEMENT OF CLOSURE X Verification from Media Source Employer Verification Self-Certification Form Telephone Verification Other

Revised 06/04/2009 Page 18 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION DISLOCATED WORKER CRITERIA

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker DISLOCATED WORKER FORMERLY SELF-EMPLOYED/CURRENTLY UNEMPLOYED X Business License/Permit IRS Forms Labor Market Information Unemployment Rate Approved Labor Market Analysis Business Ledgers Chapter 7 – Bankruptcy published in Newspaper (Date must be shown) Chapter 11 – Bankruptcy published in Newspaper (Date must be shown) Failure of Business Supplier Failure of Business Customer Depressed Prices or Market Federal/State Declaration of Disaster BWI Approved Disaster AND Permanent Dislocation Self-Certification Form Telephone Verification Other

Revised 06/04/2009 Page 19 ATTACHMENT G WIA ACCEPTABLE ELIGIBILITY VERIFICATION DISLOCATED WORKER CRITERIA

Displaced Homemaker – an individual who has been providing unpaid services to family members in the home and who (A) has been dependent on the income of another family member but is no longer supported by that income; AND (B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.

Dislocated ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult Worker DISLOCATED WORKER DISPLACED HOMEMAKER

The term “displaced homemaker” means an individual who has been providing unpaid services to family members in the home and who

(A) has been dependent on the income of IRS Forms another family member but is no Court Records longer supported by that income; Medical Records Bank/Financial Records Divorce Decree Spouse Death Certificate Spouse Disability check Self-Certification Form AND AND (B) is unemployed or underemployed and is experiencing difficulty in obtaining Employer Verification or upgrading employment. Job Search Verification Self-Certification Form Telephone Verification Other

Revised 06/04/2009 Page 20 ATTACHMENT H

INSTRUCTIONS FOR COMPLETING WORKFORCE INVESTMENT ACT (WIA) STATEMENT OF FAMILY SIZE/FAMILY INCOME

This form is required for the verification of income of all WIA participants. In cases where the recommended verification sources of Family Size verification are unavailable, then this form may also be used to document family size.

For WIA program services, in extraordinary circumstances, this form may be also used to document income. The explanation of the extraordinary circumstances will be documented in the case file and the justification must be approved by supervision. The documentation will include the Self Attestation Statement described in attachment I.

The purpose of this form is to verify the WIA applicant’s family size at time of registration and family income during the last six months (26 weeks) when necessary. This entails verifying the size and makeup of the applicant’s FAMILY. This form is only required when eligibility is based on FAMILY INCOME.

The applicant should complete the Statement of Family Size/Family Income with the assistance of intake staff to ensure it is completed correctly. The applicant will then take the form to have it signed by a witness who can corroborate the given information.

Family – two or more persons related by blood, marriage, or decree of court, who are living in a single residence, and are included in one or more of the following categories:

(A) a husband, wife, and dependent children. (B) a parent or guardian and dependent children. (C) a husband and wife.

A dependent child is defined as a child: Under age 19 at the end of the previous calendar year, or Under age 24 at the end of the previous calendar year and was a student.

A dependent child was a student if he or she: Was enrolled as a full-time student at a school during any 5 months of the previous calendar year or took a full-time, on-farm training course during any 5 months of the previous calendar year. The course had to be given by a school or a state, county or local government agency. A school includes technical, trade, and mechanical schools. It does not include on-the-job training courses or correspondence schools.

An individual with a disability whose own income is at or below the Poverty Line or 70% of the Lower Living Standard Income Level may be treated as a family of 1.

Family Income – for the purpose of determining WIA income eligibility, list the total income received by you and members of your family from (1) gross wages and salaries (before deductions); (2) net self-employment income (gross receipts minus operating expenses); and (3) other money income from sources such as net rents, social security, pensions, Revised 06/04/2009 Page 1 ATTACHMENT H alimony, government and armed forces retirement payments, insurance policy annuities, and other sources of periodic income.

Inclusions for Family Income

Exclusions for Family Income

 Unemployment compensation;  Child support payments;  Cash welfare payments (including TANF, SSI, RCA, GA);  Old Age and Survivors Insurance (OASI) benefits received under Section 202 of the Social Security Act (42 U.S.C. 402);  Foster care payments;  Needs-based scholarship assistance;  Financial assistance under Title IV of the Higher Education Act, i.e., Pell Grants, Federal Supplemental Educational Opportunity Grants and Federal Work Study, PLUS, Stafford, and Perkins loans like any other kind of loan are debt and not income;  Income earned while the veteran was on active military duty and certain other veterans’ benefits, i.e., compensation for service-connected disability, compensation for service-connected death, vocational rehabilitation, and education assistance;  Tax refunds, gifts, loans, lump-sum inheritances, one-time insurance payments, or compensation for injury;  Any assets drawn down as withdrawals from a bank, the sale of property, a house or a car;  IRA withdrawals;  Capital gains;  Non-cash benefits such as employer-paid fringe benefits, food or housing received in lieu of wages, Medicare, Medicaid, food stamps, school meals, and housing assistance;  WIA payments to participants (except OJT wages) shall not be considered as income for the purposes of determining eligibility.

Revised 06/04/2009 Page 2 ATTACHMENT H

IDENTIFYING INFORMATION

Please complete this block with the WIA applicant’s name, address, social security number, and application date.

FAMILY MEMBERS NAME/RELATIONSHIP TO APPLICANT/FAMILY MEMBER INCOME

 List the names of all FAMILY MEMBERS (including applicant) living in the applicant’s residence on the date of registration.

 Indicate the relationship of each FAMILY MEMBER to the applicant.

 Indicate the income during the last six months (26 weeks) of each FAMILY MEMBER living in the applicant’s residence on the date of registration.

 Complete the block Total Number in Family.

 Complete the block Total Income (if applicable).

NAME/LOCATION/REASON

 List the names of any FAMILY MEMBERS not currently residing in the applicant’s residence.

This should include any FAMILY MEMBER who is not currently living in the residence but would be considered a part of the applicant’s family. These absences may be due to temporary and voluntary residence elsewhere (e.g., attending school or college, or visiting relatives). It would not include involuntary temporary residence elsewhere (e.g., incarceration, or placement as a result of a court order). Members of the Armed Forces on extended temporary assignment elsewhere are considered to be assigned involuntarily and would not be considered as part of the applicant’s FAMILY.

 Indicate the location of the absent family member.

 Indicate the reason for the absence. Include whether the absence is voluntary or involuntary and if it is temporary or permanent.

The applicant must sign and date the form.

A corroborating witness must sign and date the form attesting to the accuracy of the given information. The corroborating witness may live in or out of the residence, and may or may not be related to the applicant. The witness must have verifiable knowledge of the applicant’s FAMILY STATUS.

The Family Income Worksheet will also be completed in support of this form in order to describe the method used to determine the income included on this form.

Revised 06/04/2009 Page 3 ATTACHMENT H

WORKFORCE INVESTMENT ACT STATEMENT OF FAMILY SIZE/FAMILY INCOME

IDENTIFYING INFORMATION

Applicant’s Name Last First MI Address

Social Security Number Application Date:

To be completed by WIA applicant with staff assistance

For use in completing this form, the definitions of FAMILY and FAMILY INCOME can be found on the previous page.

Please provide information regarding the applicant’s FAMILY as requested below. The Family Member Income column is only completed when documenting income due to extraordinary circumstances.

RELATIONSHIP TO FAMILY MEMBER INCOME FAMILY MEMBER’S NAME APPLICANT (Last Six Months)

Total Number in Family: Total Income:

If applicable, please complete the following information for FAMILY MEMBERS not currently residing in the applicant’s residence (see instructions).

NAME LOCATION REASON

I attest to the best of my knowledge that the information above is true and correct.

Signature of Applicant Date

CORROBORATING WITNESS – I attest to the best of my knowledge that the information is true and correct.

Name Signature Date Street Address City State Zip Telephone Number Relationship to WIA Applicant

Revised 06/04/2009 Page 4 ATTACHMENT I

Self-Certification Requirements

After review of the eligibility criteria, along with possible ways to verify the criteria, it was found that much of the verification was readily available through a number of agencies or sources. In some cases, definitive verification is required (e.g., eligibility to work (I-9 requirements under IRCA) and Selective Service Registration or exemption for males.

WIIN 3-99, Change 2 allows for the use of Self-Certification to verify those items that in some cases are not verifiable or may cause undue hardship for individuals to obtain. A Self-Certification may be used after all practicable attempts to secure verification have failed.

In order to utilize the Self-Certification as verification, the Self-Certification Form, or facsimile, must be utilized.

Use of the Self-Certification Form is as follows:

If an applicant states that he/she cannot provide evidence that no income was received during the past six months, and that he/she was unemployed for that period, the blank spaces following the words “I certify, under penalty of law, that the following information is true” must be completed. For example:

“Have received no income from any source during the past six months, I have been unemployed during that time, and have been supported by donations/contributions from relatives and friends.”

NOTE: When using the “Self-Certification” form, the “Counselor’s Signature/Date” found in the “Certification” block must be completed. The “Reviewer’s Signature/Date” is to be completed by the Case Manager/Contract Intake Staff Supervisor.

Revised 06/04/2009 Page 1 ATTACHMENT I SELF-CERTIFICATION FORM

IDENTIFYING INFORMATION

Applicant’s Name Last First MI Address Social Security Number Application Date:

I HEREBY CERTIFY UNDER PENALTY OF LAW, THAT THE FOLLOWING INFORMATION IS TRUE.

I ATTEST THAT THE INFORMATION STATED ABOVE IS TRUE AND ACCURATE, AND UNDERSTAND THAT THE ABOVE INFORMATION, IF MISREPRESENTED, OR INCOMPLETE, MAY BE GROUNDS FOR IMMEDIATE TERMINATION AND/OR PENALTIES AS SPECIFIED BY LAW.

APPLICANT’S SIGNATURE and DATE APPLICANT’S PHONE NUMBER

APPLICANT’S ADDRESS

SIGNATURE OF PARENT OR GUARDIAN (as needed)

The above Self-Certification is being utilized for verification of the following eligibility criteria:

CERTIFICATION I certify that the individual whose signature appears above provided the information recorded on this form.

Counselor’s Signature/Date:

Reviewer’s Signature/Date:

Revised 06/04/2009 Page 2 ATTACHMENT J

Telephone/Document Inspection Verification Requirements

Introduction

WIA eligibility criteria may be verified by telephone contacts with cognizant governmental or social service agencies, or by document inspection. The information obtained must be verified by recording the information on a standardized form such as the example contained on page two of Attachment J. Information recorded must be adequate to enable a monitor or auditor to trace back to the cognizant agency or the document used. Telephone verification must include the name of the agency representative providing the verification information.

In some cases, the information provided by an agency through telephone contact may be sufficient to satisfy multiple WIA eligibility criteria. For example, verification that an applicant has been determined eligible to receive TANF can satisfy the requirement for Youth program eligibility.

Verification of eligibility through document inspection is appropriate when documents cannot or may not be machine- copied.

Agencies that may assist in verifying via telephone are as follows:

 Local Schools  Social Security Administration  Veterans Administration  Medical and health facilities  Vocational rehabilitation facilities  Drug and alcohol rehabilitation facilities  Housing authorities  Homeless shelters  Judicial agencies and institutions  Other State and local government agencies

When WIA eligibility verification is accomplished via telephone or document inspection, Local Workforce Investment Areas are required to use a standardized form, such as the example on page two for monitoring and audit purposes.

Revised 06/04/2009 Page 1 ATTACHMENT J

WIA TELEPHONE VERIFICATION/DOCUMENT INSPECTION FORM

IDENTIFYING INFORMATION

Applicant’s Name Last First MI

Social Security Number Date:

WIA ELIGIBILITY VERIFICATION BY TELEPHONE

NAME AND/OR NUMBER OF DOCUMENT

ELIGIBILITY ITEM(S) TO BE VERIFIED: INFORMATION VERIFIED: AGENCY PROVIDING VERIFICATION: AGENT VERIFYING ELIGIBILITY ITEM: DATE AND TIME OF VERIFICATION: TELEPHONE NUMBER OF AGENCY PROVIDING VERIFICATION:

WIA ELIGIBILITY VERIFICATION BY DOCUMENT INSPECTION

NAME AND/OR NUMBER OF DOCUMENT

ELIGIBILITY ITEM TO BE VERIFIED: INFORMATION VERIFIED: DOCUMENT TO BE INSPECTED: ORIGINAL SOURCE OF DOCUMENT: REASON FOR DOCUMENT INSPECTION: REMOTE SITE ELIGIBILITY, NO COPIER AVAILABLE. ON SITE ELIGIBILITY, NO COPIER AVAILABLE. DOCUMENT CANNOT BE COPIED.

I ATTEST THAT THE INFORMATION RECORDED BY ME ON THIS DOCUMENT WAS OBTAINED THROUGH TELEPHONE CONTACT OR DOCUMENT INSPECTION ON THE ABOVE DATE. AS INDICATED BY THE AGENT, ALL INFORMATION WAS OBTAINED FROM DATA PREVIOUSLY DETERMINED AND RECORDED IN THE APPLICANT’S RECORDS AT THE AGENCY PROVIDING THE ELIGIBILITY VERIFICATION. OR I ATTEST THAT THE DOCUMENT INSPECTION VERIFIED THE PRIMARY/SECONDARY ITEMS REQUIRED TO DETERMINE ELIGIBILITY FOR THE WIA PROGRAM.

Revised 06/04/2009 Page 2 ATTACHMENT J

ELIGIBILITY SPECIALIST’S SIGNATURE DATE

Revised 06/04/2009 Page 3 ATTACHMENT K

Income Verification Methods

Introduction

When income is used to document low income status, the eligibility is based on the income of the family. Family income will be documented as described in Attachment “G”. The verification of income is accomplished through the combination of two forms as follows:

 Statement of Family Size/Family Income (when used to document family size)  Family Income Worksheet

The Family Income Worksheet is used to document family income for the family members entered on the Statement of Family Size/Family Income except in extraordinary circumstances (Attachment H). Family income is subject to the definitions of Family and Includable Family Income found in Attachment “G”

A separate section of the Family Income Worksheet will be completed for each applicant and family member over 15 years of age. When the individual has no income, “no income” should be written on the Annualized Total line. For family members with wages/salary, the form will be completed as specified, identifying, the periods of work, and the amount of income for the period. For individuals with other includable income, the type of income and amount of income will be provided.

Income is calculated for the six (6) month period prior to application. It is then doubled to obtain the individuals annual income. When this has been completed for all the family members, the individual family incomes are totaled to obtain the total annual family income. The total annual family income is then compared with the appropriate income tables found in Attachment “E”.

The form will also be used to document excludable income when it assists in verifying the support of the family.

If Family size is documented from a source other than Attachment H, then only Attachment K will be used to support the documentation of Family Income.

Revised 06/04/2009 Page 1 DELAWARE DEPARTMENT OF LABOR FAMILY INCOME WORK SHEET INCOME DETERMINATION PERIOD: FROM: ______TO: ______

APPLICANT’S NAME:

INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME From To $______per wk X ______wks = Supplemental Sec. $______per wk X ______mos = ______$______Income: $______From To $______per wk X ______wks = AFDC, GA, RA $______per wk X ______mos = ______$______$______From To $______per wk X ______wks = Food Stamps $______per wk X ______mos = ______$______$______Pension/Military Retirement $______per mo X ______mos = Unemployment Comp. $______per wk X ______wks = $______$______Soc. Sec. Dis. Income $______per mo X ______mos = Child Support $______per wk X ______wks = $______$______Workman’s Compensation $______per mo X ______mos = Old Age & Survivors $______per wk X ______wks = $______Income $______Other, Specify: Other, Specify: $______per wk X ______mos = $______per wk X ______mos = $______$______$______per wk X ______mos = $______per wk X ______mos = $______$______6 MONTH TOTAL = $______

6 MONTH TOTAL = If there has been no income in the family during the income $______determination period, state how the applicant has been living during X2 the last 6 months: ANNUALIZED TOTAL = $ ______FAMILY MEMBER’S RELATIONSHIP: AGE: NAME:

INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME

Revised 06/04/2009 Page 2 DELAWARE DEPARTMENT OF LABOR FAMILY INCOME WORK SHEET INCOME DETERMINATION PERIOD: FROM: ______TO: ______From To $______per wk X ______wks = Supplemental Sec. $______per wk X ______mos = ______$______Income: $______From To $______per wk X ______wks = AFDC, GA, RA $______per wk X ______mos = ______$______$______From To $______per wk X ______wks = Food Stamps $______per wk X ______mos = ______$______$______Pension/Military Retirement $______per mo X ______mos = Unemployment Comp. $______per wk X ______wks = $______$______Soc. Sec. Dis. Income $______per mo X ______mos = Child Support $______per wk X ______wks = $______$______Workman’s Compensation $______per mo X ______mos = Old Age & Survivors $______per wk X ______wks = $______Income $______Other, Specify: Other, Specify: $______per wk X ______mos = $______per wk X ______mos = $______$______$______per wk X ______mos = $______per wk X ______mos = $______$______6 MONTH TOTAL = $______X2 ANNUALIZED TOTAL = $______

Revised 06/04/2009 Page 3 Revised 06/04/2009 Page 4