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Home My WebLink About20021758.tiff RESOLUTION RE: APPROVE EMPLOYMENT FIRST COUNTY PLAN FOR 2002-2003 PROGRAM OPERATIONS AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Employment First County Plan for 2002-2003 Program Operations from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Departments of Social Services and Human Services, to the Colorado Department of Human Services, commencing July 1, 2002, and ending June 30, 2003, with further terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services, that the Employment First County Plan for 2002-2003 Program Operations from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Departments of Social Services and Human Services, to the Colorado Department of Human Services be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said plan. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 1st day of July, A.D., 2002. BOARD OF COUNTY COMMISSIONERS WEW, COUN OLORADO ATTEST: �,._/,d r �� aa/4� `tears 1 G : n aad, Chair Weld County Clerk tot .`- / \' .2 r r , A David E. Long, Pro-Tem BY: . /[ • Deputy Clerk to the Bow` 9 EXCUSED DATE OF SI ING (AYE) M. J. Geile APP AS O M: r/7 i William H. erke oun y r y EXCUSED Robert D. Masden Date of signature: !S 2002-1758 cc: SS Ca, ) SS0029 a • DEPARTMENT OF SOCIAL SERVICES PO BOX A IDwEBsITE: GREELEY,CO 80632 www.co.weld.co.us Administration and Public Assistance(970)352-1551 Mi , O Child Support(970)352-6933• COLORADO MEMORANDUM TO: Glenn Vaad, Chair Date: June 20, 2002 Board of County Commissioners FR: Judy A. Griego, Director, Social Services O. Lor RE: Employment First County Plan for Program Operations 2002-2003 Enclosed for Board approval is an Employment First County Plan for Program Operations 2002-2003. This Plan was discussed at the Board's Work Session of June 19, 2002. Weld County's plan and operations involves the Weld County Department of Social Services and the Weld County Division of Human Services and how these two County Department provide services to mandatory Food Stamp work registrants under the Employment First Program. The Employment First Program is under the auspices of the Colorado Department of Human Services. The term of the Plan is July 1, 2002 through June 30, 2003. If you have any questions, please telephone me at extension 6510. 2002-1758 A ALA a , ,---la) r!:.,,, A ! ilitA.,. oil{ dm ! . 44 _ .1 , , ‘ ..fi , I !„ ., 1 „ � I i if ! li L EMPLOYMENT FIRST COUNTY PLAN For Program Operations 2002-2003 Prepared by: WELD COUNTY Phone Number: 970 353-3800 Date: June 10,2002 Return completed Plan by mail, fax or e-mail to: Colorado Department of Human Services Food Assistance/Employment First 1575 Sherman Street, 3rd Floor Denver, CO 80203 ATTN: Kathy Mahoney FAX: 303-866-5098 Kathleen.Mahoneystate.co.us or Sue.McGinn(astate.co.us ,,?oo0z- /751 PLEASE TYPE ALL INFORMATION LOCAL CONTACTS AND PROGRAM STAFF DSS Contract Monitor Suzanne Cowan Phone Number 970 352-1551 Internet E-mail Address cowanxsa(a�co.weld.co.us Contractor Representative Richard Rowe Phone Number 970 352-1551 Internet E-mail Address rowexxrd.@co.weld.co.us EF Supervisor: Dora E. Lara Phone Number 970 352-1551 Internet E-mail Address dlara(W,co.weld.co.us EF Liaison: Dora E. Lara Phone Number 970 353-3800 Internet E-mail Address dlara(a�co.weld.co.us Food Stamp Supervisor: Suzanne Cowan Phone Number 970 352-1551 Internet E-mail Address cowamcsaaco.weld.co.us Food Stamp Liaison: Suzanne Cowan Phone Number 970 352-1551 Internet E-mail Address cowanxsaaco.weld.co.us Social/Human Services Bookkeeper: John Kruse Phone Number 970 352-1551 Internet E-mail Address krusexi( co.weld.co.us Contractor Bookkeeper: Marilyn Carlino Phone Number 970 352-1551 (if applicable) Internet E-mail Address: mcarlino(a),co. weld.co Staff Assigned Employment First Responsibilities Name Title Phone # and Internet E-mail Address Dora E. Lara Client Data Systems Coordinator Phone Number 970 353-3800 ext 3420 Internet E-mail Address: dlara(a�co.weld.co us Annette Gutierrez Client Service Technician Phone Number 970 353-3800 ext 3420 Internet E-mail Address: agutierr(a�co.weld.co.us (Attach additional sheets if necessary) 2 Staff Assigned Employment First Responsibilities Name Title Phone # and Internet E-mail Address Sonia Rodriguez Client Service Technician Phone Number 970 353-3800 ext 3428 Internet E-mail Address: srodrigua,co.weld.co.us ,,co.weld.co.us Nancy Sanchez Client Service Technician Phone Number 970 353-3800 ext 3429 Internet E-mail Address: nsanchez@co.weld.co.us Marilyn Carlino Fiscal Officer Phone Number 970 353-3800 ext 3350 Internet E-mail Address: mcarlino(a�co.weld.co us Elvira Gonzales Client Service Technician Phone Number 970 353-3800 ext 3378 Internet E-mail Address: egonzalez@co.weld.co.us Alicia Lopez Client ServiceTechnician Phone Number 970 353-3800 ext 3431 Internet E-mail Address: balopez(a,co.weld.co us 3 Contractual Arrangements for Component Services If any component services (i.e. GED, education or job seeking classes, etc) of the Employment First Program are contracted out, describe each contractual arrangement using the format below. Attach a copy of the contract to this document. Name of Agency with whom you contract for services: Services provided: (i.e., employability classes, GED classes, etc.) Method of Payment and Rate of Pay: Pay a standard amount regardless of number served $ Pay per participant $ Services are donated and documented for in-kind standard amount regardless of number served $ per participant $ How often does the provider submit an invoice to you? If the contractor bills monthly, on what day of the month is the invoice submitted to the county by the contractor, i.e., the 5th of every month as opposed to once a month. What reports must the contractor provide to you? How often are reports required? 4 General Operation Questions: PARTICIPANT FLOW On the following page you will find descriptions of three program models. 1. Read through each model in its entirety. 2. Decide which model your Employment First Program will use for program operations. 3. Check the model below that your county will be using. 4. Provide a client flow chart if none of the models apply. Follow the same format as used in the models to describe the participant flow. Model #1 — Intend to start most participants in an initial workfare site at orientation. Model #2 — Utilize workfare 30-day job search for all participants; plan to place most participants on a permanent workfare site at the end of 30 days. Must justify all component assignments at the end of the first 30 days that are not workfare. X Model #3 — Component assignments are decided at orientation. May start some participants on an initial workfare site. No commitment to placing the majority of participants in workfare so cannot use workfare 30-day job search for everyone. Model specific to the County- please create and attach your own participant flow chart using the other models as an example. .h ,�§'I' Ydi r„ t r',94.4,44-. f Y,-Y$ .e'a ti'. ® I • #� 1'�+a}It` f•1 B - , 1��t 9 ° ��+ .� � 7C� fry $�-i�n*ir,<r�rmf'M �'Y ®;�1� � �Bl �•r� ��i c :mt, +in25i• shy Pit + ₹" Er .n ® • - � at. e a knSi • �"t '�k�# '� y muS Pad d3 • qt x ,a+ �°�® � x°�. ° X 7 A R 1 • _trtr `" @ h w k' ui r enal ° •) • • + " f.it{r..r��°)tub{ 1'4 ^A I�ti 5` iii �i i Ek nt� tit it h • ,°+rh'k 1� ' ''N t ns iGi+ r,+ r i ''{ T�ied. + `k• �` yir3zr asPT1 Pr�.a'.< + ii' x 8 I�rYr c � , �. e i f fi ten, g '.'�` ii1t . to # ` ' E 0,4;,,I.,„-,'. !>' Dep � o ��i A • s�) ° • n le a. o ® so t, ijt a Er- d) dui ' © ,�, • . • • @ .1' j 'n,r r + r k t7n tific t l ��,�'�"� x4 r.QA Si•rl •~ • a •o • - e s • • • 3• 's'i,K11`'rote';'Fr 0,}.-A• a pp p •!t 1 €. •,� "• •yr N t\ A • t •ii9l Yiryn@t T � @ • @ ('•r t� • �@ r • 4Lit-D014 ( ,r k # .i ., f 4607 <h•i 1, 1 rd , . -I``b'' `A'' rtiirt if rtn w f Sr.Y 4.3123 "''-�3 v s + nh�r ,- r- ia:. r + tin/4 i*4,stit ''.4,, his ,:tke„a+ -4:4.� n -orn Y ' i°Pin 4 S!'•f • C• l r{ - r �f - S • SC • I • • • •Ill Mr V.s © .1Ae • i 4.® it p.-. ° ICi aa+,.. jiel tlpp,!fu 4A. �c...,. i • e® ,®p; s.: • .*tx a• : µ. 5 Employment First Program Models Food Stamp office refers individual for Employment First orientation within 14 days of the food stamp interview Model #1 Model #2 Model #3 YES — initial workfare NO — initial workfare MAYBE — initial workfare (Don't use WE component) (Use WE component) (Don't use WE component) 1. Complete orientation 1. Complete orientation 1. Complete orientation 2. Full assessment may be completed 2. Complete assessment 2. Complete assessment or client completes assessment 3. Determine component: 3. Determine component: form and case mgr checks form A. May continue WE up to 30 days A. Complete initial site & assign for exemptions. Full assessment from referral if WE is commenced to permanent site within 25 days is completed at next appt. at orientation or before; or B. Assign permanent worksite 3. Complete initial site B. Assign to permanent work site; or C. Assign to other component 4. Sign contract and time sheet C. Assign to other component 4. Sign contract 5. Follow-up within 25 days or sooner (Justify in ROC reason not in workfare) 5. Schedule follow-up for 2 weeks 4. Sign contract or if initial sited, within 25 days 5. Schedule follow-up for 2 weeks First follow-up First follow-up First follow-up 1.Assess, if not completed at orientation 1. If client was in WE since referral 1. Check and document progress 2. Must be in permanent work site must be on permanent worksite on all assigned component(s) within 30 days of the date of the within 30 days of the start of WE 2. If initial sited in workfare, must initial site. (If not assigned to (If not assigned to permanent be on permanent workfare site permanent worksite, must site,justify in ROC notes) within 30 days of initial site justify the reason in ROC notes.) 2. Check and document progress 3. Sign new contract, if necessary 3. Sign contract of any assigned component(s) 4. Verify commencement at permanent site 3. Sign new contract, if necessary 1 Alk On-going actions for all models 1. Check progress every 2 weeks 2. Obtain time sheets at least monthly 3. If client obtains job—verify employment and determine if continued participation is required 4. If client becomes exempt—document and close case 5. If client non-complies, begin sanction process and pursue possible unreported employment 6. Reassign client to other component(s)when necessary 6 Staffing 1. What days and times during the week can a program participant see an EF case manager? Monday through Friday 8:00 a.m. to 5:00 p.m. 2. What is the name of the person who will back-up the EF case manager during planned or unplanned absences? Weld County has a total of 3 EF case managers and 1 Program Coordinator/EF Supervisor that are responsible for program backup. 3. Do you provide services off-site? YES 4. If yes, in what locations? Southern Weld County Office 330 Park Avenue, Fort Lupton Colorado o Do you have GGCC access in those locations? YES 3. List any EF funded positions that have responsibilities in other program areas and the amounts of time allocated to each program (i.e., Colorado Works, Workforce Development, Child Care, Food Stamps, etc.). Dora E. Lara, 25% Wagner Peyser, 25% WIA, 5% Local Programs, 5% Administration Annette Gutierrez, 10% WIA, 5% Wagner Peyser Nancy Sanchez, 10% WIA, 5% Wagner Peyser Sonia Rodriguez 10% WIA, 40% Wagner Peyser 4. Is the EF Program located in a Workforce Center(One-Stop office)? X Yes No o Are EF funded staff employees of the Workforce Center? X Yes No o What days and hours is the Workforce Center open? Monday through Friday 8a.m. to 5 p.m. o Are EF case managers expected to do their own WIA enrollments for their EF participants? YES o Are EF case managers expected to do general Workforce Center work, (i.e., providing service to the general public; manning the reception desk; etc.), in addition to providing services to EF participants? X Yes No • If yes, how many hours per week? Staff provide support on back up basis and time is charged to the appropriate program. • Are they expected to back up absent Workforce Center staff? ? X Yes No • Does Workforce Center staff provide back up for EF staff? ? X Yes No (if yes, list the names of staff who provide EF backup) Joe Galindo, Sandra Perez,Amelia Meza, Theresa Martinez, and Laura Maes assist in EF Resource Room by providing coverage. The time is charged to Wagner Peyser. • Is EF staff required to work evenings and weekends? Yes X No o How are costs allocated to EF and other Workforce Center programs? X Cost allocation Plan based on • % of total FTE % of total Client Traffic • % of total Space • X Other: please describe, based on monthly timesheets Other Cost allocation method: Describe 7 EF Equipment and Technical Capacity 1. Where are the Employment First laptops and projectors kept? Within the EF Unit, secured in supply cabinets. 2. Who is responsible for keeping track of who is using the equipment? Joe Galindo and Dora E. Lara. In case of staff absence, equipment can also be check out by Sandra Perez. 3. How is the equipment checked in and out? Equipment is checked out with Joe Galindo or Dora E. Lara. Employment First has full access to al EF equipment regardless of other programs' requests. 4. Does each EF case manager have a computer that has been designated as acceptable for use with CBMS? Computers will be purchased by Weld County Department of Social Services as CBMS becomes available. Referral to the Em•to ment First Pro.ram J r Yx4 iiiAlfa. T'R� I K} � ryi A}e 4X�` R .tt � �_ 2® 0 ® ilA1 q N ° r q a �:'"°} g f^^^n��'`��.�;�"r�� !�� r�s�}€��siji'�e�a�or�C��'err�,n c ao �/ r a ra •f '�o,.; A' , p W,neat, r } +, E Y R® ® 4 roar ® 'CO Ok tg rePrg k Am z", } � Gniployment�ir5trre Q 0.r1'0 • . m 7.0 ��beg th ro essX b a e rig°an E o s �u rs f y bM1 € l tU,.t�F µ 1St $ I r11` la „ � I i } r ry n x � aY 'p if E�}��;}' }�'i₹t? �y, r� � _`te ug6,. a i..Wa lS4s a,} i�„d, :'' 'i ithat' 3 t3h, � [ir,' t `n_ s . d, ., a,=tee*Rf`��,�)'U !�!<.�ta3��+4�. ,R' � : "3: � �Gkl6. 1. }. iS,�'an`.r,�.+G. 1. In your county, how is a person scheduled for their first EF appointment? (Ex. Food stamp worker writes appt. on EF-102; EF case manager sends an orientation appointment letter) Food stamp workers fill out the 102 and schedule the orientation appointment within 14 days from referral date. 2. Typically, how many days will it be from the time individuals see the food stamp worker and sign the EF-102 to when they're supposed to report to the EF unit for orientation? Please give number of days (i.e. 2 days from referral, 4 days, 14 days.) Typically 1 week, but not to exceed 14 days from referral date. 3. How do the 102's get from the food stamp office to Employment First? (i.e., mail; courier; staff pick up; interoffice mail, etc.) Intercounty mail 4. Who data enters the 102's? (i.e., EF clerical support person; individual case manager(s); person of the week; etc.) A designated EF case manager. 5. Who data enters the scheduled start date for the first activity? A designated EF case manager. 6. Who creates the hardcopy case file? (i.e., EF clerical support person; individual case manager(s); person of the week; etc). A designated EF case manager. Using the WE (workfare 30 day lob search) component 8 s eve , i, co „gyp" re st o gie obi 'azc. o es sE . 0 4 . ' Pf P 'ar.4 33�d'ayjob Ie ur 'r To �V� ��m4li'J1�� .�. A� �! ..1 & I �� , ��G+��9�$t� 1#� 4 one oro Qg�' °° °°� �i e a to tisx o fiin ai er a e o= site o every doff al 'y2 ..i I f 4m. I. h i Y �jl 4ay Clent fife ProgrPir 30 days a ter're rr, x it,,,,v146.140��' t Z �, , n.,u.. ,��..t� -.m.�u..�3��.'*.�C wscu�,i �� 1a+..�..., saaf ."� m�`,: Do you use the WE component? Yes No X If yes, please indicate the method you use to document commencement or start of the WE component for your participants. Ask the food stamp office to commence this component by having participant record a job contact on the back of the EF 102 referral form. Ask the food stamp office to have participants complete a job search activity such as completing a master job application or Workforce Center Registration Form. The completed activity is attached to the EF102 referral form. Commencement will not occur at the food stamp office. Employment First staff will be using the following method to obtain commencement of the WE component at orientation (explain). NOAAs 1. Who completes the Notices of Adverse Action for no shows to orientation? (i.e., EF clerical support; case manager; etc.) A designated EF case manager. 2. Who completes the Notices of Adverse Action for on-going participants who no show for follow-up appointments or classes? (i.e., EF clerical support; case manager; etc.) Individual's case manger. 3. What is the process for getting the NOAAs mailed out? The case manger fills out the NOAAs, clerical support staff are then responsible for addressing envelopes and marking postage. The NOAA is sent out to the post office along with other agency correspondence. Component Contracts Attach copies of all component contracts standardized within your county's EF program. Attach copy of timesheet used to document hours for non-workfare components. 9 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (WO) Working • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Work 20 hours per week, and not less than an average of 80 hours per month at: Provide at the follow up appointments, a paycheck stub or employer verification, verifying a minimum of 15 hours per week. Attend follow up appoints as assigned. Participate in the Job Search Activities " " not less than 5 hours per week. • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of working an average of 80 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned Job Search Activities on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original: Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (EC) Post Secondary Education • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend classes and /or individualized tutoring, not less than hours per week, at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. . Be on time for class and complete all homework assignments; hours of( ) homework and/or ( ) Job Contacts will be credited towards the component work requirement. Provide at follow up appointments, a Student Attendance time sheet signed by the instructor, bi monthly. Attend hours of computer lab per week at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m." • I understand that non-compliance without good cause includes the following: Not maintaining half-time student status with the educational facility Failing to provide authorized verification of EC participation an average of 80 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities on a weekly basis. • I understand that good cause may include, but is not limited to,'a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original: Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (EE) English as a Second Language • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend classes and/or individualized tutoring, not less than 10 hours per week, at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. Complete 5 hours of homework assignment/activities per week: Be on time for class and Computer Lab. Complete all classroom assignments. Provide at the follow up appointments bi-monthly, a Student Attendance time sheet shined by the instructor. Attend five ( 5) hours of computer lab per week at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m." • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of ESL participation an average of 40 hours per month. Not attending all assigned follow up appointments with the case manager. Not completing assigned computer lab activities and homework on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original:Employment First Copy:Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (EL) Literacy • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend classes and/or individualized tutoring, not less than 15 hours per week, at: on ( ) Mondays ( ) Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from a.m. to p.m. Be on time for class and follow up appointments. Complete all classroom and homework assignments as listed" Provide at the follow up appointments, every two weeks, a Student Attendance time sheet signed by the instructor. Attend five ( 5 hours of computer lab per week at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m.,. • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of GED participation an average of 60 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original: Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (EM) Employability Skills • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Complete assessment testing/employability skills activities , at Weld County Human Services on _ ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. " Complete hours of homework assignments as listed: ( ) Aztec Packets ( ) Remediation Materials: ( ) Job Contacts Attend hours of computer lab on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. " Provide at follow up appointments, a Student Attendance time sheet signed by the instructor, on a bi-monthly basis. • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of EM participation an average of 80 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities on a weekly basis. Not completing assigned homework assignments: • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original: Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (JA) Workforce Investment Act • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend classes, not less than hours per week at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. " Be on time for class and complete hours of( ) homework assignments; and/or ( ) Job Contacts. Homework activities will be credited towards the component work requirement. Provide at follow up appointments, a Student Attendance time sheet signed by the instructor/WIA Case manager, on a bi- monthly bases. Attend hours of computer lab per week at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. " • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of JA component participation an average of 80 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities/homework assignments on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original:Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (JO) Job Seeking Skills • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend Marketing Skills classes, not less than 15 hours per week at ( 1 Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from on Be on time for class and complete hours of( ) homework assignments; a.m. to p. d ( ) Job Contacts will be credited towards the component work requirement, and/or Provide at follow up appointments, a Student Attendance time sheet signed by the instructor, bi monthly. Attend hours of computer lab per week at ( 1 Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " on a.m. to p.m." • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of JO class participation an average of 60 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities/homework assignments on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANTS SIGNATURE DATE DATE EF 203-A(R 7/97) Original:Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (VR) Vocational Rehabilitation • I understand that my participation begins on and will continue until I am either; employed, earning at least $154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend classes, not less than hours per week at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. " Be on time for class and complete hours of( ) homework assignments; and/or ( ) Job Contacts. Homework activities will be credited towards the component work requirement. Provide at follow up appointments, a Student Attendance time sheet signed by the instructor/Rehabilitation counselor , on on a bi- monthly. Attend hours of computer lab per week at on ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m." • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of VT component participation an average of 80 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities/homework assignments on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original:Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (VT) Vocational Training • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend classes, not less than hours per week at ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " on a Be on time for class and complete hours of( ) homework assignments; .m. to p_and/o r ( ) Job Contacts. Homework activities will be credited towards the component work requirement. Provide at follow up appointments, a Student Attendance time sheet signed by the instructor, bi monthly. Attend hours of computer lab per week at ( 1 Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a on .m. to p,m, • • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of VT component participation an average of 80 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities/homework assignments on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original: Employment First Copy: Participant 616-82-22-2511 COLORADO EMPLOYMENT FIRST PROGRAM PARTICIPANT COMPONENT CONTRACT You have been selected to participate in the Employment First Program and are required to cooperate in order to retain your eligibility for food stamp assistance. • I understand that I am required to participate in the following component: (EB) Adult Basic Education (EG) GED • I understand that my participation begins on and will continue until I am either; employed, earning at least$154.50 per week; exempt from the program; reassigned to another component; or no longer receiving food stamps. Date Time Next Appointment(s): • I understand that I must complete the requirements of this component. I understand that those requirements include the following: Attend classes and/or individualized tutoring, not less than 15 hours per week, at Weld County Human Services on ( )Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " a.m. to p.m. Be on time for class and complete all classroom and homework assignments. Provide at the follow up appointments, a Student Attendance time sheet signed by the instructor. Attend five( 5) hours of computer lab per week at ( ) Mondays ( )Tuesdays ( )Wednesdays ( )Thursdays ( )Fridays from " on a.m. to P.m." • I understand that non-compliance without good cause includes the following: Failing to provide authorized verification of GED participation an average of 60 hours per month. Not attending assigned follow up appointments with the case manager. Not completing assigned computer lab activities on a weekly basis. • I understand that good cause may include, but is not limited to, a verifiable: (a) Illness; (b) Illness of household member; (c) Death of a family member; (d) Household emergency. • I understand that if I fail to comply with the above requirement without good cause I may lose food stamp benefits for one, three, or six month period, in all Colorado counties. EF STAFF SIGNATURE PARTICIPANT'S SIGNATURE DATE DATE EF 203-A(R 7/97) Original:Employment First Copy:py:Participant EM ACTIVITIES SCHEDULE/TIMESHEET MONTH: Participant's Name: Social Security 4: DAYS& HOURSi HOURS LAB ATTENDANT SIGNATURES) WEEK 6 EF Lab=2.5 EF Lab=2.5 EF Lab=2.5 Aztec Review= Job Conts=5.0 21 hrs 1.0 to Or Or Or Aztec(2)=5,0 / /_ Workshop/ Workshop/ Workshop/ Training: Training: Training: EF Lab=2.5 WEEK 7 EF Lab=2.5 EF Lab=2.5 EF Lab =2.5 Aztec Review= Job Corns=5.0 21 hrs 1.0 to Or Or Or Aztec(2)=5.0 / / Workshop/ Workshop/ Workshop/ Training: Training: Training: EF Lab=2.5 WEEK 8 EF Lab=2.5 EF Lab=2.5 EF Lab=2.5 Aztec Review= Job Conts=5.0 21 hrs 1.0 to Or Or Or Aztec(2)=5.0 / / Workshop/ Workshop/ Workshop/ Training. Training: Training: EF Lab=2.5 WEEK 9 EF Lab=2.5 EF Lab=2.5 EF Lab=2.5 Aztec Review= Job Corns=5.0 21 hrs 1.0 to Or Or Or Aztec(2)=5.0 / / Workshop/ Workshop/ Workshop/ Training: Training: Training: EF Lab=2.5 WEEK 10 EF Lab=2.5 EF Lab=2.5 EF Lab=2.5 Aztec Review= Job Conts=5.0 21 hrs 1.0 to Or Or Or Aztec(2)=5.0 / / Workshop/ Workshop/ Workshop/ Training: Training: Training: EF Lab=2.5 *Aztec Review: Credit 1 hour review time with client. DHS Lab=Division of Human Services Learning Lab EF Lab =Employment First Resource Lab White Copy & Yellow Copy: Participant Pink Copy: File a:\em cont.wpd Created 1/15/01 NAME -_ - CASE MANAGER • MONTH • TIME IN: TIME TN: TIME IN: TIME IN: TIME IN: TIME OUT: TIME OUT: TIME OUT: TIME OUT: TIME OUT: _J . I ' TIME IN: TIME IN: TIME IN: TIME IN: TIME IN: r TIME OUT: TIME OUT: TIME OUT: TIME OUT: TIME OUT: - I TIME fl : TIME IN: TIME IN: TIME IN: TIME I N: • TIME OUT: TIME OUT: -TIME OUT: TIME OUT: TIME OUT: _..._.__-_ TIME IN: TIME IN: TIME IN: TIME IN: TIME IN: TIME OUT: I TIME OUT: TINE OUT: TIME OUT: TIME OUT: TIME IN: TIME IN: TIME IN: TIME IN: TIME IN: TIME OUT: TIME OUT: TIME OUT: TIME OUT: TIME OUT: COMMENTS: 21-94-5073 • - • I I k ro 44 N I 0 a 01 J.) 0 @ 0 G) 0 ? 7 y 44 y 0 m m m as 0 g g g N N N N an 44 44 44 44 44 0 0 N 0 y 41 y 4 4 4 4 4 0 ea 0 ea Pia g H 1-I H H I-1x z m u 0 Ila U U P7 y E q H A I i i 0 U s O ti ■ N to, m 4) o 43 .14 ++ 5O 4.) U U g I O 0 o0 al z .. ►4 u d WI 0 I A 0J OI 0 01 0 01 Z N U A 4.1 0 , 0 A I 44 0 Participant Reimbursement 1 . How do you disburse payments to participants? (i.e., petty cash; vouchers; checks, bus passes or tokens, etc.) Gas vouchers bus tickets and monthly bus passes are used to reimburse participants. 2. How do you record and maintain proof that the funds were disbursed to an eligible individual? Each participant must sign on the gas voucher and a copy is filled in the participant record. There is also a separate signature notebook that all participants must sign when they receive their transportation reimbursement. 3. Do you have a written participant reimbursement policy? (Please submit a copy.) YES 4. Are you able to provide assistance to participants that exceeds $25/month? YES If yes, where do you get the funds to use for supportive services that exceed the $25/month cap? Community Service Block Grant (CSBG) Orientation r Ro pt ., 0-h 0 C B® e m s i ' °° a xasxn. rs r zar -maw. ?�y}�. �+y, a are' 'a(1o � >��d�i�m at., � IrsfF�ro•r_' as�t#�er rst; ba 9 iLiIr tr- ��t e e ® 3 fella 1n yet F, i. or r , s r ¢r L �it r ( ' , i e o a" ins* ® - A ®e a ^c. off er�" 8 ay og b (m R e k r ° ,„° d ,� h t�+i P A yc• consequenceso of ® , g p g ��p i�" 3'ri 6z.l+dzf��1 �w' �i�,� m `ih �₹R�d n �Ab �z-$ z z 6�� t fh l� � t)7A;. 's , y®f) ptat ns mus 'J,ibe Created tusi g ,Pao'wer Poin I a °e,®relive Arta �a - ae 41 19 app-lgjectof�or viewed. ly the'pa�iei w oat, e s:. 'u, . ,,q °;a%mr , Pent to,�� a aP�l��:96�a, t�h�ql�trt�,� .��; .cdtat 1. How do you deliver your orientation? Check all that apply. Groups X Individual One-on-One X Powerpoint X Handouts from PowerPoint X (Monolingual Participants) 2. Do you include the ABAWD information in your Orientation for every participant or only for ABAWDs? YES 3. Which Power Point do you use? The generic Power Point orientation presentation created by the state office. X A county-specific Power Point created locally. `jd _ - "1!*6"�+NkFM'+R *'w m. gyp a ,Pr•. c j!:'2 S"'ta t 4 r+ } es ar - -. feeafggs re'AR.e.oa.app_Iove,(he Powir:goiC)f.Orienl lo. „IE . L ,,4. :m,. sp A copy of the Orientation is included for review and approval as required. X My Power Point has not changed from the version I sent in January 2001, which was approved by the State. 10 4. Individual Orientations > On what days do you schedule orientations? We accommodate participants that are currently working part time or attending classes during the normal hours of group orientation. > How many individual orientations do you schedule per day? 1 or 2 per month based on client need. > How much time do you set aside for each orientation appointment? 1 1/2 hours > Do you double book appointments? NO Group Orientations > List the day(s) and time(s) orientations are scheduled each week. If you have orientations in more than one location, list the days and times for each location. The Greeley office hold it's orientations on Fridays from 9 a.m. to 3 p.m. The Fort Lupton orientations are held Wednesdays 8 a.m. to 11 a.m. > How many people can be scheduled for each orientation? Greeley Orientations can have up to 40 participants and Fort Lupton can have up to 20 participants. > How many typically attend the orientation each week? Greeley has during low peak times 5-8 participants, during high peak times 20-25 participants. Fort Lupton has during low peak 2-4 participants, during high peak times 8-12 participants. > Who is responsible for delivering the EF orientation? EF case managers rotate the EF presentation/orientation. Please include a copy of informational materials that you send home with the participant from Orientation, such as lists of job lines; supportive service providers;job search suggestions. Do not include contracts, follow-up letters or the like. 11 ASSESSMENT E o a i" ® A' �i Cr e e qty. A +m. wire{s+aRn.—^vy t mx i n--cµ2057 7 -r'� t i s ^ Ss e P I pose , , hews era 0%4 , 1� a , , y V F^S y1. {, I. Y is 1�a 0 :it y e m"in s ®'�479to`see i circU v s ' q,a Ve s a ®ad`Siricce t 1 e�p 3e, , c e[ bra t TA k °•1r . E fix• " , a $rAl.; i ; :-Ya, t Cn `; � e. , itleSaorkeedd ica do prop rams' T - e ono ale d¢- i' 0 e 1 Y y gyp, IS ad f by tf �t 1 "�1 E� f. x # L., `I"4� .'o 44 -" ceY S a ning4emp y"y ,.. i`�NS i at ^( � ''''it' k 2 1 Ana -4,,t;74,,,,,,r re;-ddr�ssedg�, .su I ire Sava la e` }x.6 e fl a,a, p � , , r�i= , � y# r�, V�'ryu't t�'�a,� y,p�y,�dg,l � � ,��,�s � of et se eels�or�ap a ropna �t:.e,err-i s M . � ., ogr of r t NI I zi hdw ik pt. tx ,�„ 1: t ko ,oft-pin P. ieioil ,C'`�5'"x' 1. Do you use the standard EF assessment form? YES If not, please attach a copy of your assessment form. 2. Do you: X complete and review the full assessment form at Orientation? have the participant complete the assessment form but just review the screening questions which indicate possible exemptions; schedule a follow-up appointment to finish a more in-depth assessment? 3. Other than the Power Point presentation and completing the assessment form, what other activities do the participants engage in during orientation? X Begin workfare by completing one hour of work X Register with the Job Service Center or One Stop Complete a job application Receive job referrals X Other: describe, participants fill out WIA/EF data collection form. FOLLOW-UP APPOINTMENTS ➢ From orientation, typically how soon is the participant scheduled back for their next appointment? Within 2 weeks. ➢ On what days do you schedule follow-up appointments? Throughout the week. ➢ How many individual appointments do you schedule per day? Four to six appointments daily. ➢ How much time do you set aside for each appt.? % hour minimum to 1 hour maximum. ➢ Do you double book appointments? NO 12 COMPLY POLICY 'Sx MVO ij rtw k Y 'A !{} 4 FR} q�{ d�he 'H^M"Ney S.x1 rrw tl vi �ot,ita om a e o 0 7aeF th zee a am! 4 .ta h.. t e x�tl 1 4 $,,* 1tiSef '• ® ,')A• $Ie . e a r4 14 1 � itli arPt{ ' e e a ® ai40 ,ta1�4" gam. 1 41 ¢¢°� 4 ,,�J $ i ' { j rtM} d Y,F: �� a Tr eAB L QIIC.A�rcd+.. R4rOlift a'pr7A ® e §4° (5 it, I I1 m ? m: ?S ' ti,i 1fa ,s:d x g t :��y�ri�e, ),M e m m p m a ir1 h® mla e m m ® m .s Y y( J A�tti IT °` i�'1 r »�"y` r i7.31 � , ' , 01 ' '`" t } 1 n ti a ary i n: qi �t 5 r I 1e 9- -Hit 1 tiG }.L ,e,' 'A• x q� P . .�., � �i � i;f 05;1 T�t;r �� 9'GP AFCaP ('��" {. .b �1 � i ,),,,I+�'} 1 �GI 's ii $'�''�'1' C-i��tl n Ft i4gir� ,t o o m a m m e a e ® y e n t A� q a e m m �f� to ,° e A3i� �a © irr I l e s m ais y�,� , f u�,�y' itt$,w eili r x,t14"1{XtV,to'vl t i ,,,{ b 4 iA 1 {I:s Iix, phi it :T j yyr' 9rk'a 14 t11 eVIc ."ti t1` ,4 'tI1' 1 '1 yf "�4 ` { 'ln P ' 4, Y {4.n ,ply 1.11 II iP Y'' I v%� 1',. a ( ti{ t S` I le 400, '�!'S 14 a x} }Ip { i+. * r L ri'J i+,y,.'+kf lfdka'S u,;:;�J, ,y}r j aaa� 0 n i s 1 {ti0 s m o arVra 0 e ' i �� z ₹�:i2 ��r ` �a aaif t,.a ® $ @ �,� m ® ggg �' 1 lit'icir� 1 t 1 4e' ry. Ati.J ur�'�"y, ail t .1 1 t v• l i,c%, 6, d N 1 9 { ax G`{f1}, 4a�krt Y��J""' iA1.rrB I,k",aT ;k4V�t "' ,.' Fiaf 5 (Li, yk4� { �`t la it -‘,,..4"w-..24, A 9 a e a e a s a2 2 a o -re mfl ��' x)) 1 - 5 A`i .4111 'f q a 41.11, r;. ,l} iti ))Wer)'"q1 `k ;Lit)) a N)'4 ! r4.014"_ ,, ia'Hfi 144•4,00.,11 Iii: x 'A0',rit y�'�- {I $ _ , , .'44_a; �' H s §1n a5` f ..: 3°t x " 1•� 4r n¢p r tj �f1CLs".F.'"4M m A� IS I4 -m tia m e - m ��Rq1 .dn ..s L4tg`�`'`O 44,s a th f �' e e a o a e 141 d K t S 7 Sea a as A w , i113',AEI '13:. )t ' �s a tit ' t , � a, � `,r 1 ,[ d ' e•.y '�q��'t y, � 9 " or.441r1 "{ 1 '3 '�ua; �1 s1 `xas d .-n e iJ �l .r�1 G:F tik`f' 'rt$p lW. i Please attach a copy of your comply policy. Program supervision 1. Does the EF supervisor review EF cases on a regular basis? YES 2. How many cases per case manager are reviewed and how often? 10% of caseload every month. 3. What EF on-line reports does the EF supervisor review? All EF Reports 4. Do you hold regular EF unit staff meetings? YES How often? Monthly 5. What are your most significant EF staff training or technical assistance needs? None at this time. 13 EMPLOYMENT FIRST COMPONENTS CHECKLIST SUMMARY p ° �'�� )ki L�F � '4,tt.r e a a ® ° 'i4;, i , tier c.) xl y� , , � �. %n1/41 if P pP� ga e a e ® , ya. o d, 1, ° 6W •: ® mm v n® 'torir t h9s riVii`t 1 c",44,111'®a ° ' ° - a ,®kas° . at' two 4"' 1,,. a ® ra ' x.. '*a vi ., �'� �S-- :lam .. .. s o..rrlee, �_ pe ,9,o e.r It ¢®._ ®�4® , p ra e . WO Working part-time (every county must offer this component) if WORKFARE (every county must offer Enhanced Funding Workfare) 4 EB Adult Basic Education 4 EC Post Secondary Education 4 EG G.E.D. Preparation 4 EL Literacy 4 EE English-as-a-Second-Language EM Employability JA WIA (for those individuals enrolled in a WIA activity such as training) JB — Self-Employment Classes JO Job Seeking Skills — non-ABAWDs only — does not meet the ABAWD work requirement 4 VR Vocational Rehabilitation VT Vocational Training °�F :A A a ° a P 6n e 6 l a° a ° 6 ° ° G 0° tr a _ P pejo�' IA r"�V •a s 10.,-;y °A o a •a® a e ° � � 1 '41f it' Aro i% FA " � r ° tx A.oa?,I • Purl' �® 0 R, ` °tea o ®' o 1111e- e �; ^r' 1 .,� 1 �.. G L't • ' • .s`V � .i,�3'. ...t h 't11;710,141';''' . �a ,^}C�stru�� ysy ir n.tm ci era ° t '= + s„ x''�'h-�4�t:�. v N u � F� t^,. vs-c'"74'.1'6":' � �✓a i � _.��+.* �k,. 14 WO - -Working part-time (every county must offer this component) l�nY '�a a� a m s a m r , "' ` � �a ea •to to �� 2 r e o . ,• oyy?JiP1-re; Q c- k ° t o .es o .�' e oJu3O le; 7i "-, �A ,:o o o _ 4 • X0 •,l •.AI o • • Sr Watillir;i5 Imii"vAr,iP -il A ° ®,p��• • i S o e • •el, a t eye _ +fie a - s` Wit ak' 'r' ��C` c. j7 ,• ® � o .1' 0/ • o 0 0 o •{ � ® ' 1 ®; I B 7 Ip , 9`,77,a',7g.� s. ro ,.a ' - `'-ik .',,"5`3FA ih W >.4:,,a yx �S s t " t6sa? yf't,C �:��P � r t' r� W„i,5� .}45,0'1515151W-45-$55�� a ,,i .4*' . 4wa,, n",,,',,,, t i , , t . ,t- y D` ,eaits i�t i i i" ,u inn w a g Too r3 �IIYc1r 1 asP @ 6 • ®� • • �4 D • o i.• V . r-1“ ell o • • •o " o • a i oa P 1. 1.r1• �p�• � mAm e • • '• m - e n ' k N1,.. ��, rwr 7 m 2a N. "'4 • � �i�r ix cl �� ' fl yD • o o$. • o e rt- y a • ® ab 6 • �� 3 ee 'r • yea a 5 ' . ®� h IVfi M, n .r = ,V= a �� Z y, b ;� '•I' •]\ _ -o, •1,`• ' >cP N� ,®3, o • r o •- E nee ��yy� l •,fl1 o N hr"Ill itI It C . u 1�P 91'lt1A ��7�� • I • Ei f a p: • fty•= fp c; r � a e oo rrgq�U P9 , ,.a 131 V��+, �, i. - . b c 1�tup e'de:ci io • e o. • ` v 1 "_!Ni- °.:1.P, .,.a Iv, r1N. ..,.., ,. h 5? � 1' 5U-4-a- t- z� �_ .t"'',ow 4A43;44, S 9 tt„„Iv, .41,. 1,"��' xir,�.'le .r e w fb,o e `" „,` "«,; What job search activity do you require participants to complete in addition to their work hours? Check all that apply. X Job contacts - How many per week? FIVE X Job seeking skills class Describe days, hours, and subject matter: Courses will be classroom or in aone-to-one setting; Mondays through Fridayheldins.a The course subject matter will include but is not limited to; Job application instruction, skill identification, resume preparation, work habits instruction, interview skills and networking. Master application, skills identifier exercises X Other (describe) Aztec packets can be assigned based on the equivalent of 1 packet for every 5 hours. 15 4 WORKFARE ¢¢(every county must offer Enhanced Funding Workfare) 0 ./ ay i- ? r sire e o ,Q- e. 2 �A ;s • � a4 • it dTh y y�',�+� to 'CKftrsii 1111 tle,aF¢. • 6 • `aii. etr •°4: • • '�e • • 11;40.49 [, c: ' f�ft a e tla fiY, o �ii� ' At �.7, d i n ,,F14,0:24:!„1, Vii "} -.A. xt I , i �y�y rr* .,w ,ry-fi t i �'�y �, '`��' a � . ,r''�p'v�. d C"• a a 1 19 o• le 1C'��a�"�,en � . •,.6 --A • • ® • e U•r • �k. to • • I o m • .,. 418 �1�"V o ® e - • tl• -C1:106S4,:,'• • o a e p f Y ap •�3N�JJiOrla m- • Pi:, Itat - tl ® • x-''�:i N '$ l:it L t' II y +.t , t p , ce.7 Z A"11: i.to .. .:;. �f?33 r • • �� • �®. te • •�� •o o a o '1 1 ,;`il9i1. J nmo1,1M8,111•0,-,-, n • t1 • % a a a � e eq • wxifi , e ,M Y �; az. eme�nust a s Pc t ' �° .- • a;.a i - irk; n.. a a.,. , .•cee.ie, �f iafi....s .,, ereg.4lla[Atofks1` s. , k. , c. a 1. Do you place Colorado Works clients in EF workfare? YES 2. Do you place UI recipients in EF workfare? YES 3. Do you initial site at orientation? YES 4. What kinds of agencies/activities do you use for initial sites? Weld County Human Service, Employment First is our only initial site. Participants are responsible for shredding, light typing, collating. 5. How soon is the participant assigned to a permanent worksite? Participants start at the new worksite the firs day of the following month. 6. Who is responsible for entering initial allotments on the enhanced funding screen? The individual case manager. 7. Who is responsible for "working" the "waiting for enhanced funding" screen? Annette Gutierrez, EF Case manger. 8. To whom is the enhanced funding check sent? Name: WELD COUNTY GOVERNMENT Address: 915 10th Street Greeley, Colorado Phone: 970 356-4000 9. For what do you use your enhanced funding? EF EXPENDITURES 10. What do you estimate your enhanced funding will be for the coming federal fiscal year? $30,000.00 16 EB Adult Basic Education For participants who test between the 5.5 and 8.5 grade level. Participants attend remedial education classes. Homework assignments may count toward work requirement hours. Attendance/participation must be checked every two weeks. ABAWDs may be asked to makeup to 9 job contacts per week in order to meet the 20-hours/week work requirement. Who provides the EB component services and are they delivered on-site or off-site? AIMS Community College delivers ABE classes on site. The Grove Neighborhood Network delivers classes off site. Are the EB component services offered in a computer lab, with an individual tutor, in a classroom setting or through another means? Please specify for each location. EB Services are offered in the following settings: Classroom, Computer Lab and Individual Tutor Sessions. Aims College provides an on-site class, classes on campus as well as outreach classes. The Grove Neighborhood Network provides off-site computer lab instruction and individual tutoring. What are the days and hours that are available for clients to participate in the EB component? Aims Community College - Monday through Friday 8:00 a.m. to 8:00 p.m. The Grove Neighborhood Network - Monday through Friday 9 a.m. to 12 p.m. and Tuesday and Thursday 5:30 p.m. to 8:00 p.m. For an ABAWD who is using the EB component to meet the work requirement, what is the maximum # of classroom hours available each week? ABAWDS can receive a maximum of 15 hours of class room instruction. How are the required hours of participation verified? By phone? Timesheets? Participants are required to bring timesheet signed by the instructor, to each follow up session. 17 EC Post Secondary Education For participants who are enrolled at least halftime in school and working towards an Associate or Bachelors Degree. Homework assignments may count toward work requirement hours. Attendance/participation must be checked every two weeks. . ABAWDs may be asked to makeup to 9 job contacts per week in order to meet the 20-hours/week work requirement Which educational institutions typically provide the activities covered under EC in your county? University of Northern Colorado and Aims Community College How are the required hours of participation verified? Participants are required to a timesheet signed by the instructor to each follow up session. 18 EG G.E.D. Preparation For participants who test at or above the 8.5 grade level. Students attend pre-GED classes in preparation to take the GED test. Homework assignments may count toward work requirement hours. Attendance/participation must be checked at least every two weeks. . ABAWDs may be asked to makeup to 9 job contacts per week in order to meet the 20-hours/week work requirement. Who provides the GED services and are they delivered on-site or off-site? AIMS Community College delivers GED classes on site. The Grove Neighborhood Network delivers classes off site. Are GED services offered in a computer lab, with an individual tutor, in a classroom setting or through another means? Please specify for each location. EB Services are offered in the following settings: Classroom, Computer Lab and Individual Tutor Sessions. Aims College provides an on-site class, classes on campus as well as outreach classes. The Grove Neighborhood Network provides off-site computer lab instruction and individual tutoring. What are the days and hours that are available for clients to participate in GED? Aims Community College - Monday through Friday 8:00 a.m. to 8:00 p.m. The Grove Neighborhood Network - Monday through Friday 9 a.m. to 12 p.m. and Tuesday and Thursday 5:30 p.m. to 8:00 p.m. For an ABAWD who is using GED to meet the work requirement, what are the maximum # of classroom hours available each week? ABAWDS can receive a maximum of 15 hours of classroom instruction. How are the required hours of participation verified? Participants are required to bring in class timesheets signed by the instructor to each follow up session. 19 EL Literacy For participants who test at or below the 5.5 grade level. Students attend remedial education classes. Homework assignments count toward work requirement hours. Attendance/participation must be checked every two weeks. . ABAWDs may be asked to makeup to 9 job contacts per week in order to meet the 20-hours/week work requirement. Who provides the Literacy component services and are they delivered on-site or off-site? The Grove Neighborhood Network delivers Literacy classes. Classes are held off site. Are the Literacy component services offered in a computer lab, with an individual tutor, in a classroom setting or through another means? Please specify for each location. Classes are held in a computer lab setting and during individual tutoring sessions. What are the days and hours that are available for clients to participate in Literacy? The Grove Neighborhood Network — Monday through Friday 9 a.m. to 12 p.m. and Tuesday and Thursday 5:30 p.m. to 8:00 p.m. For an ABAWD who is using the Literacy component to meet the work requirement, what is the maximum # of classroom hours available each week? Participants must attend the component a maximum of 15 hours per week. How are the required hours of participation verified? Participants are required to bring in timesheets signed by the instructor to each follow up session. 20 EE English-as-a-Second-Language English language classes for participants whose primary language is other than English and whose lack of basic language skills presents a barrier to employment. Homework assignments may count toward work requirement hours. Attendance/participation must be checked at least every two weeks. . ABAWDs may be asked to makeup to 9 job contacts per week in order to meet the 20-hours/week work requirement. Who provides the ESL services and are they delivered on-site or off-site AIMS Community College delivers GED classes on site. Are the ESL services offered in a computer lab, with an individual tutor, in a classroom setting or through another means? Please specify for each location. ESL Services are offered in the following settings: Classroom, Computer Lab and Individual Tutor Sessions. Aims College provides an on-site class, additional ESL classes are offered both on campus and at outreach centers throughout the community. What are the days and hours that are available for clients to participate in ESL? Aims Community College - Monday through Friday 8:00 a.m. to 8:00 p.m. For an ABAWD who is using ESL to meet the work requirement, what is the maximum # of classroom hours available each week? ABAWDS are required to attend a maximum of 10 hours of classroom instruction. How are the required hours of participation verified? Participants are required to bring in timesheets signed by the instructor to each follow up session. 21 _ EM Employability Participants are required to attend classes or receive individual instruction on basic skills that increase employability. Instruction may include, but is not limited to: writing, reading, math, and communication skills, and customer service training. Homework assignments may count toward work requirement hours. Attendance/participation must be checked at least every two weeks. . ABAWDs may be asked to makeup to 9 job contacts per week in order to meet the 20-hours/week work requirement. Who provides the Employability component services and are they delivered on-site or off-site? Weld County Division of Human Services provides EM services. The services are delivered on-site. Are the Employability component services offered in a computer lab, with an individual tutor, in a classroom setting or through another means? Please specify for each location. Employability services are offered in a computer lab setting or through individualized tutoring. What are the days and hours that are available for clients to participate in the Employability component? Lab services are available Monday through Thursday, 9:00 a.m. to 11:30 a.m. and 2:00 p.m. to 4:30 p.m. Tutor services are available by prescribed plan. For an ABAWD who is using the Employability component to meet the work requirement, what is the maximum # of classroom hours available each week? For this component computer lab and tutor sessions are considered class time. Participants are required to meet a maximum of 10 hours per week. How are the required hours of participation verified? Attendance is verified by the computer lab and/or tutor sessions tracking forms. 22 J JA WIA Participants are enrolled and participating in any Workforce Investment Act program. Attendance/participation must be checked every two weeks. ABAWDs must meet the work requirement every month, both during the referral period and after enrollment. For what services do you refer EF participants to WIA? Intensive Services which include Resume Instruction, Job Coaching, Structured Job Searching, Assessment Testing and Training Services such as OJTs and Vocational Training. How are the required hours of participation verified? Participants are required to bring a time sheet signed by the classroom instructor or case manger, to each follow up session. 23 JB Self-Employment Classes Participants are enrolled in classes to learn how to start their own business. Participation may include classroom time, homework assignments and attendance at any individual appointments. Attendance/participation must be checked at least every two weeks. . ABAWDs may be asked to makeup to 9 job contacts per week in order to meet the 20- hours/week work requirement. Who provides the Self-Employment training classes and are they delivered on-site or off-site? Are Self-Employment training classes offered in a computer lab, with an individual tutor, in a classroom setting or through another means? Please specify for each location. What are the days and hours that are available for clients to participate in Self-Employment training classes? For an ABAWD who is using Self-Employment training classes to meet the work requirement, what is the maximum # of classroom hours available each week? How are the required hours of participation verified? 24 JO Job Seeking Skills - for non-ABAWDs only does not meet the ABAWD work requirement Job seeking skills instruction provided either individually or in a classroom setting that includes progressive work on completing a master application, interview and job search plan (otherwise known as the competencies). May also include, but is not limited to, instruction on other job finding topics such as goal setting, skills identification,job retention, resume writing, etc. Who provides JO component services and are they delivered on-site or off-site? Weld County Human Services, Educational Lab How many job contacts are participants required to make each month? 20 Are the JO component services offered in a computer lab, with an individual tutor, in a classroom setting or through another means? Please specify for each location. JO services are offered in a combination of classes and computer lab sessions. Classes are held at Weld County Human Services. VR Vocational Rehabilitation Participants are enrolled and participating in the state vocational rehabilitation program. Attendance/participation must be checked at least every two weeks. ABA WDs must meet the work requirement every month, both during the referral period and after enrollment. Are there restrictions on the days and hours that clients can be referred to Vocational Rehabilitation? If yes, explain. No, there are no restrictions to Vocational Rehabilitation referrals. How are the required hours of participation verified? Participants are required to bring verification from the Vocational Rehabilitation counselor. Verification must include the number of hours participated each week. If an ABAWD cannot meet the 20-hours/week participation requirement through the Voc Rehab component alone, what are the typical combinations of activities used to meet the 20 hours/week? VR contracts that cannot meet the 20 hour work requirement must have a second contract assigned. Services include but are not limited to Employability Skills, Job Contacts not to exceed 9 hours of effort or educational services such as, EB, EE, EG, El, and EM. 25 "4 VT Vocational Training For participants who are enrolled and participating in skills training related to a specific occupation (i.e. welding, word processing, auto mechanics, truck-driving school, data entry). Usually offered in cooperation with a JTPA program, the local community college, or trade or vocational schools. Attendance/participation must be checked at least every two weeks. . ABA WDs may be asked to makeup to 9 job contacts per week in order to meet the 20- hours/week work requirement. Which educational institutions typically provide the activities covered under the VT component in your county? AIMS community College and Weld County Human Services, Educational Lab provide services. How are the required hours of participation verified? Participants are required to bring in timesheets signed by the classroom instructor, to each follow up session. If an ABAWD cannot meet the 20-hours/week participation requirement through the VT component alone, what are the typical combinations of activities used to meet the 20 hours/week? VT contracts that cannot meet the 20 hour work requirement must have a second contract assigned. Services include but are not limited to Employability Skills, Job Contacts not to exceed 9 hours of effort or educational services such as, EB, EE, EG, El, and EM. 26 ORGANIZATIONAL CHART Draw or attach an organizational chart of your Employment First /Workfare program below. You must include line staff, first and second line supervisors, the county social services director, the local social services contact if you contract, any sub-contractors, and any one-stop involvement. 27 CO N O W N C p V N 2 cc o Om N a> >, 0� c C O 2 co o. > co � E 8wa w g • CD c v v @ 8 c Oc _0J CO m m m U I- U o o a ` = ,.- 'w �r�//�� a V/ o ca U J (n O og W .c U IL` 1 co O P 2 0 E y o Z U p O n E a m m Wcc • — N S Z CO a 2 O co I— C CO Z v — w U U O % N > co w O N {Cp a z r O O J x z a L 0 N ILU m U o 3 W • C T Z aa co Z co co c > 0 Q > U O c a L V N E J 0 _ � W Cy O o0 V Q y N T ib VJ CO • CD COLORADO 1551 N. 17th Avenue WORKFORCE P.O. Box 1805 C EN T E 1 Greeley,CO 80632 Medical/Hospitals Children's Hospital (303)8614449 Columbia,Colo.(Humana) (303)788-5627 Longmont United Hospital (303)651-5241 Kaiser Permanente (303)3384949 Lutheran Medical Center (303)425-2421 McKee Medical Center 1.888-547-9746 North Colorado Med.Ctr. (970)350-6565 Poudre Valley Hospital (970)495-7310 Rocky Mtn.Health Cane (303).831-3105 Miscellaneous Advanced Energy (970)407-6333 Anheiser-Busch (970)490-8825 Celestial Seasonings (303)5814311 Centrobe (303)665.1645 Coca-Cola 1-800-332-3380 Coors Brewing Company (303)277-2450 Duke Communications (970)203-2909 Eastman Kodak (970)686-7611 x7939 Group Publishing (970)6693836 x4485 Hack Chemical (970)9624720 IBM - - 1400-964-4473 Metrum(Honeywell) (303)773-4695 New Century Energies (303)571-7563 Platte River Power Authority (970)229-5333 Starr Inc. 346-5499 Storage Technology (303) Thomas International (303)532-0650 Western Area Power Admin. (970)490-7408 Woodward Governor. (970)962-7222 Woodward Governor (970)498-3222 Teleconanunications US.Sprint.(Denver job line) (303)297-5645 US.West (303)896-7683 Employment Services Joblines (updated twice weekly) General Labor Jobs (970)3533800 x3473 ProfessiooallTeehnieal Jobs (970)353-3800 x3470 Service Jobs. (970)353,3800 x3471 New Jobs: (listed since last recording) (970)353-3800 x3472 Visit our website at www.awearg Employment Services Of Weld County Regional IIIVs Job Lines COLOBADO Banking Bank One 1-800.3443627 Norwest Bank 1-800-365.6535 Education Aims Community College (970)330.8008 x1263 Auraria Campus (970)556.8430 Colorado State University (970)491-3941 Colorado University (303)492-5442 Front Range Comm.College (970)226-2500 x8522 Fonda School District (970)490-3628 Thompson School District ' (970)6633366 Greeley School District 86 (970)352-1544 x600 Government(City,County,State Federal) Adams County (303)654-6075 Boulder County - (303)441.4555 City of Arvada (303)4313008 x453 City of Brighton (303)659.4050 City of Commerce City (303)289-3618 City of Ft Collins (970):493.2489 1161 City of Greeley (970)350-9777 i200 City of Lakewood (303).987.7777 City of Longmont (303)6514710 City of Loveland (970)962-2374 City of Northglenn (303)4504189 Internal Revenue Service (303)446-1087 Latimer County (970)498.7379 National Weather Service (303)4973950 State of Colorado(statewide) (303)633-2431 Department of Transportation (303)757-9623 US.EPA (303)312-6259 US.Forest Service (303)275-5330 US.Government(regional) (303)969-7050 US Postal Service (303)853-6030 Weld County (970)352-1993 Grocery King Soopers(Colorado) (303)7783270 Meat Processing ConAgra Red Meat (970)395-8815 Company(Monfort)1400-258-9196 Marchetti EMPLOYMENT SERVICES OF WELD COUNTY 'At*PI Major Regional Employers "'ilk _ COLORADO Greeley Area City of Greeley Super K-Mart ConAgra Beef Companies 1000 10 Street 2400 W 29 Street School District 2 Warren Analytical Labs, Greeley,CO 80631 Greeley,CO 80631 36 Cottonwood Avenue ConAgra Cattle Feeding, 350-9710 339-0048 Eaton,CO 80615 Monfort Lamb&Beef Plants 850 Employees 280 Employees 454-3402 1918 AA Street 160 Employees Greeley,CO 80631 Aims Community College School District 4 353-2311 PD. Box 69 1020 Main Universal Forest Products 4,344 Employees Greeley,CO 80632 Windsor,CO 80550 15 Walnut 330-8008 686-7411 Windsor,CO 80550 Kodak,Colorado Division 782 Employees 275 Employees 686-9651 9952 Eastman Park Drive 160 Employees Windsor,CO 80550 Sykes Enterprises, Inc. Golden Aluminum 686-7611 1515 N 11 Avenue 1405 E 14 Street Safeway(2) 2,000 Employees Greeley,CO 80631 P.O. Box 207 Downtown or Bittersweet 346-2200 Ft.Lupton,CO 80521 Greeley,CO 80631 North Colo. Medical Center 600 Employees 352-0713 351-8350 1801 16 Street 250 Employees 150 Employees Greeley,CO 80631 StarTek, Inc. 3524121 237 22 Street Agland, Inc. Colorado Greenhouse 1,793 Employees Greeley,CO 80631 260 Factory Road 6811 Weld Co. Rd.31 352-6800 Eaton,CO 80615 Ft.Lupton,CO 80521 School District 6 575 Employees 454-3391 (303)857-1100 811 15 Street 250 Employees 150 Employees Greeley,CO 80631 Wal-Mart Super Center 352-1543 3103 23 Avenue School District 1 Toddy's 1,745 Employees Greeley,CO 80631 1003 Birch 2400 16 Street 330-1452 Gilcrest,CO 80623 Greeley,CO 80631 UNC 480 Employees 737-2403 356-2468 Greeley,CO 80639 240 Employees 150 Employees 351-1890 School District 8 1,550 Employees 301 Reynolds Greeley Medical Clinic Target Ft.Lupton,CO 80621 1900 16 Street 8 2626 11 Avenue State Farm Insurance (303)857-6291 Greeley,CO 80631 Greeley,CO 80631 3001 8 Avenue 400 Employees 353-1551 351-8511 Greeley,CO 80631 184 Employees 140 Employees 351-5000 Bonell Good Samaritan 1,357 Employees Center Dillards Metal Container Corp. 708 22 Street 1840 Greeley Mall 1201 18th Avenue Weld County Government Greeley,CO 80631 Greeley,CO 80631 Windsor,CO 80550 915 10 Street 352-6082 356-3330 686-7661 P.O. Box 758 400 Employees 180 Employees 121 Employees Greeley,CO 80631 3564000 RR Donnelley Norwest King Soopers(2) National Hog Farms 1,100 Employees 259 30 Street Hillside Mall or Westlake 25000 Weld Co.Rd.69 Greeley,CO 80631 Greeley,CO 80631 Kersey,CO 80644 Hewlett Packard 356-8352 339-1700 353-9960 700 N 71 Avenue 380 Employees 178 Employees 115 Employees Greeley,CO 80634 350-4000 Tagawa Greenhouse Greeley Tribune 1,000 Employees 17999 Weld County Rd.4 501 8 Avenue *Area code is(970)unless Brighton,CO 80601 Greeley,CO 80632 given as(303) (303)659-1260 352-0211 350 Employees 160 Employees 1551 N. 17 Avenue P. 0. Box 1805 Greeley, CO 80632 COLORADO t WORKFORCE Where Colorado Comes To Work CENTER Loveland Area Teledyne Water Pik Loveland Reporter-Herald Celestica 609 14 Street SW 201 E Fifth Street 3450 E Harmony Road Hewlett-Packard Loveland,CO 80537 P.O. Box 59 Fort Collins,CO 80528 815 14 Street SW 669-5670(Security only) Loveland,CO 80539 207-5000 P.O.Box 301 245 Employees 669-5050 660 Employees Loveland,CO 80537 120 Employees 679-2976 Duke Communications Advanced Energy 2,500 Employees 221 E 29 Street Fort CollinsArea 1625 Prospect Parkway P.O.Box 3438 Fort Collins,CO 80525 Thompson School District Loveland,CO 80539 Colorado State University 221-4670 535 N Douglas Avenue 663-4700 Fort Collins,CO 80523 600 Employees Loveland,CO 80537 240 Employees 491-1101 669-3940 8,400 Employees Teledyne Water Pik 1,735 Employees Wal-Mart Discount Store 1730 E Prospect Road 3133 N Garfield Avenue Hewlett-Packard Fort Collins,CO 80524 McKee Medical Center Loveland,CO 80538 3404 East Harmony Road 484-1352 2000 N Boise Avenue 669-3640 Fort Collins,CO 80525 496 Employees Loveland,CO 80538 224 Employees 226-3800 635-4085 3,200 Employees LSI Logic 800 Employees Quebecor 2001 Danfield Court 380 W 37 Street Poudre School District Fort Collins,CO 80525 Wal-Mart Distrib. Center P.O. Box 455 2407 LaPorte Avenue 223-5100 7500 E Crossroads Blvd. Loveland,CO 80539 Fort Collins,CO 80521 490 Employees Loveland,CO 80538 667-8633 482-7420 679-4700 220 Employees 3,000 Employees Longmont Area 625 Employees Sam's Club#8147 Poudre Valley Hospital McLane Western Woodward Governor 1200 E Eisenhower Blvd. 1024 Lemay Avenue 2100 E Hwy 119 3800 N Wilson Avenue Loveland,CO 80537 Fort Collins,CO 80524 Longmont,CO 80504 Loveland,CO 80538 669-6100 495-7000 (303)682-7500 663-3900 200 Employees 2,300 Employees 650 Employees 600 Employees West.Area Power Admin. City of Fort Collins DOVatron Manufacturing City of Loveland 5555 E Crossroads Blvd. 300 West LaPorte Avenue 40706 Specialty Place 500 E Third Street P.O. Box 3700 Fort Collins,CO 80521 Longmont,CO Loveland,CO 80537 Loveland,CO 80539-3003 221-6500 (303)772-5933 962-2000 490-7200 1,700 Employees 400 Employees 675 Employees 190 Employees Woodward Governor Fort Morgan Hach Chemical Company Group Publishing 1000 E Drake Road 5600 Lindbergh Drive 1515 Cascade Avenue Fort Collins,CO 80525 Area P.O.Box 389 P.O.Box 481 482-5811 Excel Beef Packing Loveland,CO 80539 Loveland,CO 80539 1,000 Employees 1505 E Burlington Avenue 669-3050 669-3836 Fort Morgan,CO 80701 575 Employees 187 Employees Larimer County 867-8223 200 West Oak Street 1,950 Employees Summit Crest Homes Goldco Industries Fort Collins,CO 80521 2221 Clayton Lane 5605 Goldco Drive 498-7000 Ft. Morgan School District P.O. Box 10 Loveland,CO 80538 1,300 Employees 230 Walnut Street Berthoud,CO 80513 663-4770 532-2632 150 Employees Anheuser-Busch Fort Morgan,CO 80701 250 Employees 2351 Busch Drive 867-5633 Fort Collins,CO 80524 473 Employees 490-4500 700 Employees (970)353-3800, Ext.3379 (TDD) Fax: (970)356-3975 http://www.eswc.org PART IV: SIGNATURE PAGE I have read and agree to operate in accordance with the information contained in this County Plan for Employment First program operations effective July 1, 2002. I also agree to adhere to the State Regulations,� Volume IV-B and to the Statement of Work contained in Section II. Aid O741/.zcwa.. Glenn Vaad, C ••ir Date Board of County Commissioners, Weld County � C N 62.14 �� Kiz lc-owe J A. ego r a Perez C S ial Services irector Date Oper ' g Agency Dir/D ignee Date 7 7 / 445/02_"2 /14d fC'-✓ 442 Richard Rowe arilyn Cerlino Social Services Contract Monitor Date Opera ' Agency Contract Rep. Date 1C1 Ca0 z----k-0-0-)— AC- y.)/ /o m ent First Manager Date Emp ent First Supervisor ate `l.nr\SI0 \t 1z4,,. 6 Dj-oa -mow 90ift----,_ &72.4),. Employment First Staff Date Employment First Staff Date -'� 4,-‘, / `/� CL f � J 9-,_ il_Lci �i(zi AZ- E ployment Firs ff Date Employment First Staff Date c " [ 12),' 69/2-I GZ Employment Fi st Sta Date Em First , a ate a__)& c. s. ,� ,6�0� • m .'Z Employment First Staff Date mployment First Sta Date CSC.' ZI`v2— Employment First St 1C Date Employment First Staff Date Hello