HomeMy WebLinkAbout960753.tiff RESOLUTION
RE: APPROVE ECONOMIC DISLOCATION AND WORKER ADJUSTMENT ASSISTANCE
SUBSTATE AREA GRANTEE PLAN BETWEEN EMPLOYMENT SERVICES AND
GOVERNOR'S JOB TRAINING OFFICE 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 Economic Dislocation and Worker
Adjustment Assistance Substate Area Grantee Plan between the County of Weld, State of Colorado,
by and through the Board of County Commissioners of Weld County, on behalf of Employment
Services of Weld County, and the Governor's Job Training Office, commencing July 1, 1996, and
ending June 30, 1997, 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, that the Economic Dislocation and Worker Adjustment Assistance Substate Area
Grantee Plan between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of Employment Services of Weld County, and the
Governor's Job Training Office 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 29th day of April, A.D., 1996.
BOARD OF COUNTY COMMISSIONERS
opos1, ,D WE� COUNTY, COLORA O
L4 amt4 z
AN ToBarbar J. Kirkmeyer, air O
I t •
%o • • ty Clerk to the Board
f b " A ��I o I I 1 orge . Baxter, P o-T
0.eputy Clerk I. the Board
CDale K. Hall
AP"OV • AST• • 'y
/ Constance L. Harbert
ern _ ! 2
ou Attorney �( _ t> '1
� W. H:�/Ve�ster l�
stigrE R0067
H067
STATE OF COLORADO
Governor's Job Training Office
Economic Dislocation and Worker Adjustment Assistance
Substate Area Grantee Plan
Signature Page
This Plan is entered into between the State of Colorado, Governor's Job Training Office, hereinafter
referred to as the Recipient and Fmnl nyment Servi c es hereinafter referred to as the Substate Grantee
(SSG). of Weld County
All work to be performed under the Plan will be in accordance with the Job Training Partnership Act
(JTPA)of 1983 as amended and the Economic Dislocation and Worker Adjustment Assistance (EDWAA)
Act, and the Job Training Reform Amendments of 1992, applicable JTPA and EDWAA rules and
regulations, applicable policies and procedures established by the Governor, and the assurances.
certifications, and narrative descriptions contained in this Plan.
The Plan is in accordance with the JTPA rules and regulations and instructions issued by the Governor or
his designee. It is understood that this document, when signed by the parties, will become an "Exhibit d"
referenced in and governed by Master Contract #tOC-ArAbetween the State of Colorado and the Substate
Area (SSA) Grantee.
It is understood that this Substate Plan, when jointly signed by the SSA's Local Elected Official, the
Private Industry Council Chair and countersigned and dated by the Governor or Governor's designee, shall
be effective July 1, 1996 thrwu J 997.
Di,,,, _
Typed Name & 4';:1P 1 "Th ? i ature / /
`/ Date
Title of Local i�i-k j12 Any -
Elected Official ``n:\ Pf ° r
`jti .,•
. '� �`8� ara Kirkmeyer, Chairperson
•
Typed Name & 1L�
— i e Date
Title of Private cx--- 41-1-5 R6
Industry Chair rli l i i e Mlo ton., Chai rman
Typed Name & Signature Date
Title of Governor
or Designee O¢/a9/9,
h.,wMesA dwaSIDWAbgI
EDWAA SUBSTATE PLAN
PY 96 PROGRAM SUMMARY
SSG: Employment Services of Weld County Director: Linda Perez
EDWAA Coordinator: Ted Lorin Tele: 970 353-3800 x3400
Fiscal Contact: Marilyn Carlino Tele: 970 353-3800 x3350
Mis Contact: Dora Lara Tele: 970 353-3800 x3420
A. PROGRAM ALLOCATION (50%): $ 85,432.53
(10%): $ 0
TOTAL $ 85,432.53
B. PLANNED PROGRAM COSTS (COMBINE 50% & 10%):
Cost Categories Total Percent
1. Administration $ 12.814.00 15%
2. Participant Support $ 2,000.00 2.3%
a. Needs Related $ 0 0%
b. Supportive Svs. $ 2,000.00 2.3%
3. Basic Readjustment Svs. $ 13,794.00 16.2%
4. Retraining Services $ 56,824.53 66.5%
5. Total $ 85.432.53 100%
C. PLANNED PROGRAM ACTIVITY:
ActivityParticipant Number
1. Total participants to be served 68
a. Number Carry-In 33
2. Total Terminations 57
3. Total Entered Employment 51
4. Entered Employment Rate 75%
5. Cost Per Participant $1.256
6. Cost Per Entered Employment $1,675
7. Average Wage at Placement $6.75
8. Employment Rate at Follow-Up 83%
GJTO: Approve Conditional Approval _Disapprove
JTCC: Approve Conditional Approval Disapprove
960753
TABLE OF CONTENTS
I. COVER PAGE
II. THE SUBSTATE AREA GRANTEE 1
III. SUBSTATE AREA 1
IV. EDWAA ANNUAL PLAN NARRATIVE 2
(1) Outreach and Recruitment 2
(2) Eligibility 2
(3) Certificates of Continuing Eligibility 4
(4) Involvement of Organized Labor 4
A. Development of the Plan 4
B. Implementation of EDWAA Services 4
(5) Performance Standards 5
(6) Co-enrollment into Title II 5
(7) Selection of Service Providers 5
(8) Support for Rapid Response Activities 6
(9) Involvement of the Private Industry Council and Local Elected Official
6
A. Role in Development of EDWAA Plan 6
B. Role in Program Oversight 6
(10) Program Services 7
A. Use of Funds; Services to be Provided 7
B. EDWAA Section 313(b)(1) 14
(11) Monitoring 15
(12) Program Management 16
(13) Program Performance 17
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(14) MIS Management 17
(15) Fiscal Management 18
(16) Coordination with Unemployment Compensation 19
(17) Staffing 20
IV. Budget Narrative 20
V. MIS Forms 22
VI. Administrative Requirements 22
(1) Assurances 22
(2) Management Information System 25
ATTACHMENTS
Attachment 1: Intake/Eligibility Form
Attachment 2: Local Coordination Agreement
Attachment 3: Budget Information Summary (BIS)
Attachment 4: Quarterly Planned Activity and Expense Form
Attachment 5: Inter-SSG Referral Agreement
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II. THE SUBSTATE AREA GRANTEE
The Weld County Board of County Commissioners will be the grant recipient. The Weld
County Private Industry Council will have planning and monitoring responsibility for the
program. The program will be administered through Employment Services of Weld County,
the Weld County Substate Grantee (SSG). Weld County does not have a role in a regional
reemployment center, but services as a one-stop service center for its customers are made
possible through the delivery of the Job Services through contractual agreements. Weld
County may refer customers to workshops offered through other reemployment centers if it
is determined beneficial for the customer.
The geographical area to be served is Weld County Colorado.
III. SUBSTATE AREA
• Although actual services and the quality of those services will not be impacted,the
total number of individuals that can be served will be greatly affected. Weld County
will only be able to select a limited number of individuals from those who would
normally benefit from EDWAA services. Recruitment efforts will continue to be from
individuals registering with the Job Service Center who are eligible for or applying for
Unemployment Insurance or the Food Stamp Job Search Program, as well as from
individuals selected through the UI Profiling System. It is anticipated that many of the
individuals contacted through these programs will be determined eligible for the
EDWAA Program.
• Layoffs in the past year have occurred in a wide range of industries. The "Declining
Industry Report-3rd Quarter 1993 through 2nd Quarter 1995"indicates there were 274
jobs lost for Weld County. The major losses that occurred by industry were:
Construction,40; Manufacturing, 10; Transportation, Communication, Electric, Gas,
& Sanitary Services,68; Mining, 118; and Services, 30. Losses were also incurred in
the Agriculture, Retail Trade, and Finance, Insurance and Real Estate Industries.
Layoffs or plant closures in the Weld County area for last year included Public Service
of Colorado, Snyder Oil, Basin Exploration, AT&T, Monfort, and a number of retail
stores in the local area. -
• It is the intent in Weld County to serve all segments of the dislocated worker
populations. Weld County will give special needs preference to individuals effected
by plant closures, mass layoffs, and individuals who have participated in rapid
response activities. Examples of layoffs in this category include Snyder Oil, Basin
Exploration,AT&T, Public Service, Monfort, and a number of local retail stores.
• Weld County does not have a role in a regional reemployment center, but services as
a one-stop service center for its customers are made possible through the delivery of
the Job Services through contractual agreements. Weld County may refer customers
to workshops offered through other reemployment centers if it is determined
beneficial for the customer.
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IV. EDWAA ANNUAL PLAN NARRATIVE
(1) Outreach and Recruitment
• It is anticipated that approximately 33 participants or 24% of the total
participants for PY'96 will be carried in from PY'95.
• The primary source of recruitment for EDWAA is through the Job Service
Programs operated by Employment Services of Weld County. All clients
registering for Job Service are informed of the programs available and are
given a questionnaire to complete which assists in the identification of
potential clients. Staff have been trained to determine the potential eligibility
of individuals for specific programs and refer individuals to an appropriate
orientation. This process reaches those individuals who may be UI claimants
or other individuals seeking employment that would meet EDWAA criteria. To
expand its outreach efforts, Employment Services monitors UI registration
and UI Profiling on a weekly basis. Recruitment also takes place with
employers who are identified through the Job Service Employer Relations Unit
as experiencing a lay-off or who are going out of business .
• To expedite and/or eliminate waiting periods of longer than two weeks,Weld
County has refined its eligibility and application process and will continue to
try to minimize documentation required where possible. Basic readjustment
services are provided immediately to those individuals determined eligible.
• Employment Services administers the Greeley Job Service under contract with
the Colorado Department of Labor and Employment. Through this
relationship, coordination with the unemployment compensation system is
performed through registration activities as described above and in the
eligibility section of this plan. Weld County will participate in rapid response
efforts as detailed in section IV (8) of this plan. During this participation,
information regarding the services available through Employment Services'
programs are explained. Through its relationship with the UI system, in
addition to the UI profiling system, Weld County can respond to those
individuals who are identified as needing reemployment services and who are
likely to exhaust their UI benefits. Weld County selects individuals from the
UI Profiling System weekly and then conducts orientations twice a week for
those individuals selected. At these orientations, services provided by the
Job Service and the EDWAA Program are explained and individuals are
allowed to select the type and level of service that they prefer. Individuals
selected are assessed as to their ability to benefit from EDWAA services.
(2) Eligibility
• Employment Services of Weld County administers the Employment
Services/Greeley Job Service Center. All clients who register for Employment
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Services are informed of the EDWAA Program and a pre-screening form is
completed by all applicants. The pre-screening form identifies EDWAA areas
of eligibility and includes an individual self-assessment of services and
training a potential client may be interested in.
• The Client Services Technician responsible for intake determines eligibility.
This staff person telephones all potential EDWAA applicants to schedule an
application appointment and informs the applicant of the document
requirements.
At the application appointment, the Client Services Technician assists the
individual in the completion of the EDWAA application, reviews the eligibility
documents, and administers the TABE locator test. The applicant is then
scheduled for another appointment within one week to complete the TABE
test. At that time, if the appropriate documentation has been provided, the
applicant is determined eligible. The individual becomes a participant after
their initial meeting with a case manager and a determination has been made
that program participation is appropriate.
A second reviewer conducts a verification of eligibility to insure that the file
contains a complete application,all necessary paperwork and documentation
is in the file and that the information is consistent and reasonable.
Applicant referrals to non-JTPA programs are documented in the applicant
file. If the applicant is enrolled in the EDWAA program the Individual
Reemployment Plan(IRP)will reflect the agencies to which they were referred.
If the individual is not enrolled in the EDWAA program the counselor notes will
reflect the referrals to other agencies for services.
• Examples of documents used to determine eligibility include: UI wage screen
review of length of unemployment; social security cards; layoff notice,
documents for age/MSSA, etc. Information can be verified via documentary
evidence,secondary data sources,or collateral contacts. Permission to verify
the eligibility is obtained from the participant at the point of application. The
type of documentation kept in a client's file is determined by the eligibility
category and is sufficient to support eligibility. A copy of the Weld County
SSG intake/eligibility form is located as Attachment 1.
Documentation used to determine eligibility for the EDWAA Program includes
proof of citizenship, age, dislocated worker eligibility category, the job of
dislocation, and for males proof of MSSA registration if applicable.
Documentation for determination of eligibility category is varied and includes
notice of layoff, UI inquiry report indicating separation status, etc.
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• A five year work history is gathered on each applicant. Part of the application
process includes a five year work history as a requirement. The job of
dislocation is identified in the work history taken and on the EDWAA eligibility
application by both title and DOT code.
• Title II eligibility determination is not required or completed for EDWAA
applicants.
If the pre-screening form indicates that an individual may be eligible for Title
II programs,the individual is questioned regarding their interest in pursuing
eligibility determination. If the applicant chooses to pursue Title II eligibility
and is determined eligible for both Titles, the case manager will make the
decision of title based on the needs of the individual and the services and
funds available which will best assist the client in obtaining their employment
goal.
(3) Certificates of Continuing Eligibility
• Employment Services of Weld County will not issue Certificates of Continuing
Eligibility.
Weld County does not intend to redeem CCEs. Weld County may accept and
enroll referrals from other SDA's/SSG's; however,Weld County will have the
client complete the eligibility and verification process. Based on the results
of eligibility documentation, assessment, and need/benefit status, the client
may be enrolled.
(4) Involvement of Organized Labor
A. Development of the Plan
A representative of organized labor is a member of the Weld County Private
Industry Council and the Adult Activities Committee which assist in the
development of the EDWAA Plan. -
B. Implementation of EDWAA Services
The major linkage with organized labor is through their representative on the
PIC. Additional coordination will occur when the circumstances arise where
organized labor needs to be involved because services need to be provided
to a substantial number of its members. The specific activities will vary
depending upon the circumstance.
The Rapid Response Team will be contacted for layoff response activities and
basic response services as required. Employment Services will continue to
accept referrals for services from organized labor.
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(5) Performance Standards
The Department of Labor has established an entered employment rate of 68%, and
Weld County will plan for a rate of 75%. Weld County's entered employment rate is
based upon current year statistics and projections of job growth within Weld County.
The projected wage at placement will be $6.75 per hour and is subject to change. If
the projected wage at placement is changed, it will be based upon whatever the
USDOL adjustment model establishes the rate to be.
The Private Industry Council and Employment Services will monitor performance on
a quarterly basis. The areas to be monitored include the entered employment rate and
the wage at placement and the customer satisfaction rating which is addressed in
section IV(10) A. 1. Program adjustments on the number of clients served or to be
served will take place quarterly to ensure compliance with EDWAA regulations. The
Performance Standard Worksheets are included as Attachment 6.
The estimated number of individuals terminated from 1-1-96 through 3-31-97 for
follow-up purposes is 72 .
(6) Co-enrollment into Title II
Employment Services does not intend to co-enroll clients in Title II-A programs.
Concurrent enrollment with other vendors may take place as appropriate.
(7) Selection of Service Providers
Employment Services will not subcontract with community based organizations to
provide services. Aims Community College will provide the majority of the
educational services. Due to the limited educational services available on a local
level, other appropriate educational facilities may provide educational services. Weld
County has always allowed participants the flexibility to choose their training location.
This flexibility provides for increased customer service and customer satisfaction.
Employment Services does not intend to subcontract. Services offered by vendors
on a fee basis may be used to serve clients depending on need, ie.,a specific seminar
on a relevant need identified in the reemployment plan. For these services, Weld
County will implement a process which will address each of the matters listed in §(d)
of 627.422 to insure compliance with § 627.422 of the Regulations regarding the
selection of service providers.
• Weld County assures that it will follow the same procurement system and
process as defined in the PY96-97 JTP.
• Weld County does not intend to subcontract.
• Weld County does not intend to subcontract.
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(8) Support for Rapid Response Activities
Employment Services will follow the guidelines for the lay-off procedures outlined in
JTPA Letter 94-14-E9.
• Weld County feels that its current capacity is sufficient enough to provide
services to individuals identified through rapid response. Employment
Services has a Local Coordination Agreement with the Job Service Center to
address Rapid Response Assistance. Weld County will participate in rapid
response efforts. During this participation,information regarding the full array
of services available through the Job Service,and other Employment Services'
programs are explained. Individuals are provided questionnaires for initial
assessment and provided the name of a contact person at Employment
Services for further assistance.
• Preference for dislocated workers referred through Rapid Response will not
be provided. The application/intake process for rapid response referrals is the
same as other dislocated workers are afforded. Eligibility documentation is
the same as that required for other dislocated workers.
• The Rapid Response provider will be informed of enrollments from referrals
if requested.
(9) Involvement of the Private Industry Council and Local Elected Official
A. Role in Development of EDWAA Plan
The Weld County Board of County Commissioners is the grant recipient and
approves the Plan prior to submittal. A county commissioner is a member of
the Private Industry Council which is involved in the development and
approval of the EDWAA Plan.
B. Role in Program Oversight
The Weld County Private Industry Council has the planning and oversight and
monitoring responsibility for the EDWAA programs. The Private Industry
Council focuses its planning and monitoring through an Adult Activities
Committee. Reports are reviewed quarterly and included in these reports will
be customer satisfaction results. The Private Industry Council also monitors
the program through client profiles to look at the way services and activities
are provided and the progress of the client.
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(10) Program Services
A. Use of Funds: Services to be Provided
1. Employment Services of Weld County will provide Basic Readjustment
Services.
Employment Services of Weld County will address the national focus
of increased services, increased customer options and improved
customer services in the following manner. A coordination agreement
has been entered into with the Educational Opportunity Center(EOC),
through Colorado State University. The EOC is located in the
Employment Services office and EDWAA staff work with the EOC staff
to offer specialized career exploration and to facilitate the referral to
and the provision of educational training opportunities. Employment
Services will also continue to work with local entities such as the
University of Northern Colorado,Aims Community College, Chamber
of Commerce offices, consumer counseling agencies, and city and
county governments to access and offer appropriate workshops and
seminars to participants. Labor market information will be provided
to individuals for determination of expanding or growing occupational
areas. Individuals will also be made aware of programs offered in
contiguous counties which may be appropriate for their need.
Customer satisfaction will be monitored and evaluated in a number of
ways. Weld County will utilize a follow up questionnaire for
participants which will be modeled after the OMNI follow up format.
Participants will be surveyed during the third month of training, upon
exiting the EDWAA program, the fourth week after termination, and
again at the twelfth week after termination. This survey includes
questions regarding the individuals rating of occupational testing,job
counseling, re-training services,OJT,job placement services, and the
program as a whole. Information obtained in these surveys will be
utilized to improve program design as well as to provide information
to individuals regarding the success of program options.
Basic readjustment services offered to a participant to assist them in
securing employment are: Development of individual readjustment
plans, outreach and intake, orientations to program services, early
readjustment assistance,job or career counseling activities,testing,
assessment including educational attainment and participant interests
and aptitudes, determination of occupational skills, job placement
assistance,labor market information,job clubs,job search assistance,
self directed job search,job development, supportive services, pre-
layoff assistance, limited relocation assistance, and early intervention
activities. No other vendors will be used to provide these services nor
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will they be sub-contracted, however,the program will pay registration
fees for relevant workshops or seminars. Services provided are:
• Outreach,Intake,Orientations.Early Readjustment Assistance
These services were discussed in the Outreach Recruitment
and Rapid Response areas.
• Occupational Skills Determination, Assessment. IRP
Development
Employment Services will determine a participants
occupational skills, and educational attainment including
interests and aptitudes through the application, assessment
process,and the preparation of the Individual Re-employment
Plan. During the assessment process and the development of
the IRP the individual is provided with labor market
information to assist them in making decisions on
employment areas.
• Job Search.Job Placement Assistance,and Job Development
Employment Services administers Job Service activities.
Through this linkage, participants are included in an
automated match in the state-wide Job Bank. At the time of
application,participants are assigned a primary and secondary
occupational code. In addition, each former occupation is
assigned an occupational code and the individual lists skills
areas obtained from previous experiences. The automated job
match includes the matching of an applicant's skills with the
skills required on a job order. This allows matching with job
listings and subsequent referrals to employers.
In addition to the Job Match, the client is assigned to a case
manager who assists in the job seeking process by directing
the client to other employment possibilities and in developing
employment sites.
• Job Club
Job Club activities include participation in workshops and job
seeking classes conducted through Employment Services. An
integral part of the Job Club is to identify additional skills and
abilities of the participant and to develop or update the
participant's resume.
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` Job or Career Counseling
Job or Career counseling services are made available to
participants who are identified as needing assistance in
determining a direction for their skills and talents. The EOC is
utilized for this activity for some individuals.
` Supportive Services
Employment Services will provide supportive services which
will include child care assistance,commuting assistance etc.
for those individuals identified as needing such assistance to
participate in and complete training activities. Relocation
assistance will also be provided on a limited basis for those
individuals who need such assistance to be able to except
suitable employment.
2. Individuals will be provided information regarding options and
success of programs during the assessment process. Information
given will include an overview of what training individuals have taken
advantage of, what type of services were received, where services
were provided,whether they were employed after receipt of services
and if so at what pay rate. Additional information such as Aims
Community College's survey of regarding employment after
completion of training will also be provided.
3. Basic readjustment services are provided on a continuing basis for as
long as they are needed. As an example, assessment is an ongoing
process. Although the IRP is completed prior to the delivery of
services, it is updated on an as needed basis. The list of services
provided under basic readjustment services and a description of the
process is included in Item 1 above. Relocation services are also
described in Item 1 above under Supportive Services.
4. Specific occupational areas for training have not been pre-determined.
Labor market conditions and information are given careful
consideration at the time a participant's plan is developed which
includes need/interest in a specific occupational area as well as
appropriateness for training. Sources used to make this determination
include the Occupational Supply/Demand Report, local labor market
data obtained through the Job Service operated by Employment
Services, and individual research completed by the participant.
Individuals are appraised of the most current labor market information
throughout their participation in the program by utilizing the Job
Match system and through updates of the Supply/Demand Report.
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All participants are assessed through Employment Services'objective
assessment process utilizing the Weld County objective assessment
form. This assessment includes the capabilities, needs, and
vocational potential and goals of the potential participant. This
assessment is initiated prior to the development of the Individual
reemployment Plan (IRP) to determine all of the individuals
employment and training needs, and continues throughout the
development of the IRP. Initial assessments for all applicants include
testing for reading and math levels utilizing the TABE, and a
determination of need/benefit of the individual. A comparison is made
between the individuals assessment results, the desired training,
current labor market data regarding the availability of jobs in that field,
and the individuals reaserch regarding employment in the selected
field, including work requirements/conditions.
5. Determination regarding retraining services are established on a case
by case basis and depend upon the participant's education, previous
training, skills acquired through past employment, and experience.
Information from these areas are assessed as to how they apply to the
participants stated employment goal and a determination is made
regarding the individuals need and interest in retraining. Generally,
individuals who can obtain suitable long term employment without
retraining will be limited to basic readjustment services. Individuals
requesting retraining services will be required to complete an
education assistance application for retraining services.
The retraining services to be provided are: Classroom/Occupational
Training, On-the-Job Training, out-of-area job search, relocation,and
basic and remedial education.
The determination of the need for training is made on an individual
basis. The assessment/IRP process will determine the need and
feasibility of retraining. If retraining is part of the plan,the participant
will be encouraged to apply for a Pell Grant or other federal financial
aid. If other financial aid is awarded, the plan will be reviewed to
assure that no duplication of funding is provided.
Individuals determined in need of retraining services are required to
complete an education assistance application prior to placement in a
retraining activity. This application covers letters of recommendation,
name of school planning to attend, area of retraining, estimated
graduation date, employment goal, previous vocational schooling,
labor market research,outline for training program,estimated costs,
current personal budget, and list of financial aide applied for and
awarded. The individual is also required to contact potential
employers to determine demand of field chosen and acquire
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information regarding wage, work hours, experience or education
required, and benefits.
Classroom/Occupational Training
Classroom/Occupational Training will be offered to those
participants who have chosen a field in which they have no
discemable skills, and to those participants who have skill or
knowledge in a field which requires a limited amount of
additional training in order to become more employable.
Types of classroom/occupational training include but are not
limited to: computer, word processing, mechanical areas,
medical areas, electronics, truck driving, welding, computer
assisted drafting, and any other appropriate occupational
training. Aims Community College, or other training
institutions,will provide an advisor for each participant.
Employment Services of Weld County and the participant will
establish intermediate training goals. This will enable
Employment Services to assist the individual in obtaining
necessary temporary employment during the period to enable
the participant to complete the total training program.
Continual coordination will occur to help identify fast-track
training.
Tuition, books, fees, and supplies will be provided at an
average cost of$2,000. The classroom training costs are an
average amount. Approval must be give by the Director of
Employment Services for costs which exceed $2,500.
Decisions are based on the type of training, length of training
time,and other factors. Emphasis will be placed on classroom
training which can be coupled with On-the-Job Training to
assist in the dislocated worker's reentry in to the-labor force.
One example of this coupling would be a participant's
enrollment in data entry classroom training while participating
in an administrative assistant On-the-Job Training contract.
On-the-Job Training
Employers who enter into an On-the-Job Training Agreement
will be reimbursed for 50% of the training costs; other costs
associated with the On-the-Job Training Agreement;such as
clothing, tools, fees, or other supplies will be reimbursed at
cost, or as negotiated. The cost for training hours for On-the-
Job Training contracts will be approximately $2,400.
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* Out of Area Job Search, and Relocation
Weld County will provide limited out of area job search
assistance and relocation assistance to individuals who are
identified as needing such services. Assistance will be in the
form of limited cost reimbursement. Additional information
regarding this area can be found in item 13 of this section.
Basic and Remedial Education, and ESL Training
GED/ESL and Adult Basic Education classes will be made
available to dislocated workers. These services will be
provided by Employment Services learning lab or Aims
Community College staff. Basic literacy services will be
provided by the Right-to-Read Program which is a local
literacy agency.
6. Actual training hours for participants will be tracked in the following
manner. At the beginning of the training, the case manager will
determine the schedule for attending the training activity. For
example, if the class meets two times per week, for three hours per
day, and the participant is scheduled for 24 weeks,the case manager
will note 144 training hours. At the end of the scheduled activity,the
case manager will ask the participant how many hours were attended.
The number of actual participation hours will then be determined for
that segment. If the competency level or required training is not
attained,then the same process will follow and the total hours will be
adjusted. At the termination of the activity,the case manager will total
all hours and enter the actual hours into the record. OJT's will be
tracked through the employer reimbursement forms.
7. The classroom training cost is an average amount. Approval must be
obtained from the SSG Director for costs which exceed $2,500.
Decisions are based on the type of training, length of training time,
and other related factors. This process also applies to each new term
and in addition,factors such as continued availability of funding and
the participant's progress in training are evaluated.
8. Weld County assures that it follows§627.220 and Colorado PGL#93-
13-P1. The process and policy are described in Weld County's PY96-
97 JTP.
The Weld County SSG's Student Financial Aid Policy requires that
participants apply for Pell Grants. If a participant is eligible for a Pell
Grant, or any other financial assistance under Title IV of the Higher
Education Act, the amount of the assistance awarded is considered
•
12
960753
when determining the individual's overall financial need. EDWAA
supplements, rather than supplants, Pell and other student financial
aid resources. To ensure that there is no duplication of funding,and
to avoid double billing for educational costs,the SSG case manager
will send a letter to the instructional institution describing the costs
(tuition,fees, books,and supplies)that EDWAA will pay for the client.
The client will use the Pell grant or other financial assistance to pay
for other costs associated with attending school.
9. In the event that entrepreneurial training is appropriate for the
individual participant,only the cost of tuition, books, and fees will be
provided.
10. Weld County assures that it follows§627.240 of the JTPA regulations
and that the process and policy for OJT are part of it's PY96-97 JTP.
The Weld County SSG developed an extensive OJT policy in PY92 and
updated this policy in PY93. This policy covers areas which include
the duration of the OJT's, formulas for length of training, training
plans, etc. The policy addresses the procedures for working with
temporary agencies. The participants IRP and prior work experience
will also be used in the determination of length of training.
11. Out-of-area job search reimbursement may be provided based on
information gathered through the objective assessment and Individual
Reemployment Plan. Reimbursement will be allowed for non-Trade
Adjustment Assistance Act (TAA) participants. Mileage will be
reimbursed at$.25 per mile. Other actual and necessary expenses will
be reimbursed upon the submission of receipt as determined by the
case manager.
Minimal relocation services will be made available to dislocated
workers who are relocating due to obtainment of employment.
12. Weld County does not intend to use Needs Related Payments.
Employment Services has developed flexible program services and
activities to meet local needs. In the event that resources are not
adequate to meet the needs identified through Rapid Response, a
modification of the current proposal will occur or additional state
assistance will be requested.
13. Supportive services will be made available to participants as
appropriate on an individual basis based on needs identified through
the objective assessment and Individual Reemployment Plan.
13
960753
An on-going goal of Employment Services is to continue to identify all
the services available in Weld County, identify any service gaps,and
determine a plan of action for connecting clients with the necessary
services. There are a number of agencies in Weld County that provide
supportive services. Employment Services will refer EDWAA clients
to the appropriate available services.
Mileage reimbursements, not to exceed fifty dollars ($50.00) per
month, may be allowed to the classroom training participant based on
the client need identified in the Individual Reemployment Plan.
Other supportive services which are directly related to obtainment or
retainment of employment, including, but not limited to,clothing and
tools, may be allowed at the discretion of the case manager.
Day care assistance payments, not to exceed one hundred fifty dollars
($150.00) per month, may be allowed to the classroom training
participant based on need indicated in the IRP.
Weld County has an established supportive service policy and this
policy was included in the JTP.
B. EDWAA Section 313(b)11)
1. As provided by EDWAA Section 313(b)(1), Basic Readjustment
Services will be provided by Employment Services and Retraining
Services will be provided by Employment Services,Aims Community
College, or other appropriate educational facilities. There are no
services provided by vendors.
2. An assessment will be completed on all participants. This assessment
will include the capabilities, needs, and vocational potential of a
participant. The determination of occupational skills occurs at intake,
during the application process,during the assessment,and during the
development of the IRP. The assessment is client centered, and
includes the evaluation of the participant's employment barriers,
taking into account the participants family situation, work history,
education,occupational skills, interests,aptitudes(including interests
and aptitudes for non-traditional occupations),attitude towards work,
motivation,behavior patterns affecting employment potential,financial
resources and needs, nedd for referral to other community agencies,
supportive service needs and personal employment information as it
relates to the local labor market.
14
960753
Information obtained from the assessment is used to develop the IRP.
Assessment is an ongoing process which changes according to what
is occurring in a participant's life,work or training situation. The case
manager updates the IRP based on the ongoing assessment as
needed, or implements additional formal assessments as necessary.
If indicated in the objective assessment process as a needed service
individuals will be formally assessed through other formal
assessments. Examples of other formal assessment tests include the
Vocational Preference Inventory (VPI), the Kuder Occupational
Inventory, GATB Occupational Inventory andf the The Adult Basic
Education (TABE)assessment for reading,language, and math levels.
3. The TABE Test is primarily used to determine math and reading levels.
This test is provided at intake.
4. The Individual Reemployment Plan is prepared jointly, by the client
and the case manager and contains the plan to achieve unsubsidized
employment as well as an assessment of the obstacles (barriers)to
employment. Each activity to overcome barriers is described, the
responsibilities of participant and agency are identified, and time
frames identified. The participant signs and receives a copy of the
initial IRP. Any changes to the plan generate a revised IRP which the
client also signs and receives a copy.
Justification for selection of each activity is provided and documented
on the IRP. The employment objective is stated and justified.
5. Case managers are required to maintain participant log notes of all
significant client/counselor interaction. This is maintained in an
individual client file which also contains other client information,
documentation, reports, enrollment into training forms, grant
information, etc. Weld County assures that retraining and/or
readjustment services will be provided and documented at least once
every 30 days.
If services are not provided or documented, participants will be
terminated within 90 days of the last documented service.
(11) Monitoring
A. Monitoring Policies
1. The monitoring policies are contained in Section III. (5) Performance
Standards of this plan.
15 96075 3
2. There are no contractors for Weld County.
B. The Employment Services monitor reviews 10% of active cases on a monthly
• basis. There are no vendors for Weld County.
C. Weld County does not use sub-contractors.
D. Weld County does not use sub-contractors.
E. Monitoring is performed by utilizing a monitoring instrument. Any corrective
actions identified are noted on the instrument.The instrument is given to the
EDWAA Coordinator for review with the case manager to make appropriate
corrections.
(12) Program Management
A. The monitoring procedures assure that program goals are being met.
Individual supervisors monitor program goals on a regular basis and
corrective actions are taken as appropriate.
B. If performance is not as planned, immediate efforts are made to increase
outreach or make other adjustments to meet the problem areas.
C. The type of reports used are:
1. Fiscal reports
2. Planned participant summaries (generated by VAX)
3. Client characteristics (VAX)
4. WAPR
5. On-line search command files for outcomes, training areas, length of
training
6. OMNI Follow-up reports
16
.960753
(13) Program Performance
For the last full Program Year, PY 94
Planned Enrollment Actual Planned Actual
Enrollment Placements Placements
123 134 73 81
A. Planned Entered Employment Rate 70%
B. Actual Entered Employment Rate 81%
C. Planned Cost Per Participant $1.283
D. Actual Cost Per Participant $1,177
For this current year, PY 95 as of 03-31-95
Planned Actual Planned Actual
Enrollment Enrollment Placements Placements
136 93 90 35
A. Planned Entered Employment Rate 75.0%
B. Actual Entered Employment Rate 81.4%
C. Planned Cost Per Participant $1,405
D. Actual Cost Per Participant $2,054
Weld County feels that it is on target and will continue to monitor it's performance
goals. Additional individuals are being selected through UI Profiling and additional
enrollments are expected.
(14) MIS Management
The intake worker's eligibility determinations are reviewed as outlined in
Section III. (2) Eligibility.
17 960753
A. A second reviewer conducts a verification of eligibility to insure that the file
contains a complete application, all necessary paperwork and documentation
is in the file and that the information regarding eligibility category is
consistent with documentation in the file.
B. The MIS staff attends the monthly MIS meetings to keep abreast of MIS and
EDWAA changes. In addition,the program coordinator attends the bi-monthly
meetings of the GJTO staff, SSAs, and SDAs, and shares any information
disseminated with the MIS staff.
C. Accuracy and timeliness of applications and transactions are edited by the
VAX/JTPA computer system. Corrective actions are initiated on a routine
basis if required.
D. The Citizenship is normally documented at intake by use of the applicant's
Social Security card. The Military Status (when applicable) is determined at
intake on the four page application. If the Selective Service number is not
available, the Selective Service Office is contacted to obtain the number.
Employment Services staff can also register clients for MSSA if necessary.
E. While referrals from other agencies are accepted, Employment Services does
not accept applications and eligibility determinations from those sources in
lieu Employment Services' process.
F. EDWAA participants are covered by the SSGs complaint procedure.
Participants are made aware of the grievance procedures at intake. The
participant signs and receives a copy of the policy and procedure and a copy
with the participant's signature is maintained in the participant's file with the
SSG.
G. Unemployment Insurance documentation is obtained by the SSG via the CUBS
UI screens which are accessed on-site.
(15) Fiscal Management -
A. Weld County generates fiscal reports from the general ledger. These reports
are broken down by line item to cost category. These reports are then
monitored quarterly and assist in assuring the cost limitation and requirement
cost categories are being met.
B. Staff costs are distributed to EDWAA through monthly time sheets completed
by staff who work with EDWAA. The EDWAA cost allocation plan does not
differ from the plan submitted as part of the JTP. The Weld County cost
allocation plan has been submitted to GJTO with the PY95 JTP IAW PGL 93-46-
F5.
18 960753
C. Weld County does not subcontract.
D. Weld County does not subcontract.
E. Weld County does not subcontract.
F. Weld County does not subcontract.
G. The overall fiscal management system is basically the same for EDWAA and
Title II. The only difference is the different cost category titles and defining the
costs to them.
(16) Coordination with Unemployment Compensation
Eligible dislocated workers participating in training (except for On-The-Job Training)
under Title III shall be deemed to be in training with the approval of the State agency
for the purpose of Section 3304(a)(b) of the Internal Revenue Code of 1986.
A. Employment Services administers the Greeley Job Service.
B. No EDWAA administrative funds will be set aside for this activity.
C. Employment Services of Weld County administers Job Service of Weld
County. Through this integration of services, assurance of close
communication and coordination will occur with the Trade Adjustment
Assistance Act (TAA), Statewide Rapid Response, and other programs,
services and systems.
Employment Services of Weld County will direct dislocated workers into
appropriate programs and services. Referrals from other Weld County
agencies will be encouraged and accepted. Recruitment will also be made
through programs who serve specific groups such as the older worker and the
veteran. A signed Local Coordination Agreement is located as Attachment 2.
D. Employment Services administers the Greeley Job Service.
E. The designated contact person will be Ted Long, Special Programs
Coordinator. The telephone number is 353-3800 ext. 3400.
19 960'753
(171 Staffing
If resources need to be shifted due to the increase in program capacity, Employment
Services may increase the amount of it's existing staff time to deliver the EDWAA
Program.
The total EDWAA budget staffing costs are as follows:
A) Retraining - $33,716.69
B) Basic Readjustment- $10,749.06
C) Administration - $44,465.75
There is no amount set aside for indirect costs.
The percentage for Overhead costs is 8% or$7,755.87.
All of the EDWAA staff(5) are utilized jointly in Title II programs. Staff allocation is
determined through the process described in 15 B above.
IV. Budget Narrative
Budget Narrative includes a carry-in amount of$27,172.42. Carry-i n includes:
Administration, $4,075.80; Retraining, $18,205.50; and Basic Readjustment, $4,891.12.
Weld County is also planning to carryout 15%of PY96 funds or$12,814.88. Based upon carry-
in and carry-out amounts,the funds available for PY96 are $99,790.07.
(1) Administration costs are as follows:
Percentage of the following staff salary and fringe based on percentage of time
benefitting program.
5% Director, Employment Services $ 2,335.44
5% MIS Client Services Technician $ 1,214.08
5% Fiscal Officer $ 2,347.70
5% Accountant $ 1,206.54
Overhead $ 7,864.69
Total Administration $ 14,968.45
Basic Readjustment costs are as follows:
8%for 4 Client Services Technicians $ 9, 520.50
3%for Special Programs Coordinator $ 1, 228.56
(For Outreach, Intake, Orientation, •
20
960753
Assessment, IRP, Evaluation, Counseling,
Job Search & Development, Relocation
Assistance)
Costs associated with
Basic Readjustment Services $ 425.00
(Assessments,Testing for 25 clients
•
TABENPI/KUDER)
Mileage for Outreach and Job Development $ 500.00
direct costs associated with staff $ 2, 011.51
Total BRS $ 13,685.57
Retraining costs are as follows:
5%for 2 Client Services Technicians
15%for 2 Client Services Technician
80% for 1 Client Services Technician
3% for Special Programs Coordinator $ 33,716.69
(For setting up and evaluating training
activities)
Direct costs associated with staff(incl Mileage) $ 5, 744.36
3 OJT's $ 7, 200.00
Post Secondary Education $ 2, 000.00
(Tuition, Books, Fees for 45 clients)
Computer Lab Training $ 1, 175.00
(Remedial & Skill Training for 35 clients)
Relocation Costs $ 500.00
Out of Area Job Search -Mileage $ 800.00
Total Retraining $ 69,136.05
Supportive service costs are as follows:
Transportation and child care $ 2, 000.00
(For clients in EDWAA activities)
Total Supportive Services $ 2, 000.00
Total EDWAA 60% $ 99,790.07
960753
(2) Weld County does not operate or directly participate financially in a Regional
Reemployment Center(RRC).
(3) Weld County does not participate in the operation of an RRC.
(4) All expenditures will be planned to be spent by June 30, 1997,so cost limitations for
administration, supportive services, and retraining can be computed against total
expenditures to date of EDWAA funds under this Expenditure Authorization.
(5) There are no plans for property purchases at this time.
(6) The Budget Information Summary (BIS) is included as Attachment 3.
V. MIS Forms
(1) The Quarterly Planned Activity and Expense Form is included as Attachment 4.
(2) The planned outcomes are included in Attachment 4.
VI. Administrative Requirements
(1) Assurances
(a). The Weld County Private Industry Council and the Board of Weld County
Commissioners will comply with the statutory and regulatory requirements of
Economic Dislocation and Worker Adjustment Act(EDWAA).
(b). Services will be provided to only eligible dislocated workers. Section 311
(b)(1)(A).
(c). Services will not be denied to an eligible dislocated worker displaced by a
permanent closure or substantial layoff within the state,regardless of the state
of residence of such worker. Section 311 (b)(1)(B) -
(d). Services to displaced homemakers,if any,will not adversely affect the delivery
of services to eligible dislocated workers, and services will be provided in
conjunction with on-going programs for all dislocated workers. SSGs must
not serve displaced homemakers with EDWAA formula funds under this EA
unless that target group is specifically identified in the program narrative as
a special needs group.
(e). At least 50% of EDWAA funds allocated to substate grantees must be
expended for retraining services, unless a waiver has been granted by the
Governor's Job Training Office.
22 960753
(f). The SSG will participate in the following referral agreement:
"The substate grantee agrees to make and accept pre-approved referrals to
and from other grantees when funds or appropriate EDWAA services are not
available expeditiously in the area from which the referral is being made. The
referring substate grantee will not enroll the applicant unless it is providing
coordinated training. If the grantee's funds for EDWAA services being sought
by any applicant are exhausted, the substate grantee will nevertheless
continue to provide this referral service."
(g). No funds provided under this Act shall be used or proposed for use to
encourage or induce the relocation of an establishment, or part there of,that
results in a loss of employment of any employee of such establishment at the
original location or any other location.
(h). No funds provided under this Act shall be used for customized or skill
training, on-the-job training, or company specific assessments of job
applicants or employees, for any establishment or part thereof, that has
relocated, until 120 days after the date on which such establishment
commences operations at the new location, if the relocation of such
establishment or part thereof, results in a loss of employment for any
employee of such establishment at the original location or any other location.
(I). Weld County agrees to verify that an establishment which is new or expanding
is not relocating employment from another area by conducting a standardized
pre-award review which shall be completed and documented jointly by the
substate grantee with the establishment as a prerequisite to JTPA assistance.
(j). No funds available under this Act shall be used for employment generating
activities, economic development activities, investment in revolving loan
funds,capitalization of businesses, investment in contract bidding resource
centers, and similar activities. No funds under this Act shall be used for
foreign travel. No funds under this Act may be used for public service
employment.
(k). The Federal requirements governing the title, use, and disposition of real
property,equipment,and supplies purchased with funds provided under this
Act shall be the Federal requirements generally applicable to Federal grants
to States and local governments. The Weld County SSG will comply with PGL
#93-10-F4 as it relates to states and local governments.
(I). An approved reading level test will be administered to all EDWAA applicants
unless exempted under EDWAA regulations. No short-cut pre-tests will be
allowed.
23 960 753
(m). When financial assistance programs under title IV of the Higher Education Act
(HEA) (the PELL Grant Program, the Supplemental Education Opportunity
Grant program,the Work-study program.the Perkins loan program,the Family
Education Loan program-including Stafford, PLUS and Supplemental Loans
for Students programs -and the Direct loan Demonstration program),which
provide student financial aid programs for post secondary education, are
available to JTPA participants, SSG's shall establish coordination procedures
and contractual safeguards to ensure that JTPA funds are in addition to funds
otherwise available in the area (section 141(b), 107(b), 205(b), and 265(b)).
(n). Procurement shall be conducted in a manner providing full and open
competition; the use of sole source procurement shall be minimized to the
extent practicable, but in every case shall be justified; procurement shall
include an appropriate analysis of the reasonableness of costs and prices;
procurement shall not provide excess program income (for nonprofit and
government entities) or excess profit(for private for-profit entities), and that
appropriate factors shall be utilized in determining whether such income or
profit is excessive(Factors are listed under Section 164(a)(1) (D) (i), (ii),(iii);
procurement shall clearly specify deliverables and the basis of payments;
written procedures shall be established for procurement transactions.
Procurement policies and practices will comply with minimum standards set
by GJTO in PGL#93-02-AD1 and #94-11-AD1.
(o). Weld County will not engage in any conflict of interest in the selection award,
or administration of a contract or grant under this Act.
(p). Weld County will conduct oversight to ensure compliance with procurement
standards.
(q). Procurement transactions between units of State or local governments and
any other entities organized principally as the administrative entity for service
delivery areas,will be conducted on a cost reimbursable basis.
(r). Weld County will submit quarterly expense reports(ERs)to the Governor with
respect to programs under this Act. Such reports shall include information
identifying all program costs by cost category in accordance with generally
accepted accounting principles and by year of the appropriation.
(s). Income under any program administered by Weld County SSG will only be
retained and used to continue to carry out the program. Weld County will
adhere to GJTO's PGL#93-04-F3 regarding program income earned.
(t). Weld County will maintain records sufficient to determine the amount of
income received and the purposes for which such income is expended.
24 960753
(u). All services/programs administered by each entity receiving funding shall be
in compliance with 29CFR34.
(2) Management Information System
The SSG shall maintain a complete and accurate JTPAIEDWAA applicant and
participant record on the statewide automated Management Information System (MIS)
for each applicant and participant under this EA, using definitions and procedures
established in PGL #93-16-M3, and including information from the Application,
Standard Participant Information Record, Transaction and Termination forms as
applicable.
The SDA/SSG shall insure that code appears in the CTN field for each
training activity directly paid by this EA when the participant record is viewed through
the Statewide Virtual database. This may be done either by directly entering the above
code into the CTN field,or by entering the code into the EA field of the SSG's contract
system,and entering locally defined codes into CTN,at the discretion of the SDAISSG.
25 960753
ATTACHMENT 1
DOCUMENTATION OF ELIGIBILITY
Eligibility Determination for Titles: _ II-A II-B II-C _ EDWAA
JOBS Older Worker
ELIGIBILITY CRITERIA SOURCE DOCUMENTATION SECONDARY DOCUMENTATION
Citizenship
MSSA
Residency
Economically Disadvantaged
Foster Child
Age
Emancipated Youth
Homeless Status
Handicapped
• Family Size
Teen Parent
Barriers to Employment
Dislocated Worker
_ Plant/Business Closure
Mass Lay Off
Layoff/UI/Unlikely rtn.
Long Term Unemployed
"I have verified the documentation as indicated above to ensure compliance with the relevant Job
Training Partnership Act eligibility criteria."
Interviewer' s Signature Date
(p]
` 60'y53 21-93-4080(R 4-93)
•
EMPLOYMENT SERVICES OF WELD COUNTY - EDWAA APPLICATION Record No.
Aoohcavon Date Last Name First NM! I MI
Soc Sec No.
City State lip .
Mailing Address
Telephone Message Telephone
Date of Birth Gender
( ) ❑ Male 0 Female
Important Notice: This mformanon will be kept in strict confidence. it is used to determine whether you are eegrble for JTPA programs and to comode mottos.
Your personal information will not be shared with other agencies or firms.
• 6 EMPLOYMENT INFORMATICS:
ETHNIC GROUP - 0 1. Employed (worked in last 7 days)
❑ 1. Wh (Not Hispanic) 0 3. Unemployed (did not work during last 7
O 2. Aerk (Not Hispanic) days & made specific effort to find
❑ 3. American Indian/Alaska Native work in last 4 weeks)
0 4. Asian/ Islander 0 4. Not in Labor Force (none of the above)
❑ 8. Asian/Pacific0 5. Not in Labor Force for whole 26 weeks
1 CITIZEN STATUS •
7 UNBPLOTIENT INSURANCE STATUS:
O 1. R.gisieiedn 0 1. Eligible
❑ 2. Registered Alien 0 2. Exhausted $ ant per week
0 3. Refugee ❑ 3. Mot Applicable
O 4. Other Legal Alien
0 5. Other 8 WEEKS UNePLOTED DURING
2 SCHOOL STATUS: PRIOR 26 WEEKS:
a. Highest grade comoteted 9 MOST RECENT NOl/RLY WAGE DURING
b. Currently enrolled 0 Yes 0 No
Attending full-time 0 Yes 0 No - PRIOR 26 WEEKS:
In Schoolwide Project 0 Yes 0 No 10 PUBLIC ASSISTANCE: NAMED OS -
In Alternative School 0 Yes 0 No GRANT
a. AFDC ❑ Yes 0 No 0 Yes 0 No
3 FAMILY STATUS: b. General Assistance 0 Yes 0 No ❑ Yes 0 No
❑ 2. Parent in a One-parent Family c. Refugee Assistance ❑ Yes 0 No 0 Yes 0 No
❑ 3. Parent inm a Two-Parentert Family d. SSI • ❑ Yes 0 No ❑ Yes 0 No
❑ 5. Other Family Mmber e. Food Stamps ❑ Yes 0 No ❑ Eligible
❑ 5. Not a Family Member (Independent)
4 NUMBER OF DEPENDENTS ender 18 11 BARRIERS TO EMPLOYMENT: 0 Yes 0 No
a. Homeless
5 SELECTIVE SERVICE 0 Yes 0 No b. Individual with a Disibility
REGISTRANT: ❑ Yes 0 X=Not A Barrier 0 No
a Offender ❑ Felony 0 Misdemeanor 0 No
Reg # • d. JOBS Participant 0 Yes 0 X=prior 6 mo.0 No
h. Substance Abuse 0 Yes 0 No
MILITARY STATUS: i. Limited English Language
Not Applicable 0 Veteran 0 Yes 0 No Proficiency 0 Yes 0 No
Vietnam Era Veteran 0 Yes ❑ No j. Disolaced Homemaker 0 Yes 0 No
Term AFDC - on grant
Service related disability 0 Yes 0 No k. Long36 of last 60 months 0 Yes 0 No
L. Lacks Significant Work History
(Did not work for any employer
more than 3 mo.last 2 yrs) 0 Yes 0 No
12. FOLLOW-UP CONTACT INFORMATICS: Contact should live at different address than one listed above and have phone.
First Name
Last Name
City '1 Su¢ ZIPMailing Address
FOR O}HCE USE ONLY
RGB MGB 1ELDAT I
•
Please complete other side 4 9 lJ. Oc.
On. c11eaH.Cne OCT
13 JO8 OF DISLOCATIONJab Tim ' "`""'°`•
1
Emw
0 Yes 0 No
18 Are/were you seif-emotoyed?
14 DISLOCATION STATUS:
1. Terminated/laid off 19 SELF-EMPLOYED STATUS:
•
2. Terminated/laid off as a result of reductions . Lut of TATiS:ss
in defense expenditures 0 0 1..
1. uino out in business
of
: 3. Received notice of termination/Layoff 3. Gone
or individual reduction in force (RIF)
4. Received notice of termination/layoff 20 MILITARY ACTIVE DUTY:
as a result of reductions in defense11. Was on active duty on 9/30/90
Expenditures 0 2. Was on active duty on 9/30/92
7.
5. Certificate of separation 0 3. Was active duty 9/30/90 & 9/30/92
: 6. Non announcement 0 0. Above definition does not apply
7. Nonee Public
21 Are You involuntarily being
15 RETURN STATUS discharged from the military 0 Yes No
0 . Uetirely to return (Industry/occupation)
2. Retiring (other than adverse)
2
7 3. Likely to return/remain 23 Have you received NAFTA Notice? 0 Yes 0 No
24 CIVILIAN EMPLOYEE STATUS:
16 Are you monetarily compe eligible for 0 Yes 0 No 7 1. Defense contractor
Unenoloyment Comcensation? 0 2. coD at military installation
0 3. Employed Federal civilian
0 4. DOD not military
17 PLAN. STATUS: 0 5. Dept. of Energy
1. Close ❑ 6. None
0 2. Substantial layoff
0 3. None
Fpt:_pnIfE:.USE atT
•
25 DOCUMENTED REASONS FOR TITLE III (DOLOW)
SE = Self-employed - going/gone out of business
PC = Plant Closure • DN = Displaced-Homemaker
SL = Substantial Layoff LU = Layoff/Unlikely to return
. PA = Public announcement of closure
CS = Certificate of Separation
LT = Long-term Unemployed/Unlikely to return PR = profiled
RF = Reduction in Force DM = Dislocated Military
I certify that the information provided on this application is true and.accurate to the best of my knowledge. I realize the information
is subject to review and verification and I may have to provide documents to support the information provided on this application. I
if the information 1 have providedg is false. I nelw b release-of this information ndtt1 fory
also understand that I am subject to immediate termination from the program if I am found ineligible after enrollment and that may
be prosecuted for fraud and/or tadit a roll, and ivgibilityion purposes.
verification purposes and understand it will be used to determine my eligibility. I agree with the job codes assigned and I authorize
the use of my Social Security Numler for record-keeping, payroll,I am aware that I may be contacted by telephone or mail after leaving the program and asked survey questions about my employment status
and earnings since leaving the program. I am aware that my answers to these questions will remain strictly confidential and will not
affect any other benefits which I may be receiving.
I have been informed of the appeals process I can follow if I disagree with a JTPA service provider's decisions, based on information
contained in this application.
Date
Date
Parent Signature
Ilpplicants's Signature
Are you related to anyone who works for Date
enter Interviewees SignatureN County Government? .f yes, 0 Yes 0 No
Naameme 8 Relationship below. /g'y�(�F�
Reviewer's Signature 6113o to3
JTPA ELIGIBILITY PRE-SCREENING FORM
Applicant's Name Address
Social Security Number Phone Birth Date
1. Are you interested in the JTPA Program? Yes No
Why?
2. Who referred you to the JTPA Program?
•
3. Are you interested in On the Job Training? Yes __ No
What type of work would you consider? Types:
4. Are you interested in Classroom Training? Yes _ No
What type of training would you consider?
5. Are you presently enrolled in Classroom Training?
Where?
6. Are you in need of the following assistance:
_ Tuition Assistance Yes No
Books/Supplies Yes No
_ Supportive Services (day care/transportation) Yes No
_
_ GED or Basic Education Yes No
_ Job Seeking Skills Yes _ No
Vocational Skills Ass,ssment Yes _ No
_
Other Yes No
TITLE II-A ECONOMICALLY DISADVANTAGED
1. Are you a Weld County Resident? Yes _ No _
2. If you are male, born on or after 1/1/60, age 18 or .
over, are you registered for Military Selective
Service? Yes No ____ E
3. What is the total income for the last 6 months for
family members living in your home? $
Number of family members living in your household?
4. Are you receiving Food Stamps? Yes _ No _
5. Are you disabled? 'Yes _ No
6. Are you receiving public assistance or a member of Yes No ____
a family which receives public assistance,(AFDC,
SSI, General Assistance or Refugee Assistance)? Type:
7._ Are.you a U.S. Citizen or Registered Alien? Yes _ No
9607 n
0
TITLE III UJWAA DISLOCATED WORKER
8. Have you been laid off or terminated from your job? Yes No
Have you received a notice of layoff?
Are you eligible or are you receiving Unemployment Yes No
Insurance?
What is your primary occupation?
How many weeks have you been unemployed?
9. Have you been terminated from employment as a No
result of a permanent plant/business closure? Yes _ _—
10. Were you self employed, and presently unemployed? Yes : No
11. Are you interested in Relocation Assistance? Yes No,,_ , —
FOR OFFICE USE ONLY:
Is the client eligible for :TT?A: Yes No II-A
EDWAA
Will the client be referred to JTPA: Yes _ .No ' If no. why: ;
5'.
Applicant Signature _ Date
ESAC Representative Date
9607531
21-91-5022
APPLICANT QUESTIONNAIRE
NAME SOCIAL SECURITY NUMBER
ADDRESS TELEPHONE
CITY STATE ZIP CODE
EMPLOYMENT GOALS DO YOU FEEL JOB READY?
[ ] YES [ ] NO If no why?
[ ] YES [ ] NO If no why?
Please answer the following questions:
1. Are you working? [ ] Yes [ ] No
2. If so, do you work: [ ] Full time [ ] Part time [ ] Temporary
3 . How long have you been working? [ ] 1 month [ ] 3 months [ ] 6 months
[ ] 1 year or more
4 . Do you like your job? [ ] Yes [ ] No
5. If you are not working, do you want to work? [ ] Yes [ ] No
6. Have you been looking for a job? [ ] Yes [ ] No
7. Have you looked for a job in the last 4 weeks? [ ] Yes [ ] No
a. If yes where have you looked (list employers)
8. Do you want to work: [ ] Full time [ ] Part time
9. List Hours/Days you are not available to work.
10. Can you work shifts? [ ] Yes [ ] No
11. Do you have any impairments , physical or medical, that would interfere
with your ability to perform on a job? [ ] Yes [ ] No If yes, explain
12. Do you have a driver ' s license? [ ] Yes [ ] No Class
13 . Which means of transportation will you use to get to and from work:
[ ] Own Vehicle [ ] Borrowed Car [ ] City Bus [ ] Bike [ ] Other
14. Any family demands which would require time off work? [ ] Yes [ ] No
15. Do you have a resume? [ ] Yes [ ] No
16. Do you have a Diploma/GED? [ ] Yes [ ] No
17. How many jobs have you had in the past 5 years?
18. Are you attending school/training? [ ] Yes [ ] No
If yes, where? Hours attending
Courses taking
19. What areas have you had training in?
20. Do you have little or no work experience? [ ] Yes [ ] No
21. Are there supportive services that you need? (housing, day care, etc. )
[ ] Yes [ ] No If yes , what?
INDICATE YOUR STRENGTHS, INTERESTS OR WEAKNESSES WITH S I - W
[ ] Math [ ] Attendance [ ] Reading [ ] Writing
[ ] Speaking [ ] Science [ ] Punctuality [ ] Social Skills
[ ] Mechanical [ ] Artistic [ ] Other specify
21-92-5057
960753
ATTACHMENT 2
LOCAL COORDINATION AGREEMENT
At the local delivery level, Job Services Center Managers will work closely with Service
Delivery Area Directors to provide more unified and effective services to those TAA/EDWAA
clients they have in common. Staff will established close communication to determine which
clients are"joint" clients, and will keep that information current.
II. Whenever training, job search allowances or relocation allowances are determined
appropriate,the initial contact agency will:
a. Determine if a joint client is involved and if pooled resources are needed or
appropriate in order to fund the benefit(s) at the required level.
b. Contact the other agency to discuss the appropriateness and or the feasibility of joint
funding of the benefit costs.
c. When joint funded benefits are considered to be appropriate,the staff of each agency
responsible for funding the benefit(s)will be notified on the standard agency request
forms that this will be a joint funded effort and the funding level required of each
agency.
III. Local staff will be kept informed by those persons responsible for tracking benefit
expenditures, of the availability of funding at all times.
IV. Whenever possible,training sessions of each agency will be attended by local service delivery
staff of the other agency in order to keep apprised of the procedures, problems and methods
of delivery of benefits of joint clientele.
BY BY
JOB SERVICE CENTER MANAGER SERVICE DELIVERY AREA DIRECTOR
DATE DATE
960753
ATTACHMENT 3
BUDGET INFORMATION SUMMARY
FOR ECONOMIC DISLOCATION AND WORKER ADJUSTMENT ASSISTANCE ACT
Contractor: Employment Sevices of Weld County Title Code: F
Program/Project: EDWAA 50% and 10% Year of Funds: PY 96
Period of Performance: From 7-1-96 To 6-30-97 Reference Code: WE6DW
VAX#:
COST CATEGORY BUDGET
Rapid Response Services $ N/A
Code
TOTAL RAPID RESPONSE N/A
Basic Readjustment Services $ $13,794.00
Code
TOTAL BASIC SERVICES $13,794.00
Retraining Services $ $56,824.53
Code
TOTAL RETRAINING $56,824.53
Needs-related Payments $ $0
Code -
TOTAL NEEDS PAYMENTS $0
Supportive Services $ $2,000.00
Code
TOTAL SUPPORTIVE SERVICES $2,000.00
Administration $ $12,814.00
Code
TOTAL ADMINISTRATION $12,814.00
GRAND TOTAL $85,432.53
/91
g0 3
ATTACHMENT
EDWAA Quarterly Planned Activity and Expenditure Form
ENROLLMENT
ACTIVITIES 711196-9130/96 10/1/96-12131196 111197-3/31/97 411197-6/30/97 TOTAL
Carry-In Number 33 111,11161111111111 18
<a4 �' s., 33 I
Total New Part. 8 28 35 35
Basic Readj 13 25 38 48 48
Retraining 6 10 15 20 20
OJT
1 1 2 3 3
Supp. Svs. 11 18 28 35 35
Needs-Rel Pay.
0 0 0 0 0
QUARTERLY TERMINATIONS
TOTAL
Entered 51
Employment 11 24 38 51
Negative 4
Terminations 3 5 8 11
Returned to Layoff 2
Employer 2 3 4 6
TOTAL 15 32 51 68 57
E.E. Rate (/°
° ) 73% 74% 75% 75% 75%
QUARTERLY EXPENDITURES - TOTAL
Basic
Readjustment $1,434.78 $2,759.19 $4,193.97 $5,297.63 $13,685.57
Retraining $8,133.65 $13,556.09 $20,334.13 $27,112.18 $69,136.05
Needs-Related Pay $0 $0 $0 $0 $0
Supp. Svs. $239.13 $391.30 $608.70 $760.87 $2,000.00
Administration $1,693.51 $2,949.99 $4,534.24 $5,790.71 $14,968.45
TOTAL $11,501.07 $19,656.57 $29,671.04 $38,961.39 $99,790.07
Note:Quarterly Expense Projections should include both carry-in and PY96 funds and exclude funds expected to be carried
out Projected Quarterly Expenditures may not agree with the BIS.
9601753
ATTACHMENT 5
Weld County Substate Grantee
Inter-SSG Referral Agreement
"The substate grantee agrees to make and accept pre-approved referrals to and from other
grantees when funds or appropriate EDWAA services are not available expeditiously in the
area from which the referral is being made. The referring substate grantee will not enroll the
applicant unless it is providing coordinated training. If the grantee's funds for EDWAA
services being sought by any applicant are exhausted,the substate grantee will nevertheless
continue to provide this referral service."
Linda L. Perez Date
960753
e(Aleg
6 mEmORAnDUm
Board of Weld County Commissioners
"ilk To Barbara Kirkmeyer, Chairperson Datejv April 25, 1996
COLORADO From Walter J. Soeckman FrPl7rtive pirPrtnr
Subject:F''onomic Dislocation and WorksrAdjuetment Act Plan
Enclosed for Board approval is the Weld County Dislocation Worker Program Plan funded
under the Economic Dislocation and Worker Adjustment Act(EDWAA)for the Program Year
1996. The plan has been reviewed and approved by the Weld County Private Industry Council.
The program period is July 1, 1996 through June 30, 1997.
The total budget is$85,432.53. The number of new individuals to be served is 35 with a total
number to be served planned for approximately 68.
If you have any questions, please telephone me at 353-3800.
960753
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