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DELAWARE WORKFORCE INVESTMENT BOARD (DWIB)
PROPOSAL REVIEW SCHEDULE
REQUEST FOR PROPOSAL
ADULT
Program Year July 1, 2008 – June 30, 2009
Issued: January 4, 2008
January 8, 2008 PRE-ORIENTATION (Open to interested non-current providers)
Adult Training (Note Location)
Time 9:00 A.M. Delaware Technical & Community College
Conference Room 407 B
100 Campus Drive. Dover, DE
(302) 857-1000
A Pre-Orientation for Interested Potential Proposers not currently operating a training program for the DWIB.
Interested individuals should contact the DWIB at 302-761-8160.
January 16, 2008 ORIENTATION (Note Location)
Adult Training Delaware Technical & Community College
9:00 A.M. Conference Room 414
100 Campus Drive. Dover, DE.
(302) 857 - 1000
(SNOW DATE if necessary, January 17, 2008)
February 8, 2008 PROPOSALS DUE (3 COPIES)
(Note Location)
NO LATER THAN 4:00 P.M Delaware Workforce Investment Board (DWIB)c/o DE Dept of Labor,
Division of Employment & Training, 1st Floor
4425 N. Market Street
Wilmington, DE. 19802
Please note that the Proposals must be delivered to the DWIB office no later than 4:00 p.m. on February 8, 2008 and that
no proposal is considered a complete proposal without a scheduled Proposal Development Session, as described in the
R.F.P. Incomplete Proposals will not be considered.
February 11, 2008 – March 6, 2008 PROPOSAL DEVELOPMENT
March 7, 2008 BEST AND FINAL OFFERS DUE (ONE COPY)
NO LATER THAN 4:00 P.M. DWIB c/o DE Dept of Labor,
Division of Employment & Training, 1st Floor
4425 N. Market Street
Wilmington, DE. 19802
April 1, 2008 PROPOSAL PRESENTATIONS
(Note Location)
Sheraton Dover Hotel & Conference Center
1570 North DuPont Hwy
Dover, Delaware 19901
April 8, 2008 DWIB APPROVAL OF FUNDING AWARDS
EQUAL OPPORTUNITY EMPLOYER/PROGRAM
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Auxiliary aids and services are available upon request to individuals with disabilities.
TABLE OF CONTENTS
Equal Opportunity Assurance
PART A -REQUEST FOR PROPOSAL GUIDANCE
I. PURPOSE
II. SOLICITATION
III. SPECIFIC PROGRAM SOLICITATION
IV. TYPES OF TRAINING
V. PROPOSAL REVIEW PROCESS & PROCEDURES
VI. TARGETED POPULATIONS & ELIGIBILITY CRITERIA
VII. POLICIES
VIII. COST CATEGORIES, BUDGETING & CONTRACTING
IX. PROPOSAL EVALUATION
X. DEFINITIONS
PART B - PROPOSAL FORMS
PROPOSAL FORMAT & CHECKLIST
QUESTION # 1, OUTCOME STATEMENT
QUESTION # 2, CUSTOMERS
QUESTION # 3, PERFORMANCE TARGET
QUESTION # 4, YOUR PRODUCT
QUESTION # 5, KEY PEOPLE
QUESTION # 6, MILESTONES
BUDGET PAGES (SUMMARY, EMPLOYEE LISTING, BACKUP, DIRECT BENEFITS)
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PART C – ATTACHMENTS (These attachments are included for reference. All attachments are subject to change at the
sole discretion of the Delaware Workforce Investment Board)
1. Funding Guidelines
2. CMPOL 14.8 - Documentation of Program Eligibility
3. CMPOL 17. Documentation for Performance Goal Attainment
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EO Assurance
As a condition to the award of financial assistance from the Delaware Workforce Investment Board and the Department of
Labor under Title I of WIA, the grant application assures that it will comply fully with the nondiscrimination and equal
opportunity provisions of the following laws:
Section 188 of the Workforce Investment Act of 1998 (WIA), which prohibits discrimination against all individuals in the
United States on the basis of race, color, religion, sex, national origin, age, disability, political affiliation or belief, and
against beneficiaries on the basis of either citizenship/status as a lawfully admitted immigrant authorized to work in the
United States or participation in any WIA Title I financially assisted program or activity;
Title VI of the Civil Rights Act of 1964, as amended, which prohibits discrimination on the bases of race, color and
national origin; Section 504 of the Rehabilitation Act of 1973, as amended, which prohibits discrimination against
individuals with disabilities;
The Age Discrimination Act of 1975, as amended, which prohibits discrimination on the basis of age; and
Title IX of the Education Amendments of 1972, as amended, which prohibits discrimination on the basis of sex in
educational programs.
The grant applicant also assures that it will comply with 29 CFR Part 37 and all other regulations implementing the laws
listed above. This assurance applies to the grant applicant’s operation of the WIA Title I financially assisted program or
activity, and to all agreements the grant applicant makes to carry out the WIA Title I financially assisted program or
activity. The grant applicant understands that the United States has the right to seek judicial enforcement of this assurance.
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I. PURPOSE
The Delaware Workforce Investment Board (DWIB) with the issuance of this Request for Proposal (RFP) is requesting
proposals for the following type of training:
Adult Training Programs funded with Blue Collar funds
The source of funds that will fund this solicitation is the following:
1) Delaware Blue Collar Jobs Development Act ("Blue Collar")
The purpose of programs funded under the Blue Collar Jobs Development Act is to provide services to Dislocated
Workers, to provide school to work transition sites, and to provide other innovative training programs.
II. SOLICITATION
1) The funding level identified is an estimate, based on historical information. The estimate is subject to change without
notice. This estimate will be used to fund this Adult solicitation in addition to partially funding the in-school and out-
of-school contract extensions.
A maximum of 50% of Blue Collar Funds may be used to fund In-School and Out-of-School youth programs.
Blue Collar ($ 2,687,176 )
2) Proposals are competitive. Competitive elements to be considered are (a) the minimum number of participants, (b)
the percentage of those participants who will achieve the outcome (90 day retention in entered employment or other
specified outcome is required), (c) the services to be delivered, (d) the cost and quality of the services, (e) program
completion rates for all participants, (f) percentage of all participants placed into unsubsidized employment in
occupations related to training received, (g) wages at placement into unsubsidized employment for all participants,
and (h) the types of credentials participants will obtain, and (i) description of methodology used in determining the
data.
III. SPECIFIC PROGRAM SOLICITATION
A. Adult Training (Blue Collar Funds)
1) Proposals are specifically solicited that provide adult training. Training Programs that combine classroom training
with internships, actual work experience, On the Job Training (OJT) and/or mentoring will be given priority for funding.
2) For new participants after July 1, 2006 all Youth Proposers and ITA Providers will provide training that will allow
trainees to earn a Diploma, GED, or Certificate as defined in USDOL TEGL 17-05 attachment B
(http://wdr.doleta.gov/directives/attach/TEGL17-05.pdf). Blue Collar Proposers are expected to meet the requirements.
3) Preference will be given to proposals, in the proposal rating criteria, that demonstrate the ability to operate quality,
cost effective training programs that result in high placement rates, increased wages, long term job retention and
credential attainment
4) Skills training programs will assess reading and math skills. Basic Language and numeric skills will be incorporated
into skills training programs where appropriate. Stand-alone language and math remediation programs are not solicited
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and will not be funded. Participants who need additional Adult Basic Education and/or English as a Second Language
training will be referred to Department of Education, Adult Education Division contractors for services.
5) In recognition of the increasing use of computers in the workplace, Delaware Workforce Investment Board (DWIB)
seeks an occupational skill training that provides computer training appropriate to the intended placement opportunity.
Evidence of such labor market demand computer training will be a key factor in selecting occupational skills training
proposals.
6) Skills training programs will provide substance abuse training. (appropriate to the expected outcome of the training)
7) Skills training programs whose targeted outcomes are job placements will provide instruction on the use of the
Internet, as a resource in obtaining employment.
8) Skills training programs will provide training/experience in analyzing and solving problems, working productively
with others, being considerate, listening and following instructions, accepting responsibility, and demonstrating good
attendance. These skills will be taught and reinforced continually as interrelated parts of skills training.
9) Skills training programs will provide placement retention and replacement services for all placements for the
maximum amount of time under the contract. Retention services will be provided, as necessary in the day and evening in
order to meet the performance measures, for three full quarters following the exit quarter for Adults and 12 months
following exit for youth.
10) The DWIB requires all proposals for job training to include job placement as an integral part of the program.
11) DWIB requests training programs to report any participant who has excelled in their respective training and who may
be considered candidates for more intensive training, in the event such programs become available in the workforce
development community.
12) The following are targeted training / skill areas solicited:
WIA Targeted Training Areas
(Additional information will be provided in the Questions and Answers issued following the Request for Proposal
Orientation on the training areas identified as high growth/high demand that have career growth potential.)
Annual
SOC Code Job Title Openings
41-2031 Retail Salespersons 948
41-2011 Cashiers 636
35-3031 Waiters and Waitresses 547
43-9061 Office Clerks, General 462
29-1111 Registered Nurses 405
43-4051 Customer Service Representatives 363
35-3021 Combined Food Preparation and Serving Workers, Including Fast Food 334
37-2011 Janitors and Cleaners, Except Maids and Housekeeping Cleaners 266
11-1021 General and Operations Managers 204
35-3022 Counter Attendants, Cafeteria, Food Concession, and Coffee Shop 198
13-2011 Accountants and Auditors 196
53-7062 Laborers and Freight, Stock, and Material Movers, Handlers 192
35-2021 Food Preparation Workers 187
43-6011 Executive Secretaries and Administrative Assistants 185
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31-1012 Nursing Aides, Orderlies, and Attendants 165
25-2021 Elementary School Teachers, Except Special Education 163
53-3032 Truck Drivers, Heavy and Tractor-Trailer 159
43-5081 Stock Clerks and Order Fillers 157
43-3031 Bookkeeping, Accounting, and Auditing Clerks 153
43-4171 Receptionists and Information Clerks 149
41-4012 Sales Representatives, Wholesale and Manufacturing, Except Technical and
Scientific Products 148
43-1011 First-Line Supervisors/Managers of Office and Administrative Support
Workers 134
43-3011 Bill and Account Collectors 134
51-9198 Helpers--Production Workers 134
13-1111 Management Analysts 133
25-9041 Teacher Assistants 131
47-2031 Carpenters 128
39-9011 Child Care Workers 116
43-3071 Tellers 113
41-1011 First-Line Supervisors/Managers of Retail Sales Workers 113
49-3023 Automotive Service Technicians and Mechanics 113
37-3011 Landscaping and Grounds keeping Workers 112
49-9042 Maintenance and Repair Workers, General 112
13-1199 Business Operations Specialists, All Other 109
35-2014 Cooks, Restaurant 107
47-2061 Construction Laborers 99
37-2012 Maids and Housekeeping Cleaners 92
35-1012 First-Line Supervisors/Managers of Food Preparation and Serving Workers 91
51-3022 Meat, Poultry, and Fish Cutters and Trimmers 90
35-9021 Dishwashers 88
15-1081 Network Systems and Data Communications Analysts 86
35-3011 Bartenders 84
47-2111 Electricians 83
47-2152 Plumbers, Pipefitters, and Steamfitters 83
51-2092 Team Assemblers 82
43-6014 Secretaries, Except Legal, Medical, and Executive 81
33-9032 Security Guards 81
35-2011 Cooks, Fast Food 79
33-3051 Police and Sheriff's Patrol Officers 79
53-3033 Truck Drivers, Light or Delivery Services 79
47-2073 Operating Engineers and Other Construction Equipment Operators 72
41-2021 Counter and Rental Clerks 71
31-1011 Home Health Aides 69
35-9011 Dining Room and Cafeteria Attendants and Bartender Helpers 69
15-1031 Computer Software Engineers, Applications 69
45-2092 Farmworkers and Laborers, Crop, Nursery, and Greenhouse 67
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39-5012 Hairdressers, Hairstylists, and Cosmetologists 67
41-3021 Insurance Sales Agents 65
21-1021 Child, Family, and School Social Workers 65
15-1041 Computer Support Specialists 65
23-1011 Lawyers 65
35-9031 Hosts and Hostesses, Restaurant, Lounge, and Coffee Shop 63
29-2061 Licensed Practical and Licensed Vocational Nurses 62
25-2031 Secondary School Teachers, Except Special and Vocational Education 60
53-3022 Bus Drivers, School 60
25-1194 Vocational Education Teachers, Postsecondary 59
19-2031 Chemists 58
47-1011 First-Line Supervisors/Managers of Construction Trades and Extraction
Workers 56
35-2015 Cooks, Short Order 56
15-1051 Computer Systems Analysts 54
39-9032 Recreation Workers 52
49-9021 Heating, Air Conditioning, and Refrigeration Mechanics and Installers 51
43-5071 Shipping, Receiving, and Traffic Clerks 51
31-9092 Medical Assistants 51
25-3099 Teachers and Instructors, All Other 49
13-1073 Training and Development Specialists 46
39-9031 Fitness Trainers and Aerobics Instructors 46
53-7064 Packers and Packagers, Hand 44
41-3099 Sales Representatives, Services, All Other 44
43-6013 Medical Secretaries 43
25-2011 Preschool Teachers, Except Special Education 43
29-2034 Radiologic Technologists and Technicians 43
41-2012 Gaming Change Persons and Booth Cashiers 43
49-1011 First-Line Supervisors/Managers of Mechanics, Installers, and Repairers 43
53-3031 Driver/Sales Workers 43
29-2052 Pharmacy Technicians 42
15-1071 Network and Computer Systems Administrators 42
33-3012 Correctional Officers and Jailers 42
21-1099 Community and Social Service Specialists, All Other 42
37-1011 First-Line Supervisors/Managers of Housekeeping and Janitorial Workers 41
35-3041 Food Servers, Nonrestaurant 41
15-1021 Computer Programmers 41
41-9022 Real Estate Sales Agents 41
13-1051 Cost Estimators 40
25-3021 Self-Enrichment Education Teachers 39
11-9111 Medical and Health Services Managers 38
11-3021 Computer and Information Systems Managers 38
23-2011 Paralegals and Legal Assistants 38
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11-9199 Managers, All Other 38
13-1071 Employment, Recruitment, and Placement Specialists 37
19-3021 Market Research Analysts 37
11-9051 Food Service Managers 37
15-1061 Database Administrators 37
49-9052 Telecommunications Line Installers and Repairers 36
11-1011 Chief Executives 36
51-9023 Mixing and Blending Machine Setters, Operators, and Tenders 36
53-7061 Cleaners of Vehicles and Equipment 36
53-7051 Industrial Truck and Tractor Operators 36
11-9021 Construction Managers 35
13-2052 Personal Financial Advisors 35
31-9091 Dental Assistants 35
41-9041 Telemarketers 35
43-5052 Postal Service Mail Carriers 35
47-2141 Painters, Construction and Maintenance 34
43-3021 Billing and Posting Clerks and Machine Operators 34
49-9098 Helpers--Installation, Maintenance, and Repair Workers 33
41-4011 Sales Representatives, Wholesale and Manufacturing, Technical and
Scientific Products 33
43-6012 Legal Secretaries 32
25-2022 Middle School Teachers, Except Special and Vocational Education 32
13-1041 Compliance Officers, Except Agriculture, Construction, Health and Safety,
and Transportation 32
11-2022 Sales Managers 32
47-3012 Helpers--Carpenters 30
21-1093 Social and Human Service Assistants 30
51-1011 First-Line Supervisors/Managers of Production and Operating Workers 30
17-2112 Industrial Engineers 30
25-2041 Special Education Teachers, Preschool, Kindergarten, and Elementary
School 29
13-1031 Claims Adjusters, Examiners, and Investigators 29
43-4081 Hotel, Motel, and Resort Desk Clerks 28
49-3031 Bus and Truck Mechanics and Diesel Engine Specialists 28
29-1051 Pharmacists 27
41-3031 Securities, Commodities, and Financial Services Sales Agents 26
13) Proposals for occupational skills training in occupations not targeted here are encouraged with comprehensive
documentation supporting the need for training. The supportive documentation must accompany the proposal.
The outcome measures for the Adult programs funded by the DWIB will be the following:
Adult Entered Employment Rate 88%
(of terminations)
Adult Employment Retention Rate (30 days) 82%
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Adult Employment Retention Rate (90 days) 82%
(of terminations)
Adult Employment Retention Rate (180 days) 72%
(of terminations)
Training Related/Day 1 Employment Rate 62%
Adult Average Earnings $10,500
Adult Employment and Credential Rate 80%
(of terminations)
IV. TYPES OF TRAINING
A. Occupational Skills Training to be Funded under Blue Collar
Occupational Skills training is occupational specific training designed to provide individuals with the technical
skills and information required to perform a specific job or group of jobs. Occupational skills training shall be
designed for occupations for which there is demand in the labor market. Skills training will be provided in a
contextual manner and will combine classroom and work-based training. Occupational skills training programs
will emphasize long-term, substantive employment through appropriate skills training and remediation to the
extent necessary for success.
1) Classroom Training
Classroom Training means any training of the type normally conducted in an institutional setting, including
vocational education, which is designed to provide individuals with technical skills and information required to
perform a specific job or group of jobs. Such vocational education will include training designed to enhance the
employability of individuals by upgrading basic skills, through the provision of courses such as remedial
education, or “English-as-a-second - language.”
2) On-the-Job Training (OJT)
OJT means training by an employer in the private or public sector. Training will be given to a participant who,
after objective assessment, and in accordance with the ISS, has been referred to and hired by the employer
following the development of an agreement with the employer to provide occupational training in exchange for
reimbursement of the employer’s extraordinary costs. OJT occurs while the participant is engaged in productive
work that provides knowledge and skills essential to the full and adequate performance of the job. This does not
preclude a participant who has been trained by one employer from ultimately being placed in a comparable,
training-related position with another employer
OJT may be integrated with other types of training such as classroom training or remediation. When utilized with
classroom training, OJT may be accomplished either prior to, following, or during the training.
On-the-Job training shall be limited in duration to a period not in excess of that generally required for acquisition
of skills needed for the position within a particular occupation, but in no event shall exceed 6 months, unless the
total number of hours of such training is less than 500 hours, including time spent in classroom training during
which wages are paid by the employer. In determining the period generally required for acquisition of the skills,
consideration shall be given to recognized reference material (such as the Dictionary of Occupational Titles),
employer training plans and content, and the participant’s education, prior work experience, and ISS. OJT
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participants will be compensated at the same rates, receive the same benefits, and have the same working
conditions as similarly situated employees.
OJT will provide substantive training in higher skill occupations appropriate to the participant’s needs and
occupational interests. Training plans will be developed which reflect rigorous occupational skill development.
B. Work Readiness
Work Readiness is classroom or on-the-job training, which focuses on specific work behaviors, not occupational
skills. The training is provided for individuals who lack actual work experience, or who have unacceptable work
behaviors. Work Readiness training will be offered in conjunction with occupational skills training, and/or
remediation.
C. Work Experience
Work Experience means a short term or part-time training assignment with a public or private non-profit
organization for a participant who needs assistance in becoming accustomed to basic work requirements. It is
prohibited in the private for- profit sector.
Suitability - Work experience should be designed to promote the development of good work habits and basic
work skills for individuals who have never worked or who have been out of the labor force for an extended period
of time.
Duration - Participation in work experience shall be for a reasonable length of time, based on the needs of the
participant, which shall be documented in the participant’s ISS. Generally, work experience for adults may not
exceed the greater of six (6) months or 499 hours if working part time. The ISS shall include a justification in
each case where work experience is authorized in excess of these limits for adults.
Combination with other services - Work experience shall be accompanied, either concurrently or sequentially, by
other services designed to increase the basic education and/or occupational skills of the participant, as
documented in the ISS.
Work experience alone is not an allowable activity.
PROPOSAL REVIEW PROCESS AND PROCEDURES
1. Interested potential proposers not currently operating a training program for the Delaware Workforce
Investment Board may attend the pre-orientation on January 8, 2008 at 9:00 at the Conference Room 407 B, at
the Delaware Technical & Community College – Terry Campus in Dover. Interested individuals should contact
the DWIB at 302-761-8160 for further information.
2. Serious proposers should attend an orientation meeting on January 16, 2008 (or the backup date if cancellation
becomes necessary) at the Conference Room 400 A, at the Delaware Technical & Community College – Terry
Campus in Dover. The orientation for potential proposers will begin at 9:00 for Adult training. Questions regarding
this Request for Proposal will be answered at the orientation. Questions will be answered at the orientation and at no
other time, and the answers will be posted on www.delawareworks.com/WIB by TBA.
2. When you determine that your organization will submit a proposal, you must schedule your initial Proposal
Development session. The scheduling of the Proposal Development session is required for your proposal to be
considered a complete proposal. The scheduling will be done via the Internet at www.delawareworks.com/WIB.
3. Three copies of each proposal will be submitted to the Delaware Workforce Investment
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Board (DWIB) c/o DE Dept of Labor, Division of Employment & Training, 4425 N. Market
Street, Wilmington, DE. 19802. This will be accomplished no later than 4:00 p.m. on February 8, 2008.
4. A separate Proposal for type of specific solicitation (i.e., skill area of training such as Welding or Building
Maintenance, etc.) is required.
5. Proposals are considered “confidential” information until funding decisions are final.
6. All proposals become the sole property of DWIB.
7. The proposals submitted in response to this Request for Proposal will be processed after submission as follows:
A pre-screening will be performed by staff to insure that each proposal is responsive to the Request for Proposal
(RFP).
Responsive proposers will then enter into and participate in Proposal Development. The purpose of this Proposal
Development is to establish the “Best and Final” offer of the proposer. The process allows proposers to make
necessary changes in their proposal to make it as clear and competitive as possible. The “Best and Final” offer
will be the final revision of the Proposal. The Proposal Development period will begin on February 11, 2008 and
end no later than March 6, 2008.
8. One copy of the “Best and Final” offer will be submitted to the Delaware Workforce Investment Board (DWIB) c/o
DE Dept of Labor, Division of Employment & Training, 4425 N. Market Street, Wilmington, DE. 19802 no later than
4:00 P.M. on March 7, 2008.
“Best and Final” offers will be presented by the proposer to a subcommittee of the DWIB. The DWIB will decide
based on that presentation, and related data, whether to fund all or part of the offer.
Oral presentations will be made to the DWIB proposal review committees on April 1, 2008. Individual
appointments will be scheduled.
NOTE: Handouts, promotional materials, videos, overheads, etc., are not permitted at oral presentations.
The “Best and Final” offer will be analyzed by staff. Analysis will include a comparison with other similar offers,
provider past performance, and other DWIB performance/contract placement standards. The analysis will be provided to
the DWIB, which will make the decision on funding.
Funded proposals will be expected to provide the services specified, at the cost proposed in the “Best and Final” offer
unless further Proposal Development is specified by the DWIB.
9. The DOL/DET contract staff may submit a concern to DWIB on matters discussed in Proposal Development.
Proposers who decide not to adjust their proposals in light of expressed concerns may comment on their justification
in writing or in their oral presentation.
10. Proposers may request an explanation of the basis of the awarding of funds from the Executive Director of the
DWIB. The request must be in writing and must be submitted within ten (10) days of the award. Proposers who feel
that a protection established in WIA has been violated may file a complaint. Information on the filing of a complaint
may be obtained through the DWIB office.
TARGETED POPULATIONS AND ELIGIBILITY CRITERIA
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A. Adult Training
1. This training will be funded with Blue Collar funds. The adults served with the Blue Collar funds do not need to
meet any specific eligibility criteria. Adults do need to meet the general eligibility criteria (CMPOL 14.8 –
Documentation of Program Eligibility.
2. Training is targeted to Dislocated Workers, and other underemployed and unemployed adults in need of training.
POLICIES
1) The existence and contents of proposals are confidential and as such will not be discussed with any proposer or
outside party by staff or Board members at any time other than designated official proposal review periods. Proposers
also should be aware that they are competitors and should not discuss the contents of proposals with others. Proposals
received are considered the property of the DWIB and will not be returned.
2) All proposals funded through this Request for Proposal (RFP), when viewed in their entirety, will be readily
accessible to disabled individuals and will conform with all non discrimination and Equal Opportunity laws and
regulations covered by Section 188 of the Workforce Investment Act.
3) All proposers must establish linkages with other state and community agencies in order to assure the delivery of
services indicated above.
4) All proposers must be capable of obtaining supportive services.
5) It is the policy of the Delaware Workforce Investment Board that all participants will receive work maturity skills
training, which includes job search, and substance abuse prevention skills.
6) All service providers will be responsible for recruitment, enrollment, training, job placement, job retention, or other
previously stated outcomes. The Contractor is also responsible for determining and documenting eligibility and providing
the MIS section with required data.
7) Proposals, submitted through this RFP, will describe the entire program to be considered. The Proposal should reflect
100% of services, budget, and participants. Funding may be approved to fund all or any portion of the cost of a training
program. Selected proposers may make available on a tuition basis any portion of a program that is not funded.
8) All selected proposers, will provide information regarding their training to the “One Stop” offices. The information
will include; training type, schedule, entrance criteria, eligibility, and the number of slots available on a tuition basis and
their cost, if appropriate.
COST CATEGORIES, BUDGETING, AND CONTRACTING
1) The DWIB reserves the right to write separate contracts for each type of funding awarded to a program.
2) Contract Extensions - The DWIB reserves the right to negotiate one-year extensions to contracts funded through this
Request for Proposal. The minimum criteria for extension will be satisfactory performance for the review period. The
DWIB reserves the right, at its sole discretion, to specify the review period.
3) Blue Collar Adult training will be funded as a hybrid cost reimbursement/performance-based contract. 60% of the
funding will be available on a cost reimbursement basis. 40% will be paid to contractors incrementally on a performance
for outcomes (includes performance items such as certificates, day 1 outcomes, day 30 outcomes, day 90 outcomes). In
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cases where proposals result in the funding a similar program funded in PY 07 in PY 08, outcomes remaining to be
achieved in the PY 07 contract may be included in the PY 08 payment structure. Details will be provided at the
orientation.
4) Tuition fee contracts may be allowed when documentation of the following conditions is provided: Tuition charges or
entrance fees are not more than the education institution’s catalog price, are necessary to receive specific training, and the
training is open to and attended by the general public.
5) Cost Allocation - All budgeted costs must be allocable to one of two categories: (1) administration, (2) program.
Administration may not exceed 12% of the total budget. Although the breakout of costs is not a Request for Proposal
requirement, proposals that are funded must meet this requirement.
6) The following costs were not allowable charges under the WIA program:
Costs of fines and penalties resulting from violation or, failure to comply with Federal, State, or local laws and
regulations.
Back pay, unless it represents additional pay for WIA services performed for which the individual was underpaid;
Entertainment costs
Bad debts expense
Insurance policies offering protection against debts established by the Federal Government
Contributions to a contingency reserve or any similar provision for unforeseen events
Costs prohibited by 29CFR part 93 (Lobbying)
Costs of activities prohibited in 627.205 (Public service employment prohibition); and 627.210 (non-discrimination)
7) Profit is an allowable expense for “for profit” trainers. All profit is negotiable. No profit will be allowed until all
contracted performance is achieved.
IX. PROPOSAL EVALUATION
All proposals presented for DWIB consideration will be reviewed and evaluated according to the following
criteria:
Adult Training
Demonstrated Ability/Performance (40%)
Proposer demonstrates the ability to operate like or similar high quality, cost effective training programs that result in
high placement rates.
Cost (20%)
Costs are reasonable and competitive as compared to other similar programs.
Program Design and Proposed Results (20%)
Program design provides adequate training to achieve planned results.
Design provides training in “soft skills” (problem solving, working with others, etc.) as integrated parts of the
training curriculum.
Linkages are established.
Planned placement rates are challenging.
Use of computer training is appropriate to the intended placement opportunity.
Basic language and numeric skills are incorporated into skills training programs when appropriate
Integration of Training and Work (20%)
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Training integrates employment, preferably training related, with skills training (OJT, Work Experience, etc.).
X. DEFINITIONS
ADULT - Except in sections 127 and 132, the term "adult" means an individual who is age 18 or older.
BASIC SKILLS DEFICIENT - The term "basic skill deficient" means, with respect to an individual, that the individual
has English reading, writing, or computing skills at or below the 8th grade level on a generally accepted standardized test
or a comparable score on a criterion-referenced test.
CASE MANAGEMENT - The term "case management" means the provision of a client-centered approach in the
delivery of services, designed
(a) to prepare and coordinate comprehensive employment plans, such as service strategies, for participants to
ensure access to necessary workforce investment activities and supportive services, using, where feasible, computer-based
technologies; and
(b) to provide job and career counseling during program participation and after job placement.
COMMERCIALLY AVAILABLE OFF-THE-SHELF TRAINING PACKAGE means a training package sold or
traded to the general public in the course of normal business operations, at prices based on established catalog or market
prices. To be considered as sold to the general public, the package must be regularly sold in sufficient quantities to
constitute a real commercial market to buyers that must include other than WIA programs. The package must include
performance criteria pertaining to the delivery of the package, which may include participant attainment of knowledge,
skills or a job.
COMMUNITY-BASED ORGANIZATION - The term "community-based organization" means a private nonprofit
organization that is representative of a community or a significant segment of a community and that has demonstrated
expertise and effectiveness in the field of workforce investment.
COMPETENCY - The term “competency” means a skill or knowledge, accepted by the DWIB, to be achieved by an
individual in order to achieve a program credential.
COMPLETER – The term “completer” means a participant who successfully complies with the definition of program
credential completion in the Contract.
COMPLETION – The term “completion” means the successful achievement of the requirements of training specified in
the contract. Generally this is defined by a combination of hours of attendance and competency attainment.
COST ANALYSIS – The term “Cost Analysis” means the review and evaluation, element by element, of the cost
estimate supporting an organizations proposal for the purpose of pricing the contract.
COST REIMBURSEMENT CONTRACT – The term “Cost Reimbursement Contract” means an agreement that
provides for the payment of actual costs incurred to the extent prescribed in the agreement. Instead of paying the
contractor to meet all the terms and conditions at a specified price, this type of agreement reimburses the awardee for its
best efforts to perform up to the total cost and types of costs authorized in the agreement.
CREDENTIAL – Nationally recognized degree or certificate or State recognized credential (H.S Dipl./GED,
postsecondary degrees, recognized skills standards, licensure, apprenticeship or industry recognized certificates
DISLOCATED WORKER - The term "dislocated worker" means an individual who
(A)(i) has been terminated or laid off, or who has received a notice of termination or layoff, from employment;
(ii)(I) is eligible for or has exhausted entitlement to unemployment compensation; or
15
(II) has been employed for a duration sufficient to demonstrate, to the appropriate entity at a one-stop center referred
to in section 134 (c), attachment to the workforce, but is not eligible for unemployment compensation due to insufficient
earnings or having performed services for an employer that were not covered under a State unemployment compensation
law; and
(iii) is unlikely to return to a previous industry or occupation;
(B)(I) has been terminated or laid off, or has received a notice of termination or layoff, from employment as a result of
any permanent closure of, or any substantial layoff at, a plant, facility, or enterprise;
(ii) is employed at a facility at which the employer has made a general announcement that such facility will close
within 180 days; or
(iii) for purposes of eligibility to receive services other than training services described in section 134(d)(4), intensive
services described in section 134(d)(3), or supportive services, is employed at a facility at which the employer has made a
general announcement that such facility will close;
(C) was self-employed (including employment as a farmer, a rancher, or a fisherman) but is unemployed as a result of
general economic conditions in the community in which the individual resides or because of natural disasters; or
(D) is a displaced homemaker.
DIPLOMA OR RECOGNIZED EQUIVALENT ATTAINMENT RATE - A youth diploma or equivalent attainment
rate is calculated for those participants that enroll without a diploma or equivalent. The performance percentage is
calculated by dividing the number of participants that achieve a secondary school diploma or equivalent at termination by
the total terminated (except those still in secondary school)
DISPLACED HOMEMAKER - The term "displaced homemaker" means an individual who has been providing unpaid
services to family members in the home and who
(A) has been dependent on the income of another family member but is no longer supported by that income; and
(B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.
ELIGIBLE YOUTH - Except as provided in subtitle C and D, the term "eligible youth" means an individual who
(A) is not less than age 14 and not more than age 21;
(B) is a low-income individual; and
(C) is an individual who is one or more of the following:
(i) Deficient in basic literacy skills.
(ii) A school dropout.
(iii) Homeless, a runaway, or a foster child.
(iv) Pregnant or a parent.
(v) An offender.
(vi) An individual who requires additional assistance to complete an educational program, or to secure and
hold employment.
EMPLOYMENT etc. ATTAINMENT RATE - The performance percentage established is calculated by dividing the
number of individuals who enter and retain in postsecondary education, advanced training, military service, employment,
or qualified apprenticeships by the number of individuals leaving the program (except follow-up services).
ENROLLMENT – The term “enrollment” means the completion of a defined number of hours of training in the core
curriculum as specified in the contract.
EXIT– A participant who has been reported in AJLA (management information system) as enrolled in any activity for 90
days.
FAMILY - The term "family" means two or more persons related by blood, marriage, or decree of court, who are living
in a single residence, and are included in one or more of the following categories:
(A) A husband, wife, and dependent children.
(B) A parent or guardian and dependent children.
16
(C) A husband and wife.
FIXED UNIT PRICE CONTRACT – The term “Fixed Unit Price Contract” means an agreement that pays a Contractor
a specified price for specified deliverables regardless of the Contractors actual costs incurred. This contract type places
maximum risk and full responsibility on the contractor for all costs and resulting profit/program income or loss.
PERFORMANCE BASED CONTRACT – A “Fixed Unit Price contract where the contractor agrees to be paid for
performance based on outcomes.
FOLLOW-UP SERVICES FOR YOUTH –
1. Follow-up services for youth may include:
The leadership development and supportive service activities;
Regular contact with a youth participant's employer, including
assistance in addressing work-related problems that arise;
Assistance in securing better paying jobs, career development
and further education;
Work-related peer support groups;
Adult mentoring; and
Tracking the progress of youth in employment after training.
2. All youth participants must receive some form of follow-up services for a minimum duration of 12 months. Follow-
up services may be provided beyond twelve (12) months at the State or Local Board's discretion. The types of services
provided and the duration of services must be determined based on the needs of the individual. The scope of these follow-
up services may be less intensive for youth who have only participated in summer youth employment opportunities.
FULL LEVEL OF STAFF - The term “Full Level of Staff” refers to the employment of individuals and their
assignment to work on the Contract at a level sufficient to occupy all the positions found on the Staff section of the
Statement of Work, for the hours specified there. An individual is considered to occupy a position when carrying out the
duties of the position or on paid leave, consistent with Contractor personnel policies while assigned to that position.
HOMELESS – The term “Homeless” means an individual who lacks a fixed, regular, and adequate nighttime residence;
and who has a primary nighttime residence that is:
a. a supervised publicly or privately operated shelter designed to provide temporary living accommodations
(including welfare hotels, congregate shelters, and transitional housing for the mentally ill); or
b. an institution that provides a temporary residence for individuals intended to be institutionalized; or
c. a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human
beings.
IN-SCHOOL YOUTH – A Youth attending any school, including alternative school when the education leads to a High
School diploma.
INDIVIDUAL WITH A DISABILITY -
(A) IN GENERAL - The term "individual with a disability" means an individual with any disability (as defined in
section 3 of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102)).
(B) INDIVIDUALS WITH DISABILITIES - The term "individuals with disabilities" means more than one
individual with a disability.
INDIVIDUAL SERVICE STRATEGY (ISS) – The term “Individual Service Strategy” means an individual plan for a
participant which shall include an employment goal (including, for women, consideration of non-traditional employment),
appropriate achievement objectives, and the appropriate combination of services for the participant based on the objective
17
assessment.
LEADERSHIP DEVELOPMENT OPPORTUNITIES – The term “Leadership Development Opportunities” means the
following activities:
Exposure to post-secondary educational opportunities;
Community and service learning projects;
Peer-centered activities, including peer mentoring and tutoring;
Organizational and team work training, including team leadership training;
Training in decision-making, including determining priorities;
Citizenship training, including life skills training such as parenting, work behavior training, and budgeting of
resources;
Employability; and positive social behaviors [WIA sec. 129(c)(2)(F).]
LEARNING RICH – The term “Learning Rich” means training in which a variety of important basic skills are learned in
the context of the functional task required to accomplish the work. Learning may occur in a work or training setting.
Training is characterized by high expectations, real challenges, real work, and the real world. The learner is continually
involved in problem solving, communication, and critical thinking.
LOWER LIVING STANDARD INCOME LEVEL - The term "lower living standard income level" means that income
level (adjusted for regional, metropolitan, urban, and rural differences and family size) determined annually by the
Secretary based on the most recent lower living family budget issued by the Secretary.
LOW-INCOME INDIVIDUAL - The term "low-income individual" means an individual who
(A) receives, or is a member of a family that receives, cash payments under a Federal, State, or local income-based
public assistance program;
(B) received an income, or is a member of a family that received a total family income, for the 6-month period prior
to application for the program involved (exclusive of unemployment compensation, child support payments, payments
described in subparagraph (A), and old-age and survivors insurance benefits received under section 202 of the Social
Security Act (42 U.S.C. 402)) that, in relation to family size, does not exceed the higher of
(i) the poverty line, for an equivalent period; or
(ii) 70 percent of the lower living standard income level, for an equivalent period;
(C) is a member of a household that receives (or has been determined within the 6-month period prior to application
for the program involved to be eligible to receive) food stamps pursuant to the Food Stamp Act of 1977 (7 U.S.C. 2011 et
seq.);
(D) qualifies as a homeless individual, as defined in subsections (a) and (c) of section 103 of the Stewart B.
McKinney Homeless Assistance Act (42 U.S.C. 11302);
(E) is a foster child on behalf of whom State of local government payments are made; or
(F) in case permitted by regulations promulgated by the Secretary of Labor, is an individual with a disability whose
own income meets the requirements of a program described in subparagraph (A) or of subparagraph (B), but who is a
member of a family whose income does not meet such requirements.
NONTRADITIONAL EMPLOYMENT - The term "nontraditional employment" refers to occupations or fields of work
for which individuals from one gender comprise less than 25 percent of the individuals employed in each such occupation
or field of work.
OFFENDER - The term "offender" means any adult or juvenile
(A) who is or has been subject to any stage of the criminal justice process, for whom services under this Act may
be beneficial; or
(B) who requires assistance in overcoming artificial barriers to employment resulting from a record of arrest or
conviction.
OLDER INDIVIDUAL - The term "older individual" means an individual age 55 or older.
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ON-THE-JOB TRAINING - The term "on-the-job training" means training by an employer that is provided to a paid
participant while engaged in productive work in a job that
(A) provides knowledge or skills essential to the full and adequate performance of the job;
(B) provides reimbursement to the employer of up to 50 percent of the wage rate of the participant, for the
extraordinary costs of providing the training and additional supervision related to the training; and
(C) is limited in duration as appropriate to the occupation for which the participant is being trained, taking into
account the content of the training, the prior work experience of the participant, and the service strategy of the participant,
as appropriate.
OUT-OF-SCHOOL YOUTH - The term "out-of-school youth" means
(A) an eligible youth who is a school dropout; or
(B) an eligible youth who has received a secondary school diploma or its equivalent but is basic skills deficient,
unemployed, or underemployed.
PARTICIPANT - The term "participant" means an individual who has been determined to be eligible to participate in
and who is receiving services (except follow-up services authorized under this title) under a program authorized by this
title. Participation shall be deemed to commence on the first day, following determination of eligibility, on which the
individual began receiving subsidized employment, training, or other services provided under this title.
PLACEMENT – The term “Placement” means the act of securing for or by a participant unsubsidized employment
for the duration of 1 calendar day, with an anticipated permanent duration. For reporting purposes, a placement may
not begin prior to the day of the last leave from any activity in AJLA (management information system) is reported.
Full-time placement requires 30 or more hours per normal workweek. Part-time placement requires 25 or more
hours per normal workweek.
POSITIVE SOCIAL BEHAVIORS - The outcomes of leadership opportunities,
often referred to as soft skills, which are incorporated by many local
programs as part of their menu of services. Positive social behaviors
focus on areas that may include the following:
(a) Positive attitudinal development;
(b) Self esteem building;
(c) Openness to working with individuals from diverse racial and ethnic backgrounds;
(d) Maintaining healthy lifestyles, including being alcohol and drug free;
(e) Maintaining positive relationships with responsible adults and peers, and contributing to the well being of one's
community, including voting;
(f) Maintaining a commitment to learning and academic success;
(g) Avoiding delinquency;
(h) Postponed and responsible parenting; and
(i) Positive job attitudes and work skills.
POSTSECONDARY EDUCATIONAL INSTITUTION - The term "postsecondary educational institution" means an
institution of higher education, as defined in section 481 of the Higher Education Act of 1965 (20 U.S.C. 1088).
POVERTY LINE - The term "poverty line" means the poverty line (as defined by the Office of Management and Budget,
and revised annually in accordance with section 673(2) of the Community Services Block Grant Act (42 U.S.C. 9902(2)))
applicable to a family to the size involved.
PUBLIC ASSISTANCE - The term "public assistance" means Federal, State, or local government cash payments for
which eligibility is determined by a needs or income test.
SCHOOL DROPOUT - The term "school dropout" means an individual who is no longer attending any school and who
19
has not received a secondary school diploma or its recognized equivalent.
SECONDARY SCHOOL - The term "secondary school" has the meaning given the term in section 14101 of the
Elementary and Secondary Education Act of 1965 (20 U.S.C. 8801).
SIMULATED WORK - The term “Simulated Work” means an activity that takes place in a training situation where a
work product is produced for the purpose of learning work maturity skills and/or specific occupational skills rather than
for the purpose of producing the work product.
SKILL ATTAINMENT RATE - If a participant is deficient in basic literacy skills, the contractor will establish at a
minimum, one participant basic skills goal for the year. A minimum of one participant skill goal must be set for the year
with a maximum of three goals per year. Skill goals will fall into the category of basic, work readiness, or occupational
skills.
The performance percentage established for Skill Attainment Rate is calculated by dividing the Skills Goals (Basic, Work
Readiness, and Occupational) achieved by the number of Skills Goals set.
SUPPORTIVE SERVICES - The term "supportive services" means services such as transportation, child care,
dependent care, housing, and needs-related payments, that are necessary to enable an individual to participate in activities
authorized under this title, consistent with the provisions of this title.
SUPPORTIVE SERVICES may include the following:
(1) Linkages to community services;
(2) Assistance with transportation costs;
(3) Assistance with child care and dependent care costs;
(4) Assistance with housing costs;
(5) Referrals to medical services; and
(6) Assistance with uniforms or other appropriate work attire and work-related tool costs, including such items as eye
glasses and protective eye gear. [WIA sec. 129(c)(2)(G).]
TRAINING – The term “Training” means a systematic, planned sequence of instruction or other learning experiences on
an individual or group basis under competent supervision which is designed to impart skills, knowledge, or abilities to
prepare individuals for unsubsidized employment.
TRAINING RELATED JOB – The term “Training Related Job” means a job in which a major vocational skill learned
in training, as specified in the training plan or curriculum, is a predominant activity.
TUITION BASED – The term “Tuition Based” means that payments to a vendor educational institution of tuition
charges, entrance fees, and other usual and customary fees of an educational institution are not more than the educational
institutions catalogue price, necessary to receive specific training, and are for training of participants.
UNEMPLOYED INDIVIDUAL - The term "unemployed individual" means an individual who is without a job and who
wants and is available for work. The determination of whether an individual is without a job shall be made in accordance
with the criteria used by the Bureau of Labor Statistics of the Department of Labor in defining individuals as unemployed.
VETERAN; RELATED DEFINITION
(A) VETERAN - The term "veteran" means an individual who served in the active military, naval, or air services, and
who was discharged or released from such service under conditions other than dishonorable.
(B) RECENTLY SEPARATED VETERAN - The term "recently separated veteran" means any veteran who applies for
participation under this title within 48 months after the discharge or release from active military, naval, or air service.
WORK EXPERIENCES FOR YOUTH -
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Work experiences are planned, structured learning experiences that take place in a workplace for a limited period
of time. Work experiences may be paid or unpaid.
Work experience workplaces may be in the private, for-profit sector; the non-profit sector; or the public sector.
Work experiences are designed to enable youth to gain exposure to the working world and its requirements. Work
experiences are appropriate and desirable activities for many youth throughout the year. Work experiences should
help youth acquire the personal attributes, knowledge, and skills needed to obtain a job and advance in
employment. The purpose is to provide the youth participant with the opportunities for career exploration and
skill development and is not to benefit the employer, although the employer may, in fact, benefit from the
activities performed by the youth. Work experiences may be subsidized or unsubsidized and may include the
following elements:
(1) Instruction in employability skills or generic workplace skills
such as those identified by the Secretary's Commission on Achieving
Necessary Skills (SCANS);
(2) Exposure to various aspects of an industry;
(3) Progressively more complex tasks;
(4) Internships and job shadowing;
(5) The integration of basic academic skills into work activities;
(6) Supported work, work adjustment, and other transition activities;
(7) Entrepreneurship;
(8) Service learning;
(9) Paid and unpaid community service; and
(10) Other elements designed to achieve the goals of work
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PART B
PROPOSAL FORMS
22
PROPOSAL INSTRUCTIONS
A. A complete, separate proposal will be submitted for each specific program.
B. Proposers will submit three (3) signed originals copies of the proposal on 8 ½ x 11 inch paper in the designated
proposal format, stapled in the upper left hand corner. Please do not place in covers, binders or rings.
C. Proposals must be received by 4:00 p.m. on February 8, 2008 at: .
Delaware Workforce Investment Board (DWIB) (Note Location)
c/o DE Dept of Labor, Division of Employment & Training, 1st Floor
4425 N. Market Street, Wilmington, DE. 19802
D. Proposal items should be numbered exactly as indicated on the proposal forms.
E. No cover sheet should be added to this proposal.
IMPORTANT
When you determine that your organization will submit a proposal, you should schedule your initial Proposal
Development session. The scheduling is a requirement for a proposal to be complete, and will be accomplished via
the Internet at www.delawareworks.com/DWIB. One initial meeting per organization will be scheduled for
proposers of Adult Training. The calendar on this site will indicate all of the dates and times available. When you
view the calendar, you may choose any of the available dates and times. You will schedule by contacting the web
site via e-mail and providing your selection. Every effort will be made to provide your organization the date and
time of your choice. When it is not possible, another time and date, as close to the original submission, will be
provided. The Delaware Workforce Investment Board will notify you regarding the scheduled time/date.
23
PROPOSAL FORMAT
This RFP requires proposers to submit their proposals using a standard and streamlined proposal format (Performance
Target Outline). This outline asks proposers to present a clear, concise, and simply stated description of their:
1. Proposal Data Summary – The summary data for your proposal.
2. Outcome Statement - the end state they are committed to for customers served by this program.
3. Customer Description - a presentation of customer conditions and behaviors and relevant demographic information
including a customer profile.
4. Performance Targets - A clearly stated target for the projected number of customers to be served in terms of how
many will reach and sustain a high level of success and for how long. The means of verification should also be stated.
5. Product Steps - A clear presentation of some of the core aspects of your approach. What is unique? Why are you
proposing to use this approach over alternatives? And, what are some of the key features of the delivery/ service
approach of this proposed program?
6. Key People - Who are the key persons for this program? What are their qualifications (skills, experience,
background, etc), that make them ideally suited to make this program successful. If not known, describe the position,
its qualifications and who will be doing the hiring.
7. Likely Milestones & Verification - What is the logic and sequence of major customer milestones anticipated? How
many will likely (projection) reach these milestones toward your Performance Target and what is the corresponding
means of verification?
8. Budget
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PROPOSER CHECKLIST
To aid the proposer in putting together their proposal package:
Applicant Submission Checklist
Page
1. Proposal Data Summary
2. Outcome Statement
3. Customer Description
4. Performance Target(s)
5. Product Steps
6. Key People
7. Milestones
8. Budget
25
PROPOSAL DATA SUMMARY
1.0 Name and Address of Applicant Organization
_____________________________________________________________
(NAME)
_____________________________________________________________
(STREET)
_____________________________________________________________
(CITY, STATE) (ZIP CODE)
_____________________________________________________________
(CONTACT PERSON)
_____________________________________________________________
(TELEPHONE NUMBER) (FAX NUMBER)
_____________________________________________________________
(E-MAIL ADDRESS)
_____________________________________________________________
(Website URL)
_____________________________________________________________
(LOCATION(S) OF PROGRAM OPERATION - CITY/TOWN, COUNTY)
_____________________________________________________________
(GEOGRAPHIC AREA THE PROGRAM WILL SERVE)
2.0 Organization Type:
[ ] Non Profit
[ ] Governmental
[ ] Private for Profit
3.0 Proposed Contract Period
START DATE:_____________END DATE:___________
4.0 Proposed Services:
[ ] Adult Training
4.1 Training Area__________________________________________________________
4.2 Number of Cycles of Training _________________
4.3 Total Number of Enrollments __________________
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4.4 Total Training Hours per Enrollment __________________
4.5 Outcome Rate _______________________%
4.6 Type of Outcome ______________________________________________________
______________________________________________________
______________________________________________________
5.0 If more than one cycle of training is proposed, can training be offered on a per cycle basis? If yes, complete the
following:
Cycle # Cost
Funding:
6.0 Total Amount Requested: $_____________
6.1 Requested funds for this program are % of organization's total budget.
6.2 Funds (dollars or in-kind) will be provided, matching funds, by the proposer to
support this proposed program activity. The matching funds will support the following:
_____________________________
7. Program Performance (Provide a performance history for your proposed program or for your organization if the
proposed program is new) – limited to one (1) page
8. If you have operated this training program in the past, did you refine or revise it in any way in response to this
proposal or your recent experiences? ) – limited to one (1) page
9. Certificate of Information and Authorized Signature
I hereby certify that to the best of my knowledge all information contained in this proposal is accurate and complete, that
this is a valid proposal and that I am legally authorized to sign and to represent this organization.
_______________________________________
SIGNATURE DATE
_______________________________________
NAME
_______________________________________
TITLE
27
Target Outline Question #1
YOUR PROGRAM’S OUTCOME STATEMENT
What is the overall end state that your agency will accomplish for the customers who are served by this solicitation?
This statement should clearly indicate the programs responsibility to serve the customer from recruitment through
12 months of post exit follow-up services. All proposals must demonstrate a commitment to developing long-term
relationships with youth served in the proposed program
Outcome Statement: The result that the investor seeks (generally an end state) to which all performance targets must
contribute. Examples include: a school with no one being drug-dependent, a community in which no baby has a low birth
weight for any preventable reason, etc. Outcomes are specific states or conditions that can be understood to be caused or at
least influenced by the achievement of performance targets.
28
Target Outline Question #2
CUSTOMERS
A. WHO are the customer for the selected program and HOW MANY customers do you plane to serve in the coming program
year? Please provide a description of conditions and behaviors of typical customers as well as demographic information on
this customer group. In addition to describing new customers, current vendors who are seeking continued funding should
include participants who carry-in from the current program year to the new program year.
B. In describing your customers, you should indicate the barriers you expect to/have encounter(ed) and how they relate to the
focus on “neediest youth”.
C. Profile-Please provide a profile of one or two customers served by this program.
Customer: Customers are people who directly interact with an organization’s product and its implementers. This interaction is
intended to result in a change in customer behavior or condition in line with organizational outcomes and mission.
29
Target Outline Question # 3
PERFORMANCE TARGET
A. What are your QUANTITATIVE PERFORMANCE TARGETS for these customers for the year and how will you
know if you reached them? Proposed programs must include the WIA performance goals that apply to the age group
that the proposed program will serve as part of their PERFORMANCE TARGETS.
B. Discuss your program’s ability to meet contractually required performance standards or outcomes with emphasis on
services to at-risk youth.
C. Verification –Identify the strategies that the proposed program will use to ensure the attainment of the
PERFORMANCE TARGETS. In addition, identify the activities and tools that will be used to monitor performance
on a regular basis.
Performance Targets: The specific result that an implementer seeking investment will commit to achieve. It is tangible in the
sense that it can be verified and narrow enough to be directly achieved by the implementer. It almost always represents a
change in behavior for the customer of a program.
Verification: Establishing that something represented to happen does in fact take place. Verification in Outcome Funding
replaces measuring. It is kept as simple as possible and looks more to answer the question yes or no than to measure small
differences. Verification typically focuses on milestones and performance target accomplishments.
30
Target Outline Question # 4
YOUR PRODUCT
What are the CORE FEATURES of your product?
A. Intensity/Duration – Describe the intensity of the service to participants, including hours of participation. In addition
identify the enrollment schedule, training schedule and the duration of the program including post-exit follow-up.
B. Essential Elements: At a minimum the milestones established in Target Question 6 must be described.
C. Comparative Advantages Over other Products.
D. Delivery Strategy – In a narrative fashion describe how a specific client will flow through the elements of your program.
E. Other Core Features (up to one page per item may be used).
1. Identify the program’s outreach and recruitment methods.
2. Describe your criteria for participant selection.
3. Describe the assessment process that will identify basic skill levels, work history, aptitude, interests, barriers, and
support services needs. Identify the assessment instruments that will be used.
4. Describe how the assessment results will support the case management process provided for each participant.
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Target Outline Question #5
KEY PEOPLE
A. Identify the key people and their qualifications who are primarily responsible for delivering the product,
including outreach, assessment, training, coaching/mentoring, fiscal reporting, and project management, as
applicable to your specific proposal. If the key people are not known, describe the position, its qualifications and
who will be doing the hiring. In addition, please identify the specific, key people and their positions, in schools,
or other agencies with whom you are partnering.
B. Identify the critical intermediaries (other individuals/agencies) that are a part of your delivery strategy and how
they benefit your program.
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Target Outline Question #6
MILESTONES
At a minimum, Milestones must include all mandated Design Components and Program Elements in a manner
consistent with the required performance standards. New Enrollments, Carry-in Enrollments and Post Exit
individuals need to be broken out individually (may be done on separate rows or separate Milestone Sheets.)
Total
Milestones Verification
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Performance Target:
Milestone: A critical point that customers must reach to ensure that a project is on course to achieving its performance target.
Verification: Establishing that something represented to happen does in fact take place. Verification in Outcome Funding replaces
measuring. It is kept as simple as possible and looks more to answer the question yes or no than to measure small differences. Verification
typically focuses on milestones and performance target accomplishments.
33
BUDGET SUMMARY
Area of Training: Contract #:
Organization: Program Year:
TOTAL
1. Staff Salaries
2. Staff Fringe Benefits
3. SUBTOTAL
4. Direct Benefits To Participants
5. Rent (inc. cost per sq. ft./hr. rates)
6. Custodial Services
7. Utilities (List as a % of Annual Expense)
a. Heat/AC
b. Phone
c. Electric
d. Other
8. Consumable Office Supplies
9. Postage
10. Equipment and Furniture Purchase: (Itemize on Attached Page)
11. Equipment Rental: (Itemize on Attached Page)
12. Tuition
13. Entrance Fees
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BUDGET SUMMARY
Area of Training: Contract #:
Organization: Program Year:
14. Training Materials
A. Books
B. Software
C. Videos
D. Other (specify)
15. Printing/Advertising
16. Travel
A. Student
B. Staff
17. Staff Training
18. Participant Payments (Wages. OJT Payments, etc...)
19. Participant Fringes
20. Insurance:
21. Professional Services: (List)
22. Overhead/Indirect for Parent Organization:
23. Profit:
24. Other: (Please specify)
25. Other: (Please specify)
26. TOTAL
37
EMPLOYEE LISTING
SALARY AND FRINGE EXPENSES
AREA OF TRAINING:__________________________________ YEAR: _________
ORGANIZATION:_______________________
LIST EVERY EMPLOYEE BY TITLE
(USE ADDITIONAL PAGES TO LIST EACH EMPLOYEE NUMERICALLY)
DATES OF SALARY FRINGE TOTAL FUNDED STAFF HOURS
POSITION EMPLOYMENT
HOURS PER WEEK
(if seasonal give # of
weeks and hourly rate)
(If part-time, indicate
hourly rate)
Person #1 THIS PROGRAM
OTHER
Person #2 THIS PROGRAM
OTHER
Person #3 THIS PROGRAM
OTHER
38
Organization________________________________
Type of Training _____________________________
BUDGET BACK-UP PAGE
LINE NUMBER EXPLANATION/
NUMBER ITEM OF EACH AMOUNT REMARKS
39
DIRECT BENEFITS TO PARTICIPANTS
CONTRACTOR:___________________________________________________
TYPE OF TRAINING_______________________________________________
TOTAL AMOUNT OF DIRECT BENEFITS: $__________________________
(COMPLETE THE FOLLOWING FOR EACH TYPE OF PAYMENT, IE: TRANSPORTATION, NEEDS BASED,
ETC. CLIENTS MUST NOT RECEIVE CASH. VOUCHERS ARE TO BE USED FOR GOODS AND SERVICES)
AMOUNT: $_______________________________________________
TYPE OF PAYMENT: ________________________________________
EXPLANATION: _____________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________.
PART C
ATTACHMENTS
PY 2008 Funding Guidelines: Delaware Workforce Investment Board
1. DWIB acknowledges that the degree to which an employee can analyze and solve problems, demonstrate
soft skills and good attendance, is as important to job retention as is demonstrating the occupational skills.
Accordingly, DWIB seeks evidence that these skills are taught and reinforced continually as important and
interrelated parts of the occupational skills training.
2. The definitions provided in the WIA law and regulations will be the definitions for all sources of funds,
including Blue Collar and State Skills Grant, except the definition of eligibility. The Blue Collar training
programs have no requirement that participants be low income.
3. Training Programs that combine classroom training with internships, actual work experience, On the Job
Training (OJT) and/or mentoring will be given priority for funding.
4. Training Programs that combine classroom training with internships, actual work experience, On the Job
Training (OJT) and/or mentoring will be given priority for funding.
5. Preference will be given to proposals, in the proposal rating criteria, that demonstrate the ability to operate
quality, cost effective training programs that result in high placement rates, increased wages, long term job
retention and credential attainment.
6. Contractors are responsible for determining and documenting eligibility (and with the exception of Blue
Collar Adult Programs documenting all USDOL data validation items), recruiting customers, and providing
the Department of Labor, Division of Employment & Training’s Management Information System with the
required information. Failure in any of these areas may result in corrective action
7. Retention services will be provided, as necessary in the day and evening in order to meet the performance
measures, for three full quarters following the exit quarter for Adults and 12 months following exit for
youth.
8. Ninety-five percent of available funds may be awarded. Up to fifty percent of the Blue Collar Funds
contracted may be used for School to Work transition; the remaining Blue Collar funds will be used to fund
adult training.
9. Funding may be approved to support all or any portion of the cost of a training program. Proposers will be
asked to provide, in their proposal, the cost of their entire training program and the amount of funds
requested.
10. No stand-alone remediation programs will be funded. However, basic language and numeric skills are to
be incorporated into skills training programs where appropriate. Contractors and One-Stops will assess
reading and math skills and refer individuals to Adult Basic Education where appropriate.
11. In recognition of the increasing use of computers in the workplace, Delaware Workforce Investment Board
(DWIB) seeks occupational skills training that provides computer training appropriate to the intended
placement opportunity. Evidence of such labor market demand computer training will be a key factor in
selecting occupational skills training proposals.
12. Providers requesting support funds will be required to document linkages with other human service
providers.
12. Proposals providing training in occupations in demand will be solicited.
13. The report and recommendations of the Office of Occupational and Labor Market Information (OOLMI)
will be used as a guide to the types of occupational skills training which are to be solicited and funded.
Training areas identified as high growth/high demand will be preferred. The Proposal / Certification
committee will approve the list of the "in demand" occupations sought. Proposals for occupational skills
training in occupations not targeted in the solicitation will be considered only with comprehensive
documentation of the need for the training provided within the proposal.
14. DWIB will strive to provide training based on each county's needs and in reasonable proportion to the
population. The Board may consider the percentage of poverty level residents recorded in the most recent
official census, and the state-generated rate of unemployment.
15. Program providers shall define their staff qualifications in the proposal for any position for which they are
requesting funding in whole, or in part.
16. Documentation must be maintained for each participant, including eligibility, data validation for non Blue
Collar Adult programs, attendance, assessments, credentials, certificates & outcomes. The documentation
must be made available to D.W.I.B., the Youth Council, DET and/or their designees upon request.
17. The WIA performance measures will be the performance criteria for all training programs, including Blue
Collar. Wagner Peyser Act performance will be measured by Wagner Peyser performance standards, in
accordance with federal regulations.
18. Blue Collar Adult training will be funded as a hybrid cost reimbursement/ performance based contract. 60%
of the funding will be available on a cost reimbursement basis. 40% will be paid to contractors
incrementally on a performance for outcomes (includes performance items such as certificates, day 1
outcomes day 90 outcomes.)
19. Wagner Peyser Act funds will fund the core Services under the Workforce Investment Act (WIA),
including all self-service, resource rooms and "how to" work shops. Wagner Peyser funds will also fund
traditional labor exchange job matching, the employer relations function, and employer mass recruitment.
20. The eligibility criteria for the "hardest to serve" will be the low-income individual definition in the law
(Sec. 101(25)). One exception is that any individual enrolled in selected Mandatory Partners programs who
meets the appropriate age requirement automatically meets the WIA Adult Eligibility criteria.
21. A pre orientation meeting will be held in early January in order to outreach new proposers prior to the
Request for Proposal orientation. The purpose of this meeting will be to encourage new proposers by
demystifying the Proposal process.
22. Any local One-Stop office providing WIA services which fails to achieve 85% of goal in any year may be
required to compete to be a provider in the following year in the Request for Proposal process.
23. For new participants after July 1, 2006 all Youth Proposers and ITA Providers will provide training that
will allow trainees to earn a Diploma, GED, or Certificate as defined in USDOL TEGL 17-05 attachment B.
Blue Collar Proposers are expected to meet the requirements.
24. Youth Proposers will be required to identify the credentials that youth will be expected to achieve during
the term of the proposed program and the number of enrollments/exiters expected to achieve each
credential.
25. Under the guidance of the Youth Council, the youth program will be contracted. Separate contracts will be
solicited for In School and Out of School Youth.
26. Eligible youth programs will provide:
a. an objective assessment of each youth's skill/academic levels and supportive service needs;
b. an individual service strategy with an employment goal;
c. preparation for post secondary education as appropriate;
d. linkages between academic and occupational learning;
e. preparation for unsubsidized employment;
f. access to intermediaries (the one-stop system) with links to employers.
27. Although there may be multiple providers, there will be one comprehensive youth program that offers the
following program elements:
a. tutoring and study skill training;
b. alternative secondary school services as appropriate;
c. summer employment opportunities that integrate academic and occupational learning;
d. paid and unpaid work experiences as appropriate;
e. occupational skill training as appropriate;
f. leadership development activities as appropriate;
g. supportive services;
h. adult mentoring during program and one year after, as appropriate;
i. follow-up services to all youth participants for a minimum of 12 months as appropriate;
j. comprehensive guidance and counseling as appropriate.
28. A minimum of forty-five Percent of the Youth Funds will be used for Out-of-School Youth.
29. Youth Proposers, consistent with the USDOL Youth Vision, will plan for improved youth performance
while continuing to serve the “at risk/neediest” youth population as described in TEGL 28-05. This will
include establishing linkages with alternative education and direct involvement with the business
community (areas such as speakers, volunteer trainers, work shadowing, internships, & employment)
30. Youth Proposers will be encouraged to enter into partnerships (with other contractors or other youth
providers) that produce synergy. Proposers demonstrating a synergistic partnership may be given priority in
funding. Synergistic activity will produce an outcome greater than the sum of the efforts taken
independently . Some examples are:
A higher level of outcomes such as a greater percentage or a greater number of outcomes
achieving 90 days of continuous employment.
A clear improvement in the quality of outcomes such as an increase in the starting wage or a
higher level credential.
A decrease in the cost per outcome
31. Up to $40,000 will be set aside for the Youth Council to award mini grants to contractors during PY 08 to
assist contractors in participating in synergistic partnerships.
Attachment II
14.8 Documentation of Program Eligibility
1. Purpose. To provide an easy reference for Title I WIA Program Eligibility Criteria for
Registration along with Corresponding Act/Regulation Citations for adults, youth, and dislocated
workers. Program Eligibility and Criteria for Registration for State Blue Collar and Skills Grant
Programs is also provided. Information is provided on Definitions, Selective Service Registration,
Poverty Income Guidelines, 70% of the Lower Living Standard Income Level, Acceptable
Verification Sources, a Acceptable Eligibility Verification Listing, Statement of Family Size/Family
Income, Self-Certification Requirements, and Telephone/Document Inspection Verification
Requirements.
2. Reference. Public Law 105-220, dated August 7, 1998; WIA Final Regulations, dated August 11,
2000; Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, dated November
19, 2001; Federal Register, Vol. 64, No. 218, dated November 12, 1999; Federal Register, Vol. 67,
No. 31, dated February 14, 2002; and Local Workforce Investment Area (LWIA) Plan Instructions.
Delaware Blue Collar Jobs Act and, Division of Employment and Training (DET) / Delaware
Workforce Investment Board (DWIB) Policy.
3. Discussion. Title I WIA, State Blue Collar, and Skills Grant Program Eligibility Criteria for
Registration and Corresponding Act/Regulation Citations, WIA, State Blue Collar, and Skills Grant
Eligibility Statement/Definitions, Selective Service Registration, WIA Definitions for Title I Eligibility,
State Blue Collar and Skills Grant Definitions for Program Eligibility Poverty Guidelines and 70% of
the Lower Living Standard Income Level, Composite of WIA Acceptable Verification, WIA, State
Blue Collar, and Skills Grant Acceptable Eligibility Verification Listing, Statement of Family
Size/Family Income, Self-Certification, and Telephone/ Document Inspection Verification
Requirements.
4. Action Required. Contractors and Case Managers are requested to copy this information and
distribute to all staff that are involved in the enrollment of participants and collection of eligibility
documentation.
5. Attachments.
ATTACHMENT A
Title I WIA Program Eligibility Criteria for Registration and Corresponding
Act/Regulation Citations.
State Blue Collar and Skills Grant Eligibility Criteria for Registration and
Corresponding Act / Policy Citations
ATTACHMENT B
WIA Eligibility Statement/Definitions – Adult (18 or older)
WIA Eligibility Statement/Definitions – Youth (14 – 21)
WIA Eligibility Statement/Definitions – Dislocated Worker
State Blue Collar Eligibility Statement / Definitions – Youth (14-21)
State Blue Collar Eligibility Statement / Definitions – Adult (18 or older)
41
Skills Grant Eligibility Statement / Definitions – Adult (18 or older)
ATTACHMENT C
Selective Service Registration
NOTE: For information on Selective Service regulations, please refer to the following:
TEGL 4-89 (dated 03/19/90) – Application of Selective Service Registration
Requirements in Section 504 of the Job Training Partnership Act (JTPA)
TEGL 8-98 (dated 11/04/98) – Selective Service Registration
Selective Service Telephone Verification No. (847) 688-6888;
Internet Verification/Registration (www.sss.gov).
ATTACHMENT D
Definitions for Eligibility
ATTACHMENT E
70% of the Lower Living Standard Income Level
Self Sufficiency Income Guidelines
ATTACHMENT F
Composite of Acceptable Verification
ATTACHMENT G
Acceptable Eligibility Verification Listing
WIA, Blue Collar, and Skills Grant General Eligibility Acceptable Verification Listing
ATTACHMENT H
Statement of Family Size/Family Income
ATTACHMENT I
Self-Certification
ATTACHMENT J
Telephone/Document Inspection Verification Requirements
ATTACHMENT K
Family Income Documentation Requirements/Worksheet
42
6. Expiration Date This policy will be updated as necessary to reflect amendments to WIA, changes
in federal regulations, and new USDOL policy directives.
ETO Procedure14.8 – effective March 10, 2004 (replaces ETO 14.007)
43
ATTACHMENT A
TITLE I WIA, STATE BLUE COLLAR AND SKILLS GRANT PROGRAM ELIGIBILITY CRITERIA FOR
REGISTRATION AND CORRESPONDING ACT/REGULATION CITATIONS
A
D
U
YOUTH* DISLOCATED*
ELIGIBILITY L
(14 – 21) WORKER
T
*
(18 or Older)
GENERAL ELIGIBILITY – All registered individuals must meet Citizenship/Eligible to Work, Selective Service (if applicable), Residency & Age.
CITIZENSHIP OR ELIGIBLE TO WORK Act 188(a)(5) Act 188(a)(5) Act 188(a)(5)
SELECTIVE SERVICE REGISTRANT Act 189(h) Act 189(h) Act 189(h)
RESIDENCY DWIB Policy DWIB Policy DWIB Policy
SOCIAL SECURITY NUMBER DWIB Policy DWIB Policy DWIB Policy
Act 101(1) Act 101(13)(A) 20 CFR 663.110
AGE
20 CFR 663.110 20 CFR 664.200(a)
ECONOMIC ELIGIBILITY – Youth must meet the definition of Section 1 (Low Income) AND Section 2 (Barrier)
1. LOW INCOME INDIVIDUAL [Act 101(25)]
Any one of the following six elements:
A. Cash public assistance
B. Family income at or below the Poverty Line or 70% of the Lower
Living Standard Income Level Delaware Work Force Act 101(25)
C. Receives Food Stamps or was determined eligible to receive in Investment Board
last six months Policy (unemployed 20 CFR 664.200(b)
D. Homeless per 103(a) & (c) of the McKinney Act applicants only)
E. Publicly supported foster child
Individual with a disability whose own income is at or below the Subject to change
Poverty Line or 70% of the Lower Living Standard Income Level upon written notice
[20 CFR 664.250]
2. BARRIERS – is within one or more of the following categories:
[Act 101(13)]
A. Basic Skills Deficient [Act 101(4); 20 CFR 664.200(c)(1) and 20
CFR 664.205]
B. School Dropout [Act 101(39); 20 CFR 664.200(c)(2)]
Act 101(13)(c)
C. Homeless, Runaway, or Foster Child
[20 CFR 664.200(c)(3)]
20 CFR 664.200(c)
D. Pregnant or Parenting [20 CFR 664.200(c)(4)]
E. Offender [20 CFR 664.200(c)(5)]
F. Is an individual (including a youth with a disability) who requires
additional assistance to complete an educational program, or to
secure and hold employment [20 CFR 664.200(c)(6) and 20 CFR
664.210]
DISLOCATED WORKER ELIGIBILITY
1. DISLOCATED WORKER [Act 101(9)]
Any one of the five categories:
A. Terminated/Laid Off; Eligible for UC and Unlikely to Return Act 101(9)(A);
20 CFR 663.115
B. Permanent Closure/Substantial Layoff Act 101(9)(B);
20 CFR 663.115
C. General Announcement of Closure Act 101(9)(B);
20 CFR 663.115
D. Formerly Self-Employed/Currently Unemployed Act 101(9)(C);
20 CFR 663.115
E. Displaced Homemaker [Act 101(10)] Act 101(9)(D);
20 CFR 663.120
* Training funded with State Skills Grant or Blue Collar funds requires only general eligibility
documentation.
November 20, 2003
ATTACHMENT A
TITLE I WIA, STATE BLUE COLLAR AND SKILLS GRANT PROGRAM ELIGIBILITY CRITERIA FOR
REGISTRATION AND CORRESPONDING ACT/REGULATION CITATIONS
PURPOSE – the Program Eligibility for Registration chart shows “AT-A-GLANCE” the Title I WIA eligibility criteria for the Adult
(18 or older), Youth (14–21), and Dislocated Worker programs.
REGISTRATION – the process for collecting information to support a determination of eligibility. [20 CFR 663.105 (Adult and
Dislocated Worker); 20 CFR 664.215 (Youth)]
DESCRIPTION: This chart is displayed as a four-column chart that consists of Eligibility, Adult (18 or older),
Youth (14–21), and Dislocated Worker programs. When an Act/Regulation Citation is listed in a specific column, the registered
individual must meet the eligibility criteria if they are to receive staff-assisted core, intensive, and training services under WIA as
an adult (18 or older) and/or dislocated worker. Likewise, a registered individual who is a youth must meet the youth eligibility
criteria if they are to receive youth services.
Blue Collar and State Skills Grant participants do not need to meet specific eligibility requirements unless specified in
agreements/contracts. Participants are required at a minimum to document the General Eligibility Items.
GENERAL INSTRUCTIONS:
Eligibility column denotes the three areas for Eligibility (General, Economic, and Dislocated Worker).
For General Eligibility Criteria, all registered individuals must meet the definition of Citizenship or Eligible to Work, Selective
Service Registrant (if applicable), Residency, and Age.
Adult (18 or older) column denotes the specific Act and Regulation Citation for eligibility under the Adult (18 or
older) program.
Registered adults (18 or older) must meet the definition of General Eligibility, which includes Citizenship or Eligible to Work,
Selective Service Registrant (if applicable), Residency, and Age.
Adults who receive services funded under Title I other than self-service or informational activities must be registered and
determined eligible. [20 CFR 663.105(b)]
Youth (14–21) column denotes the specific Act and Regulation Citation for eligibility under the Youth (14–21)
program.
Registered youth (14–21) must meet the definition of General Eligibility, which includes Citizenship or Eligible to Work, Selective
Service Registrant (if applicable), Residency, and Age, plus be a Low Income Individual and have one or more Barriers.
If the youth does not meet the definition of low income and barriers, they must meet the definition of one or more of the
categories listed under Exceptions.
All youth participants must be registered. [20 CFR 664.215]
Dislocated Worker column denotes the specific Act and Regulation Citation for eligibility under the Dislocated
Worker program.
Registered dislocated workers must meet the definition of General Eligibility, which includes Citizenship or Eligible to Work,
Selective Service Registrant (if applicable), Residency, and any one of the five categories of Dislocated Worker.
Dislocated workers who receive services funded under Title I other than self-service or informational activities must be registered
and determined eligible. [20 CFR 663.105(b)]
PARTICIPANT – an individual who has registered under 20 CFR 663.105 or 20 CFR 664.215 and has been determined to
be eligible to participate in and who is receiving services (except for follow-up services) under a program authorized by WIA
Title I. Participation commences on the first day, following determination of eligibility, on which the individual begins
receiving core, intensive, training, or other services provided under WIA Title I. [20 CFR 660.300]
November 20, 2003
ATTACHMENT B
ACT AND/OR REGULATION CITATION
Act 188(a)(5)
Act 189(h)
Act 101(1); 20 CFR 663.110
Act 134(d)(4)(E); 20 CFR 663.600
Delaware Workforce Investment Board (DWIB) Policy
November 20, 2003
ATTACHMENT B
WIA ELIGIBILITY STATEMENT
ADULT (18 OR OLDER)
An individual (18 or older) shall be eligible to
participate in the WIA Title I Adult Program if such
individual meets:
General Eligibility consists of:
Citizenship or Eligible to Work
Selective Service Registrant (if applicable)
Residency
Age
AND
Unemployed, and, unable to obtain employment
through core services, and, in need of more
intensive services in order to obtain employment,
and meets the definition of “low-income individual”,
or
Employed, but in need of intensive services in
order to obtain or retain employment that allows for
self-sufficiency. Self-sufficiency for WIA adult
programs is a Total Family Income which exceeds
100% of the Lower Living Standard Income Level
(LLSIL)
NOTE: Priority shall be given to recipients of public
assistance and other low-income individuals for
intensive and training services.
November 20, 2003
ATTACHMENT B
WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT
ADULT (18 or older)
Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Age, Residency,
and Selective Service Registration.
Citizenship or Eligible to Work – participation in programs and activities financially assisted in whole or
part under WIA shall be open to citizens and nationals of the United States, lawfully admitted permanent
resident aliens, lawfully admitted refugees and parolees, and other individuals authorized by the Attorney
General to work in the United States (applies to all programs under Title I). [Act 188(a)(5)]
Selective Service Registrant – the Secretary shall ensure that each individual participating in any
program established under WIA, or receiving any assistance or benefit under WIA, has not violated
Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not presenting or
submitting to registration as required pursuant to such section. The Director of the Selective Service
System shall cooperate with the Secretary in carrying out this section.
NOTE: Males born on or after January 1, 1960 must register with the selective service
system within 30 days after their 18th birthday or at least before they reach the age of 26.
[Act 189(h)]
Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated
November 4, 1998 must be followed.
Age – the term adult means an individual who is age 18 or older. [Act 101(1) and 20 CFR 663.110].
Residency – participation in a program administered by the DWIB / Delaware Department of Labor,
Division of Employment and Training (DE DOL / DET) shall be open to all residents of Delaware.
Residency is determined at time of application.
Low Income Status – employed but family income does not exceed 100% of the Lower Living Standard
Income Level.
November 20, 2003
ATTACHMENT B
ACT AND/OR REGULATION CITATION WIA ELIGIBILITY STATEMENT
YOUTH (14 – 21)
An individual who is not less than 14 and not more
than 21 shall be eligible to participate in the WIA
Title I Youth Program if such individual:
Meets General Eligibility, which consists of providing
a verification source for each applicable category.
Citizenship or Eligible to Work
Act 188(a)(5) Selective Service Registrant (if applicable)
Act 189(h) Residency
Age
Act 101(13)(A); 20 CFR 664.200(a)
AND
Meets the definition and provides a verification
Act 101(25); 20 CFR 664.200(b) source for one of the following Low-income
categories:
DWIB Policy Cash Public Assistance
Family Income at or below the Poverty Line
or 70% of the Lower Living Standard Income
Level (LLSIL)
Receives Food Stamps or was determined
eligible to receive in the last six months
Homeless per 103(a) and 103(c) of the
McKinney Act
Publicly supported Foster Child
Individual with a disability and own income
at or below Poverty Line or 70% of the LLSIL
AND
Meets the definition and provides a verification
source for one or more of the following Barrier
categories:
Basic Skills Deficient
School Dropout
Act 101(13)(c); 20 CFR 664.200(c) Homeless, Runaway, or Foster Child
Pregnant or Parenting
Offender
Is an individual (including a youth with a
disability) who requires additional assistance
to complete an educational program or to
secure and hold employment
November 20, 2003
ATTACHMENT B
WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT
YOUTH (14 – 21)
Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Residency, Age,
and Selective Service Registration.
Citizenship or Eligible to Work – participation in programs and activities financially assisted in whole or
part under WIA shall be open to citizens and nationals of the United States, lawfully admitted permanent
resident aliens, lawfully admitted refugees and parolees, and other individuals authorized by the Attorney
General to work in the United States (applies to all programs under Title I). [Act 188(a)(5)]
Selective Service Registrant – the Secretary shall ensure that each individual participating in any
program established under WIA, or receiving any assistance or benefit under WIA, has not violated
Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not presenting or
submitting to registration as required pursuant to such section. The Director of the Selective Service
System shall cooperate with the Secretary in carrying out this section.
Note: Males born on or after January 1, 1960 must register with the selective service system
within 30 days after their 18th birthday or at least before they reach the age of 26. [Act
189(h)]
Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated
November 4, 1998, must be followed.
Age – for youth is not less than age 14 and not more than age 21 [Act 101(13) and 20 CFR 664.200(a)]
Residency – participation in a program administered by the DWIB / Delaware Department of Labor,
Division of Employment and Training (DE DOL / DET) shall be open to all residents of Delaware.
Residency is determined at time of application. An exception to Delaware residency may be permissible if
the youth is enrolled in a Delaware school and lives in a town split by state boundaries (for example
Delmar and Marydel).
Youth must meet the definition of one of the six Low-income categories AND must meet the definition of one of the six youth
Barriers.
Low-income Individual – an individual who
(A) receives, or is a member of a family that receives cash payments under a Federal, State,
or local income-based public assistance program;
(B) received an income, or is a member of a family that received a total family income, for
the six-month period prior to application for the program involved (exclusive of
unemployment compensation, child support payments, payments described in
subparagraph (A), and old-age and survivors insurance benefits received under Section 202
of the Social Security Act (42 U.S.C. 402) that, in relation to family size, does not exceed the
higher of
(i) the poverty line, for an equivalent period; or
YOUTH (14 – 21)
(continued)
(ii) 70 percent of the lower living standard income level for an equivalent period;
November 20, 2003
ATTACHMENT B
WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT
(C) is a member of a household that receives (or has been determined within the six month
period prior to application for the program involved to be eligible to receive) food
stamps pursuant to the Food Stamp Act of 1977 (7 U.S.C. 2011 et seq.);
(D) qualifies as a homeless individual, as defined in subsections (a) and (c) of Section 103 of
the Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11302);
(E) is a foster child on behalf of whom State or local government payments are made; or
(F) in cases permitted by regulations promulgated by the Secretary of Labor, is an
individual with a disability whose own income meets the requirements of a program
described in subparagraph (A) or of subparagraph (B), but who is a member of a family
whose income does not meet such requirements.
BARRIERS
A low-income youth (14 – 21) who has one or more of the following barriers:
Deficient in Basic Literacy Skills – an individual who
(1) Computes or solves problems, reads, writes, or speaks English at or below the 8th grade level on a
generally accepted standardized test or a comparable score on a criterion-referenced test; or
(2) Is unable to compute or solve problems, read, write, or speak English at a level necessary to
function on the job, in the individual’s family or in society.
School Dropout – an individual who is no longer attending any school and who has not received a
secondary school diploma or its recognized equivalent.
Homeless, Runaway Youth, or Foster Child
Homeless – qualifies as a homeless individual that is an individual who lacks a fixed regular,
adequate nighttime residence, and any adult or youth who has a primary nighttime residence that
(a) is a publicly or privately operated shelter for temporary accommodation;
(b) an institution providing a temporary residence for individuals intended to be institutionalized;
or
(c) a public or private place not designed for or ordinarily used as a regular sleeping
accommodation for human beings.
The term does not include a person imprisoned or detained pursuant to an Act of Congress
or State law (Section 103 of the Stewart B. McKinney Act); or is a runaway youth.
Runaway Youth – a youth (14–18) who absents himself or herself from home or place of legal
residence without the permission of parents or legal guardian.
November 20, 2003
ATTACHMENT B
WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT
YOUTH (14 – 21)
(continued)
Foster Child – a foster child is an individual on behalf of whom State or local government
payments are made.
Pregnant or Parenting Youth – an individual who is under 22 years of age and who is pregnant,
or a youth (male or female) who is providing custodial care for one or more dependents under age
18.
Offender – any adult or juvenile
(A) who is or has been subject to any stage of the criminal justice process, for whom services
under this Act may be beneficial; or
(B) who requires assistance in overcoming artificial barriers to employment resulting from a
record of arrest or conviction.
An individual (including youth with a disability) who requires additional assistance to complete an
educational program, or to secure and hold employment – definitions and eligibility verification
requirements regarding the “requires additional assistance to complete an educational program, or to
secure and hold employment” criterion must documented and rationale provided for each youth using this
barrier for eligibility.
November 20, 2003
ATTACHMENT B
ACT AND/OR REGULATION CITATION WIA ELIGIBILITY STATEMENT
DISLOCATED WORKER
An individual shall be eligible to participate in the
WIA Title I Dislocated Worker Program if such
individual:
Meets General Eligibility, which consists of providing
the appropriate verification to verify:
Act 188(a)(5) Citizenship or Eligible to Work
Act 189(h) Selective Service Registrant (if applicable)
Residency
20 CFR 663.110 Age
DWIB Policy AND
Meets the definition and provides the verification
source for one of the following categories:
Terminated/Laid Off; Eligible for UC and
Unlikely to Return to Previous Industry or
Occupation
Act 101(9)(A); 20 CFR 663.115 Permanent Closure/Substantial Layoff
General Announcement of Closure
Formerly Self-Employed/Currently
Act 101(9)(B); 20 CFR 663.115 Unemployed
Act 101(9)(B); 20 CFR 663.115 Displaced Homemaker
Act 101(9)(C); 20 CFR 663.115
Act 101(9)(D); 20 CFR 663.120
November 20, 2003
ATTACHMENT B
WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT
DISLOCATED WORKER
Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Residency, Age,
and Selective Service Registration.
Citizenship or Eligible to Work – participation in programs and activities financially assisted in whole or
part under WIA shall be open to citizens and nationals of the United States, lawfully admitted permanent
resident aliens, lawfully admitted refugees and parolees, and other individuals authorized by the Attorney
General to work in the United States (applies to all programs under Title I). [Act 188(a)(5)]
Selective Service Registrant – the Secretary shall ensure that each individual participating in any
program established under WIA, or receiving any assistance or benefit under WIA, has not violated
Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not presenting or
submitting to registration as required pursuant to such section. The Director of the Selective Service
System shall cooperate with the Secretary in carrying out this section.
NOTE: Males born on or after January 1, 1960 must register with the selective service
system within 30 days after their 18th birthday or at least before they reach the age of 26.
[Act 189(h)]
Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated
November 4, 1998, must be followed.
Age – to be eligible for the dislocated worker program, an individual must be 18 years of age or older. [20
CFR 663.110]
Residency – participation in a program administered by the DWIB / Delaware Department of Labor,
Division of Employment and Training (DE DOL / DET) shall be open to all residents of Delaware.
Residency is determined at the time of application.
Unemployed – unemployed and unable to obtain employment through core services, and in need of
more intensive services in order to obtain employment
islocated worker must meet the definition of one of the five dislocated worker categories.
A dislocated worker is an individual who has been:
Terminated/Laid Off and Eligible for UC and Unlikely to Return – has been terminated or laid
off, or who has received a notice of termination or layoff, from employment and is eligible for or has
exhausted entitlement to unemployment compensation;
OR
has been employed for a duration sufficient to demonstrate, to the appropriate entity at a
one-stop center referred to in Section 134(c), attachment to the workforce, but is not eligible
for unemployment compensation due to insufficient earnings or having performed services
for an employer that was not covered under a State unemployment compensation law and is
unlikely to return to a previous industry or occupation;
November 20, 2003
ATTACHMENT B
WORKFORCE INVESTMENT ACT ELIGIBILITY STATEMENT
Permanent Closure/Substantial Layoff – has been terminated or laid off, or has received a notice of
termination or layoff, from employment as a result of any permanent closure of, or any substantial layoff at,
a plant, facility, or enterprise;
General Announcement of Closure – is employed at a facility at which the employer has made
a general announcement that such facility will close within 180 days; or for purposes of
eligibility to receive services other than training services described in Section 134(d)(4),
intensive services described in Section 134(d)(3), or supportive services, is employed at a
facility at which the employer has made a general announcement that such facility will
close;
Formerly Self-Employed/Currently Unemployed – was self-employed (including employment as
a farmer, a rancher, or a fisherman) but is unemployed as a result of general economic conditions
in the community in which the individual resides or because of natural disasters; or
Displaced Homemaker – an individual who has been providing unpaid services to family
members in the home and who
(A) has been dependent on the income of another family member but is no longer supported by
that income; AND
(B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading
employment. Underemployment for WIA Displaced Homemaker programs shall be determined
relative to a Total Family Income, which does not exceed 100% of the LLSIL.
Additional Definition
For the purpose of all dislocated worker categories except Displaced Homemaker the following
definition of employed applies:
Employed, but in need of intensive services in order to obtain or retain employment that allows for
self – sufficiency. Self-sufficiency for employed Dislocated Worker Program participants shall be
determined by whether or not their current wage exceeds 90% of the layoff wage.
54 November 20, 2003
ATTACHMENT B
BLUE COLLAR JOBS ACT AND STATE SKILLS GRANT ELIGIBILITY STATEMENT
ACT AND/ OR POLICY CITATION ELIGIBILITY STATEMENT
An individual shall be eligible to participate in the
State Blue Collar and Skills Grant Programs if
such individual meets:
General Eligibility consists of:
Delaware Blue Collar Jobs Act Citizenship or Eligible to Work
Selective Service Registrant (if applicable)
Delaware Workforce Investment Board (DWIB) Policy Residency
Age
November 20, 2003
ATTACHMENT B
BLUE COLLAR JOBS ACT AND STATE SKILLS GRANT ELIGIBILITY STATEMENT
Individuals must meet General Eligibility, which consists of Citizenship or Eligible to Work, Residency, Age,
and Selective Service Registration.
Citizenship or Eligible to Work – participation in programs and activities financially assisted in whole or
part under DWIB / DE DOL / DET shall be open to citizens and nationals of the United States, lawfully
admitted permanent resident aliens, lawfully admitted refugees and parolees, and other individuals
authorized by the Attorney General to work in the United States (applies to all programs under Blue
Collar).
Selective Service Registrant – the Secretary shall ensure that each individual participating in any
program established under DWIB / DE DOL / DET or receiving any assistance or benefit under Blue
Collar, has not violated Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not
presenting or submitting to registration as required pursuant to such section. The Director of the Selective
Service System shall cooperate with the Secretary in carrying out this section.
Note: Males born on or after January 1, 1960 must register with the selective service system
within 30 days after their 18th birthday or at least before they reach the age of 26.
Age – Not less than than age 14 and not more than age 21(Youth Programs) or any age beyond 14 (Adult
Programs).
Residency – participation in a program administered by the DWIB / Delaware Department of Labor,
Division of Employment and Training (DE DOL / DET) shall be open to all residents of Delaware.
Residency is determined at time of application. An exception to Delaware residency may be permissible if
the youth is enrolled in a Delaware school and lives in a town split by state boundaries (for example
Delmar and Marydel). Additional exceptions to Delaware residency may be permissible if approved by
DET/DWIB.
November 20, 2003
ATTACHMENT C
SELECTIVE SERVICE REGISTRATION
In accordance with Section 189(h) of the Workforce Investment Act, which states that the U.S. Secretary of
Labor shall insure that each individual participating in any program established under this Act, has not
violated Section 3 of the Military Selective Service Act (50 U.S.C. App. 453) by not presenting and submitting
to registration as required pursuant to such section.
WHO MUST REGISTER
Almost all male U.S. Citizens and male aliens living in the U.S., who are 18 through 25, are
required to register with Selective Service. It’s important to know that even though he is registered, a
man will not automatically be inducted into the military. In a crisis requiring a draft, men would be called in
sequence determined by random lottery number and year of birth. Then, they would be examined for
mental, physical, and moral fitness by the military before being deferred or exempted from military service
or inducted into the Armed Forces.
A chart of who must register is available on page three of Attachment C.
NON-CITIZENS
Some non-citizens are required to register. Others are not. Non-citizens who are not required to
register with Selective Service include men who are in the U.S. on student or visitor visas and men
who are part of a diplomatic or trade mission and their families. Almost all other male non-citizens
are required to register, including illegal aliens, legal permanent residents, and refugees. The
general rule is that if a male non-citizen takes up residency in the U.S. before his 26th birthday, he
must register with Selective Service. For a more detailed list of which non-citizens must register,
see the Who Must Register for Selective Service Chart.
DUAL NATIONALS
Dual nationals of the U.S. and another country are required to register, regardless of where they
live, because they are U.S. nationals.
HOSPITALIZED OR INCARCERATED MEN
Young men in hospitals, mental institutions, or prisons do not have to register while they are committed.
However, they must register within 30 days after being released if they have not yet reached their 26 th
birthday.
DISABLED MEN
Disabled men who live at home must register with Selective Service if they can reasonably leave their homes
and move about independently. A friend or relative may help a disabled man fill out the registration form if
he can’t do it himself.
Men with disabilities that would disqualify them from military service still must register with Selective
Service. Selective Service does not presently have authority to classify men, so even men with obvious
handicaps must register now, and if needed, classifications would be determined later.
August 5, 2002
ATTACHMENT C
FULL-TIME MILITARY EXEMPTED FROM REQUIREMENT
Young men serving in the military on full-time active duty do not have to register. Those attending the
service academies do not have to register. If a young man leaves the military before turning 26, he must
register.
NATIONAL GUARD AND RESERVES
Members of the Reserve and National Guard not on full-time active duty must register.
CONSCIENTIOUS OBJECTORS
Men who would be classified as conscientious objectors if they were drafted must also register with Selective
Service. If a draft begins and they are called, they would have the opportunity to file a claim for exemption
from military service based upon their religious or moral objection to war.
For information on selective service regulations, please refer to the following:
TEGL 4-89 (dated 03/19/90) – Application of Selective Service Registration Requirements in Section
504 of the Job Training Partnership Act (JTPA)
TEGL 8-98 (dated 11/04/98) – Selective Service Registration
ective Service Telephone Verification No. (847) 688-6888;
rnet Verification/Registration (www.sss.gov).
August 5, 2002
ATTACHMENT C
WHO MUST REGISTER FOR SELECTIVE SERVICE?
CATEGORY Y N
E O
S
All male U.S. citizens born on or after January 1, 1960, who are 18 but not
X
yet 26 years old, except as noted below:
MILITARY-RELATED
X*
Active duty military
Men attending service academies, like the U.S. Air Force Academy X*
Men attending the U.S. Coast Guard Academy X*
Men attending the Merchant Marine Academy X
Men receiving Officer Training at The Citadel, North George College,
X*
Norwich University, and Virginia Military Institute
Members of the National Guard or Reserves not on active duty X
Delayed Entry Program Enlistees X
Men who separate from active duty for any reason before they turn 26 X*
Men rejected for enlistment for any reason before turning 26 X
ALIENS**
Lawful non-immigrants on visas (e.g., diplomatic and consular
personnel and families, foreign students, tourists with unexpired visas X
(Forms I-94, I-95A), or those with Border Crossing Documents (Forms
I-185, I-186, or I-444))
Permanent resident aliens X
Special (seasonal) agricultural workers (Form I-688) X
Special agricultural workers (Form I-688A) X
Refugee, parolee, and asylee aliens X
Undocumented (illegal) aliens X
CONFINED
X*
Incarcerated, hospitalized, or institutionalized for medical reasons
HANDICAPPED PHYSICALLY OR MENTALLY
X
Able to function in public with or without assistance
Continually confined to a residence, hospital, or institution X
* MUST register within 30 days of release unless already age 26 or already registered when released,
or exempt during entire period age 18 through 25.
** Residents of Puerto Rico, Guam, Virgin Islands, and Northern Mariana Islands are U.S. citizens. Citizens of
American Samoa are nationals and must register when their address is permanent in the United States.
Habitual residence is presumed whenever a national, or a citizen of the Republic of the Martial Islands or the
Federated States of Micronesia resides in the United States for more than one year in any status, except as
a student or employee of the government of his homeland.
August 5, 2002
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Adult – except in Sections 127 and 132, an adult is an individual with an age of 18 or older. [Act
101(1) and 20 CFR 663.110]
Age – the term adult means an individual who is age 18 or older [Act 101(1) and 20 CFR 663.110];
for youth age is not less than 14 and not more than 21 [Act 101(13) and 20 CFR 664.200(a)].
Basic Skills Deficient – an individual who
(1) computes or solves problems, reads, writes, or speaks English at or below the 8 th grade level
on a generally accepted standardized test or a comparable score on a criterion-referenced
test; or
(2) is unable to compute or solve problems, read, write, or speak English at a level necessary to
function on the job, in the individual’s family or in society.
[Act 101(19); Act 203(12); and 20 CFR 664.205]
Behind Grade Level – individuals with educational attainment that is one or more grade levels below
the grade level appropriate to the age of the individual.
[Act 129(C)(5)]
When determining the level of deficiency for a youth participant, it is essential to determine the
grade level at which they should be functioning. In order to enter the first grade, a child must be
six years old on or before September 1st.
Cash Public Assistance – an individual who is listed on the grant and/or is receiving assistance
under any of the following programs at any time during participation.
Temporary Assistance to Needy Families (TANF) (also include individuals receiving Aid
to Families with Dependent Children (AFDC) during JTPA application or participation
who were grandfathered into WIA)
General Assistance (GA) (State/local government)
Refugee Cash Assistance (RCA)
Supplemental Security Income (SSI-SSA Title XVI)
Public assistance recipients may also include participants, who were referred by the TANF agency,
participated in the TANF assessment program as a requirement prior to opening a TANF grant, and
who received support services from the TANF agency.
[Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]
Citizenship/Eligible to Work – participation in programs and activities financially assisted in whole or
part under WIA shall be open to citizens and nationals of the United States, lawfully admitted
permanent resident aliens, lawfully admitted refugees and parolees, and other individuals authorized
by the in the United States (applies to all programs under Title I Attorney General to work). [Act
188(a)(5)]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Corroborative Witness – a person who personally knows or can identify the WIA applicant and who is reasonably likely to be able
to verify the applicant’s statement on the Statement of Family Size/Family Income Form. The witness signing the Statement of
Family Size/Family Income Form may accomplish such verification.
[See Attachment H of WIIN 3-99, Change 2]
Dislocated Worker – an individual who
(A) (i) has been terminated or laid off, or who has received a notice of termination or layoff from employment;
(ii) (I) is eligible for or has exhausted entitlement to unemployment compensation;
or
(II) has been employed for a duration sufficient to demonstrate to the appropriate entity at a
one-stop center, referred to in Section 134(c), attachment to the workforce, but is not
eligible for unemployment compensation due to insufficient earnings or having performed
services for an employer that was not covered under a State unemployment compensation
law; AND
(iii) is unlikely to return to a previous industry or occupation.
(B) (i) has been terminated or laid off, or has received a notice of termination or layoff from
employment as a result of any permanent closure of, or any substantial layoff at, a plant,
facility, or enterprise;
(ii) is employed at a facility at which the employer has made a general announcement that such
facility will close within 180 days; OR
(iii) for purposes of eligibility to receive services other than training services described in
Section 134(d)(4), intensive services described in Section 134(d)(3), or supportive services, is
employed at a facility at which the employer has made a general announcement that such
facility will close.
(C) was self-employed (including employment as a farmer, a rancher, or a fisherman), but is
unemployed as a result of general economic conditions in the community in which the individual
resides or because of natural disasters; OR
(D) is a displaced homemaker.
[Act 101(9)]
Displaced Homemaker – an individual who has been providing unpaid services to family members in
the home and who
(A) has been dependent on the income of another family member but is no longer supported by that income; AND
(B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.
[Act 101(10)]
Documentation – to maintain physical evidence, which is obtained during the verification process, in participant files. Such
evidence would be copies of documents, completed telephone/document inspection forms and signed self-certification statement.
Eligible Youth – an individual who
(A) is not less than age 14 and not more than age 21;
(B) is a low-income individual; and
(C) is an individual who has one or more of the following barriers:
(i) deficient in basic literacy skills;
(ii) a school dropout;
(iii) homeless, a runaway, or a foster child;
(iv) pregnant or a parent;
(v) an offender;
(vi) an individual who requires additional assistance to complete an educational program, or
to secure and hold employment.
[Act 101(13)]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Emancipated Youth – a youth who
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
A. At time of eligibility determination was 19 or older and who was 19 or older on the previous
January 1, except full time students.
B. At time of eligibility determination was 18 or older and who was 18 or older on the previous
January 1, except full time students, that on their tax return for the most recent year,
claimed themselves.
C. Other youth may be determined to be emancipated due to their family status, personal
income and housing arrangements etc.. (This is subject to a “reasonable person” test,
requires documentation, and is solely the responsibility of the contractor (See definition of
family for additional information)).
Employed at Registration – an employed individual is currently working as a paid employee or
who works in his or her own businesses or profession or on his or her own farm, or works 15
hours or more per week as an unpaid worker on a farm or in an enterprise operated by a
member of the family, or is one who is not working, but has a job or business from which he or
she was temporarily absent because of illness, bad weather, vacation, labor-management
dispute, or personal reasons, whether or not paid by the employer for time-off, and whether or
not seeking another job.
[Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]
Exceptions/Youth Only – up to five percent of youth participants served by youth programs in a
local area may be individuals who do not meet the income criterion for eligible youth provided that they
are within one or more of the following categories. (This is only available when it is specifically
identified in the agreement / contract).
(a) School Dropout;
(b) Basic Skills Deficient;
(c) Are one or more grade levels below the grade level appropriate to the individual’s age;
(d) Pregnant or Parenting
(e) Possess one or more disabilities, including learning disabilities;
(f) Homeless or Runaway;
(g) Offender; or
(h) Face Serious Barriers to employment as identified by the Local Board.
[20 CFR 664.220 and Act 129(c)(2)(5)]
Family – two or more persons related by blood, marriage, or decree of court, who are living in a single
residence, and are included in one or more of the following categories:
(A) a husband, wife, and dependent children.
(B) a parent or guardian and dependent children.
(C) a husband and wife.
[Act 101(15)]
A dependent child is defined as a child:
Under age 19 at the end of the previous calendar year; or
Under age 24 at the end of the previous calendar year and was a student.
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
A dependent child was a student if he or she:
Was enrolled as a full-time student at a school during any 5 months of the previous
calendar year or took a full-time, on-farm training course during any 5 months of the
previous calendar year. The course had to be given by a school or a state, county or
local government agency. A school includes technical, trade and mechanical
schools. It does not include on-the-job training courses or correspondence schools.
Also, regardless of residence and/or citizenship, anyone claimed as a dependent on
another person’s Federal Income Tax return for the previous year shall be presumed
to be part of the person’s family for the current year. To negate this assumption, the
person who was claimed as a dependent for income tax purposes would be required
to provide information that demonstrates the individual is no longer financially
dependent.
In applying the definition of family, runaway youth, emancipated youth, and court
adjudicated youth separated from the family through involuntary temporary
residence elsewhere (e.g., institutionalized, incarcerated, or placed as a result of a
court order) shall not be classified as dependent children.
Individual with a disability and own income at or below the Poverty Line or 70% of the
Lower Living Standard Income Level.
[20 CFR 663.640 – Adult; 20 CFR 664.250 – Youth]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Family Income – for the purpose of determining WIA income eligibility. List the total income received
by you and members of your family from (1) gross wages and salaries (before deductions); (2) net
self-employment income (gross receipts minus operating expenses); and (3) other money income from
sources such as net rents, social security, pensions, alimony, government and armed forces
retirement payments, insurance policy annuities, and other sources of periodic income.
Inclusions for Family Income
Money wages and salaries before any deductions;
WIA OJT wage payments to participants;
Disaster Relief Employment Wages;
Net receipts from non-farm self-employment (receipts from a person’s own unincorporated business, professional
enterprise, or partnership after deductions for business expense);
Net receipts from farm self-employment (receipts from a farm which one operates as an owner, renter, or
sharecropper, after deductions for farm operating expenses);
Regular payments from social security, railroad retirement, strike benefits from union funds, worker’s
compensation (public/private), and training stipends;
Alimony;
Military family allotments or other regular support from an absent family member or someone not living in the
household;
Pensions whether private government employee (including military retirement pay);
Regular insurance or annuity payments;
College or university grants, fellowships and assistantships;
Dividends, interest, net rental income, net royalties, periodic receipts from estates or trust;
Net gambling or lottery winnings;
Net self-employment income (gross receipts minus operating expenses).
Exclusions for Family Income
Unemployment compensation; [Act 101(25)(B)]
Child support payments; [Act 101(25)(B)]
Cash welfare payments (including TANF, SSI, RCA, GA);
[Act 101(25)(B)]
Old Age and Survivors Insurance (OASI) benefits received under Section 202 of the Social
Security Act (42 U.S.C. 402); [Act 101(25)(B)]
Foster care payments; [Act 101(25)(B)]
Needs-based scholarship assistance;
Financial assistance under Title IV of the Higher Education Act, i.e., Pell Grants, Federal
Supplemental Educational Opportunity Grants and
Federal Work Study, PLUS, Stafford and Perkins loans like any other kind of loan are debt
and not income;
Income earned while the veteran was on active military duty and certain other veterans’
benefits, i.e., compensation for service-connected disability, compensation for service-
connected death, vocational rehabilitation, and education assistance;
Tax refunds, gifts, loans, lump-sum inheritances, one-time insurance payments, or
compensation for injury;
Any assets drawn down as withdrawals from a bank, the sale of property, a house or a car;
IRA withdrawals;
Capital gains;
Non-cash benefits such as employer-paid fringe benefits, food or housing received in lieu of
wages, Medicare, Medicaid, food stamps, school meals, and housing assistance;
WIA payments to participants (except OJT wages) shall not be considered as income for
the purposes of determining eligibility.
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
NOTE: When a federal statute specifically provides that income or payments received
under such statute shall be excluded in determining eligibility for the level of
benefits received under any other federal statute, such income or payments shall
be excluded in WIA eligibility determination.
Follow-up Services (Adult and Dislocated Worker) – follow-up services, including counseling
regarding the workplace, for participants in workforce investment activities authorized under subtitle
(B) of Title I of WIA who are placed in unsubsidized employment, for not less than 12 months after the
first day of the employment, as appropriate. [20 CFR 662.240(b)(11)]
Follow-up Services (Youth) – follow-up services for youth may include:
(1) leadership development and supportive service activities listed in 20 CFR 664.420 and 20 CFR 664.440;
(2) regular contact with a youth participant’s employer, including assistance in addressing work-related
problems that arise;
(3) assistance in securing better paying jobs, career development and further education;
(4) work-related peer support groups;
(5) adult mentoring; and
(6) tracking the progress of youth in employment after training.
All youth participants must receive some form of follow-up services for a minimum duration of 12
months. Follow-up services may be provided beyond 12 months at the State or Local Board’s
discretion. The types of services provided and the duration of services must be determined based on
the needs of the individual. The scope of these follow-up services may be less intensive for youth who
have only participated in summer youth employment opportunities. [20 CFR 664.450]
Food Stamps – is a member of a household that receives (or has been determined within the 6-month
period prior to application for the program involved to be eligible to receive) food stamps pursuant to
the Food Stamp Act of 1977. [Act 101(25)(C)]
Foster Child – a foster child is an individual on behalf of whom state or local government payments
are made. [Act 101(25)(E)]
Homeless – an individual who lacks a fixed regular, adequate night time residence; and any individual
who has a primary night time residence that is:
(a) a publicly or privately operated shelter for temporary accommodation;
(b) an institution providing temporary residence for individuals intended to be institutionalized;
or
(c) a public or private place not designated for or ordinarily used as a regular sleeping
accommodation for human beings.
The term homeless does not include a person imprisoned or detained pursuant to an Act of Congress or State law. [Section
103(a) and Section 103(c) of the Stewart B. McKinney Act]
Individual with a Disability – means an individual with any disability (as defined in Section 3 of the
Americans with Disabilities Act of 1990 (42 U.S.C. 12102)).
[Act 101(17)]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Disability means, with respect to an individual, a physical or mental impairment that substantially limits one or more of the
major life activities of such individual; a record of such an impairment; or being regarded as having such an impairment.
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
(1) (i) the phrase physical or mental impairment means
(A) any physiological disorder or condition, cosmetic disfigurement, or anatomical loss affecting one or more of the
following body systems: neurological, musculoskeletal, special sense organs, respiratory (including speech organs),
cardiovascular, reproductive, digestive, genitourinary, hemic and lymphatic, skin, and endocrine.
(B) any mental or psychological disorder such as mental retardation, organic brain syndrome, emotional or mental
illness, and specific learning disabilities.
(ii) the phrase physical or mental impairment includes, but is not limited to, such contagious and non-contagious diseases
and conditions as orthopedic, visual, speech and hearing impairments, cerebral palsy, epilepsy, muscular dystrophy,
multiple sclerosis, cancer, heart disease, diabetes, mental retardation, emotional illness, specific learning disabilities,
HIV disease (whether symptomatic or asymptomatic), tuberculosis, drug addiction, and alcoholism. The phrase
“physical or mental impairment” does not include homosexuality or bisexuality.
(2) the phrase major life activities means functions such as caring for one’s self, performing manual tasks, walking, seeing,
hearing, speaking, breathing, learning, and working.
(3) the phrase has a record of such an impairment means has a history of, or has been misclassified as having, a mental or
physical impairment that substantially limits one or more major life activities.
(4) the phrase is regarded as having an impairment means
(i) has a physical or mental impairment that does not substantially limit major life activities but that is treated by the
recipient as being such a limitation;
(ii) has a physical or mental impairment that substantially limits major life activities only as a result of the attitudes of
others toward such impairment; or
(iii) has none of the impairments defined in paragraph (1) of this definition but is treated by the recipient as having such an
impairment.
[20 CFR 37.4]
The following questions and answers are in regard to disabled individuals and can be found in
20 CFR 663.640 (Adult) and 20 CFR 664.250 (Youth) of the Final Rules.
20 CFR 663.640 May an individual with a disability whose family does not meet income eligibility
criteria under the Act be eligible for priority as a low-income adult?
Yes. Even if the family of an individual with a disability does not meet the income eligibility
criteria, the individual with a disability is to be considered a low-income individual if the
individual’s own income:
(a) meets the income criteria established in WIA section 101(25)(B); or
(b) meets the income eligibility criteria for cash payments under any Federal, State or
local public assistance program. (WIA section 101(25)(F))
20 CFR 664.250 May a disabled youth whose family does not meet income eligibility criteria under
the Act be eligible for youth services?
Yes. Even if the family of a disabled youth does not meet the income eligibility criteria, the
disabled youth may be considered a low-income individual if the youth’s own income:
(a) meets the income criteria established in WIA section 101(25)(B); or
(b) meets the income eligibility criteria for cash payments under any Federal, State or
local public assistance program. (WIA section 101(25)(F))
Individual Employment Plan (IEP) – the individual employment plan is an ongoing strategy jointly
developed by the participant and the case manager that identifies the participant’s employment goals,
the appropriate achievement objectives, and the appropriate combination of services for the participant
to achieve the employment goals. [20 CFR 663.245]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Individual Who Requires Additional Assistance – definitions and eligibility verification requirements
regarding the “requires additional assistance to complete an educational program, or to secure and
hold employment” criterion of 20 CFR 664.200(c)(6) must be specified in the agreement / contract.
[20 CFR 664.210]
Literacy – an individual’s ability to read, write, and speak in English, and to compute and solve
problems at levels of proficiency necessary to function on the job, in the family of the individual, and in
society. [Act 203(12); 20 CFR 660.300]
Local Board – a local workforce investment board established under WIA section 117 to set a policy
for the local workforce investment system.
[20 CFR 660.300]
Lower Living Standard Income Level (LLSIL) – the income level (adjusted for regional,
metropolitan, urban, and rural differences and family size) determined annually by the Secretary of the
U.S. Department of Labor based on the most recent lower living family budget issued by the
Secretary. [See Attachment E of WIIN 3-99, Change 2]
Low-income Individual – an individual who
(A) receives, or is a member of a family that receives, cash payments under a Federal, State, or local
income-based public assistance program;
(B) received an income, or is a member of a family that received a total family income, for the six
month period prior to application for the program involved (exclusive of unemployment
compensation, child support payments, payments described in subparagraph (A), and old-age and
survivors insurance benefits received under Section 202 of the Social Security Act (42 U.S.C.
402)) that, in relation to family size, does not exceed the higher of
(i) the Poverty Line for an equivalent period; or
(ii) 70 percent of the Lower Living Standard Income Level (LLSIL) for an equivalent period;
(C) is a member of a household that receives (or has been determined within the six month period
prior to application for the program involved to be eligible to receive) food stamps pursuant to the
Food Stamp Act of 1977 (7 U.S.C. 2011 et seq.);
(D) qualifies as a homeless individual, as defined in subsections (a) and (c) of Section 103 of the
Stewart B. McKinney Homeless Assistance Act (42 U.S.C. 11302);
(E) is a foster child on behalf of whom State or local government payments are made; or
(F) in cases permitted by regulations promulgated by the Secretary of Labor, is an individual with a
disability whose own income meets the requirements of a program described in subparagraph (A)
or of subparagraph (B), but who is a member of a family whose income does not meet such
requirements.
[Act 101(25)]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Not Employed at Registration – an individual who does not meet the definition of employed or who,
although employed, has received notice of termination of employment. [Training and Employment
Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]
Offender – an individual
(A) who is or has been subject to any stage of the criminal justice process for whom services under
WIA may be beneficial; or
(B) who requires assistance in overcoming artificial barriers to employment resulting from a record of
arrest or conviction.
[Act 101(27)]
Out-of-School Youth – an eligible youth, at the time of registration, who is a school dropout or who
has received a secondary school diploma or its equivalent but is basic skills deficient, unemployed, or
underemployed. [Act 101(33)]
An individual who is out-of-school at any time, has not received a secondary school diploma or
its recognized equivalent and then enrolled in an alternative school, may be considered an out-
of-school youth.
[20 CFR 664.310]
Participant – an individual who has registered under 20 CFR 663.105 or 20 CFR 664.215 and has
been determined to be eligible to participate in and who is receiving services (except for follow-up
services) under a program authorized by WIA Title I. Participation commences on the first day,
following determination of eligibility, on which the individual begins receiving other core, intensive,
training or other services provided under WIA Title I. [Act 101(34); 20 CFR 660.300]
Pregnant or Parenting Youth – an individual who is under 22 years of age and who is pregnant, or a
youth (male or female) who is providing custodial care for one or more dependents under age 18.
[Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]
Poverty Guidelines – are issued by the Department of Health and Human Services and are used for
administrative purposes – for instance, for determining whether a person or family is financially eligible
for assistance or services under a particular Federal program. [Federal Register, Volume 67,
Number 31, February 14, 2002,
pp. 6931 – 6933; See Attachment E of WIIN 3-99, Change 2]
Poverty Line – the poverty line (as defined by the Office of Management and Budget, and revised
annually in accordance with Section 673(2) of the Community Services Block Grant Act (42 U.S.C.
9902(2)) applicable to a family of the size involved.
[Act 101(36)]
Priority Policy (for intensive and training services) – if funds are limited, priority shall be given to
recipients of public assistance and other low-income individuals for intensive and training services.
[20 CFR 663.600 and Act 134(d)(4)(E)]
Funds allocated for dislocated workers, blue collar, or skills grant are not subject to this
requirement.
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Public Assistance – Federal, State, or local government cash payments for which eligibility is
determined by a needs or income test. [Act 101(37)]
Public Assistance Recipient – a participant who is listed on the grant and/or is receiving assistance
under any of the following programs at any time during participation.
Temporary Assistance to Needy Families (TANF) (also include individuals receiving
Aid to Families with Dependent Children (AFDC) during JTPA application or participation
who were grandfathered into WIA)
General Assistance (GA) (State/local government)
Refugee Cash Assistance (RCA)
Supplemental Security Income (SSI-SSA Title XVI)
Public assistance recipients may also include participants who were referred by the TANF agency,
participated in the TANF assessment program as a requirement prior to opening a TANF grant, and
who received support services from the TANF agency.
[Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1, Attachment E]
Register – the process for collecting information to determine an individual’s eligibility for services
under WIA Title I. Individuals may be registered in a variety of ways as described in 20 CFR 663.105
and 20 CFR 664.215. [20 CFR 660.300]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Registration (Adults and Dislocated Workers)
(a) Registration is the process for collecting information to support a determination of eligibility. This
information may be collected through methods that include electronic data transfer, personal
interview, or an individual’s application.
(b) Adults and dislocated workers who receive services funded under Title I other than self-service or
informational activities must be registered and determined eligible.
(c) EO data must be collected on every individual who is interested in being considered for WIA Title I
financially assisted aid, benefits, services, or training by a recipient, and who has signified that
interest by submitting personal information in response to a request from the recipient.
[20 CFR 663.105]
Registration (Youth)
(a) All youth participants must be registered.
(b) Registration is the process of collecting information to support a determination of eligibility.
(c) EO data must be collected on individuals during the registration process.
[20 CFR 664.215]
Runaway Youth – a youth (14 – 18) who absents himself or herself from home or place of legal
residence without the permission of parents or legal guardian.
School Dropout – an individual who is no longer attending any school and who has not received a
secondary school diploma or its recognized equivalent.
[Act 101(39)]
Selective Service Registrant – the Secretary shall ensure that each individual participating in any
program established under WIA, or receiving any assistance or benefit under WIA, has not violated
Section 3 of the Military Selective Service Act (MSSA) (50 U.S.C. App. 453) by not presenting or
submitting to registration as required pursuant to such section. The Director of the Selective Service
System shall cooperate with the Secretary in carrying out this section.
NOTE: Males born on or after January 1, 1960 must register with the selective service system
within 30 days after their 18th birthday or at least before they reach the age of 26. [Act 189(h)]
Procedures outlined in TEGL No. 4-89, dated March 19, 1990, and TEGL No. 8-98, dated November
4, 1998 must be followed. [See Attachment C of WIIN 3-99, Change 2]
Self-Certification – an individual’s signed attestation that the information he/she submits to
demonstrate eligibility for a program under Title I of WIA is true and accurate. [20 CFR 660.300]
Self-Sufficiency – local boards must set the criteria for determining whether employment leads to
self-sufficiency. At a minimum, such criteria must provide that self-sufficiency means employment that
pays at least the lower living standard income level, as defined in WIA Section 101(24). Self-
sufficiency for a dislocated worker may be defined in a relation to a percentage of the layoff wage.
The special needs of individuals with disabilities or other barriers to employment should be taken into
account when setting criteria to determine self-sufficiency. Self-sufficiency may be defined differently
for an adult and a dislocated worker. The self-sufficiency definition can be found in your Local Plan.
[20 CFR 663.230]
November 20, 2003
ATTACHMENT D
DEFINITIONS FOR ELIGIBILITY
Supportive Services – services such as transportation, child care, dependent care, housing, and
needs-related payments that are necessary to enable an individual to participate in activities
authorized under this title, consistent with the provisions of this title. [Act 101(46); Also see Youth
Supportive Services]
Underemployed – occurs when an individual who is working part-time but desires full-time
employment, or who is working in employment not commensurate with the individual’s demonstrated
level of educational attainment.
[Training and Employment Guidance Letter (TEGL) No. 14-00, Change 1]
Verification – to confirm eligibility requirements through examination of official documents (e.g., birth
certificates, public assistance records, or speaking with official representatives of cognizant agencies).
Youth Leadership Development Opportunities – leadership development opportunities are
opportunities that encourage responsibility, employability, and other positive social behaviors such as:
(a)exposure to postsecondary educational opportunities;
(b)community and service learning projects;
(c)peer-centered activities, including peer mentoring and tutoring;
(d)organizational and team work training, including team leadership training;
(e)training in decision-making, including determining priorities; and
(f)citizenship training, including life skills training such as parenting, work behavior training, and
budgeting of resources.
[20 CFR 664.420]
Youth Supportive Services – supportive services for youth, as defined in WIA section 101(46), may
include the following:
(a) linkages to community services;
(b) assistance with transportation;
(c) assistance with child care and dependent care;
(d) assistance with housing;
(e) referrals to medical services; and
(f) assistance with uniforms or other appropriate work attire and work-related tools, including such
items as eyeglasses and protective eye gear.
[20 CFR 664.440; Also see Supportive Services]
November 20, 2003
ATTACHMENT E
INTRODUCTION
The 70% of the Lower Living Standard Income Levels and Self Sufficiency Income Guidelines are
updated each year, but not at the same time.
When the 70% of the Lower Living Standard Income Level and Self Sufficiency Income charts are
updated, they are sent out via e-mail and then updated in this Workforce Investment Information Notice.
Please note that we will not replace the page providing the income guidelines for the previous years. Instead,
we will issue the updated income guidelines as a new page, which will allow you to keep a history of these
guidelines as part of this Workforce Investment Information Notice.
November 20, 2003
ATTACHMENT E
70% of the LLSIL Guidelines for Delaware effective 7/1/03
This table is annual income
Family Size Low Income
(WIA Unemployed Adult & Youth Table)
1 8,980
2 12,120
3 15,650
4 19,310
5 22,790
6 26,650
7 30,510
8 34,370
9 38,230
10 42,090
For families greater than 10, add this 3,860
amount for each additional family member
November 20, 2003
ATTACHMENT E
Self Sufficiency Income Guidelines
This table is annual income
Family Size Self Sufficiency
(WIA & Skills Grant Employed Adult
Table)
1 9,930
2 16,280
3 22,340
4 27,580
5 32,550
6 38,070
7 43,590
8 49,110
9 54,630
10 60,150
For families greater than 10, add this 5,520
amount for each additional family member.
November 20, 2003
ATTACHMENT F
COMPOSITE OF ACCEPTABLE ELIGIBILITY VERIFICATION
roduction
All eligibility will be documented and verified.
It is important to note that verification is far different
than hard copy documentation.
Verification means to confirm eligibility
requirements through examination of official
documents (e.g., birth certificates, public
assistance records, or speaking with official
representatives of cognizant agencies).
Documentation means to maintain physical
evidence, which is obtained during the
verification process, in participant files.
Such evidence would be copies of
documents, completed telephone/document
inspection forms, and signed self-
certification statement.
All registrants for intensive and training services
must verify and document the General Eligibility
criteria, which consist of citizenship or eligible to
work, residency selective service registrant (if
applicable), and age. Registrants to be served with
WIA funds (Adult, Youth, Dislocated Workers will
also verify and document all remaining eligibility
requirements.
November 20, 2003
ATTACHMENT F
COMPOSITE OF ACCEPTABLE ELIGIBILITY VERIFICATION
GENERAL ELIGIBILITY DISLOCATED WORKER ELIGIBILITY
Must meet all of the following: Must meet at least one of the following:
Citizenship/Alien Status Terminated/Laid Off; Eligible for UC and
Birth Date/Age Unlikely to Return
Residency Permanent Closure or Substantial Lay-Off
Selective Service Registrant General Announcement of Closure
Formerly Self-Employed/Currently
Unemployed
YOUTH ECONOMIC Displaced Homemaker
ELIGIBILITY
(Low Income)
Must meet at least one of the YOUTH BARRIERS
following: Must meet one or more of the following:
Cash Public Assistance Basic Skills Deficient
Individual/Family Income School Dropout
Individual Status/Family Size Homeless, Runaway Youth, or Foster Child
Food Stamps Pregnant or Parenting
Homeless Offender
Supported Foster Child Requires Additional Assistance to complete
Individual with a Disability educational program or to secure and hold
employment
75 November 20, 2003
ATTACHMENT G
WIA, BLUE COLLAR, AND SKILLS GRANT ACCEPTABLE ELIGIBILITY VERIFICATION
GENERAL ELIGIBILITY CRITERIA
Individuals must meet the following General Eligibility Criteria, which consists of Citizenship or Eligible to Work, Age, Residency, and Selective Service Registration. Although an
individual’s Social Security Number is not considered General Eligibility Criteria, it must be verified.
77 November 20, 2003
ATTACHMENT G
WIA, BLUE COLLAR, AND SKILLS GRANT ACCEPTABLE ELIGIBILITY VERIFICATION
GENERAL ELIGIBILITY CRITERIA
D
i
s
l
o
c
LIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult a
t
e
d
Worker
SOCIAL SECURITY NUMBER DD-214, Report of Transfer or Discharge (if Social Security X X X
Number is listed)
Assignment of pseudo Social Security Employment Records
Number is forbidden by IRS regulations. IRS Form Letter 1722
Letter from Social Service Agency
NOTE: An unsigned social security card is Drivers License (if Social Security Number is listed)
valid, and a child’s social security card is Pay Stub
valid if signed by a parent. When the child Social Security Benefit Documents
reaches working age (14 or 15), the parent Social Security Card/Notice of Social Security Number Assignment
can apply for another card, which can then W-2 Form
be signed by the child. U. C. Records (if Name and Social Security Number is shown)
Self-Certification Form
Telephone Verification
Signed Documentation from School Officials
Other
CITIZENSHIP OR ELIGIBLE TO WORK Alien Registration Card Indicating Right to Work (INS Form I- X X X
151,
State/Federal records of printout of a I-551, I-94, I-688A I-197, I-179)
parent can be used as proof of citizenship Baptismal Certificate (if Place of Birth is shown)
of dependent children. Birth Certificate
DD-214, Report of Transfer or Discharge (if Place of Birth is shown)
If, on the verification source, the place of Food Stamp Record
birth is not in the United States, Foreign Passport Stamped Eligible to Work
additional verification may be needed. Hospital Record of Birth (if Place of Birth is shown)
Hand Gun Permit
* From List B of the I-9 Form the Voter Naturalization Certification
77 November 20, 2003
ATTACHMENT G
WIA, BLUE COLLAR, AND SKILLS GRANT ACCEPTABLE ELIGIBILITY VERIFICATION
GENERAL ELIGIBILITY CRITERIA
Registration Form cannot be used. Public Assistance Records
U. S. Passport
NOTE: For individuals that applied for a Social Security Card
Social Security Card after 1972 the Native American Tribal Document
Social Security Card only is acceptable One verification source from List A of the I-9 Form OR one
documentation of citizenship / alien verification source from List B AND one verification source from
status. List C of the I-9 Form*
Signed Documentation from School Officials
The Social Security Administration on Self-Certification Form
11-18-03 provided this information. Telephone Verification
Other
77 November 20, 2003
ATTACHMENT G
WIA, BLUE COLLAR, AND SKILLS GRANT ACCEPTABLE ELIGIBILITY VERIFICATION
GENERAL ELIGIBILITY CRITERIA
77 November 20, 2003
ATTACHMENT G
WIA, BLUE COLLAR, AND SKILLS GRANT ACCEPTABLE ELIGIBILITY VERIFICATION
GENERAL ELIGIBILITY CRITERIA
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
AGE/BIRTHDATE Baptismal Record (if Date of Birth is shown) X X X
Birth Certificate
DD-214, Report of Transfer or Discharge Paper
Driver’s License
Federal, State or Local Government Identification Card
Hospital Record of Birth (if Full Name is shown)
Passport
Public Assistance/Social Service Records
School Records/Identification Card
Work Permit
Self-Certification Form
Telephone Verification
Other
SELECTIVE SERVICE REGISTRANT Selective Service Advisory Opinion Letter X X X
Selective Service Registration Record (Form 3A)
DD-214, Report of Transfer or Discharge
Stamped Post Office Receipt of Registration
Internet Verification/Registration (www.sss.gov)
Selective Service Telephone Verification (847) 688-6888
Other
Residency Driver’s License or State ID X X X
Utility Bill
Lease or Landlord Statement
Rent Receipt
Voter Registration Card
Letter from a State Social Service Agency
Letter from a School / School District
Other
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
ECONOMIC ELIGIBILITY CRITERIA
Must meet at least one of the following Economic Eligibility Criteria, which consists of Individual/Family Income, Individual Status/Family Size,
Cash Public Assistance, Food Stamps, Homeless, Supported Foster Child, and Individuals with Disabilities.
Dislocated
W
o
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult r
k
e
r
INDIVIDUAL/FAMILY INCOME Alimony Agreement X Not
Statement of Family Size/Family Income applicable
Award Letter from Veterans Administration unless
Bank Statement (Direct Deposit) funds are
Verification should be provided for each limited and
applicable income source. Compensation Award Letter
a priority
Court Award Letter policy is in
If the applicant is low-Income based on meeting Employer Statement/Contact place with
the definition of TANF, Food Stamps, SSI, Farm or Business Financial Records the local
Homeless, or Foster Child, this must be Housing Authority Verification board for
verified. However, family size does not need to Pay Stubs intensive
be verified, and family income does not need to Pension Statement and/or
Public Assistance Records training
be verified or recorded.
Quarterly Estimated Tax for Self-employed Persons (Schedule C) services
Social Security Benefits
UI Documents and/or Printout
Self-Certification Form
Telephone Verification
Other
INDIVIDUAL STATUS/FAMILY SIZE Statement of Family Size/Family Income X Not
Birth Certificate applicable
Decree of Court unless
Disabled (See Individuals with a Disability) funds are
If the applicant is low-Income based on meeting limited and
the definition of TANF, Food Stamps, SSI, Divorce Decree
a priority
Homeless, or Foster Child to determine Low- Landlord Statement policy is in
Income Individual Family size; does not need to Lease place with
be verified, but the family for the individual Marriage Certificate the local
needs to be established. Medical Card board for
Most Recent Tax Return supported by IRS Documents (e.g., Form intensive
Letter 1711) and/or
Public Assistance/Social Service Agency Records training
Public Housing Authority (if Resident of or on Waiting List) services
Written Statement from a Publicly supported 24-hour Care Facility or
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
ECONOMIC ELIGIBILITY CRITERIA
Institution (e.g., Mental, Prison)
Self-Certification Form
Telephone Verification
Other
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
CASH PUBLIC ASSISTANCE Copy of Authorization to Receive Cash Public Assistance X
Copy of Public Assistance Check
If the applicant is low-income based on meeting Medical Card Showing Cash Grant Status
the definition of TANF, Food Stamps, SSI, Public Assistance Identification Card Showing Cash Grant
Homeless, or Foster Child, this must be Status
verified. However, family size does not need to
Public Assistance Records/Printout
be verified and family income does not need to
be verified or recorded.
Refugee Assistance Records
Self-Certification Form
Telephone Verification
Other
FOOD STAMPS Current Authorization to Obtain Food Stamps X
Current Food Stamp Recipient
If the applicant is low-income based on meeting Food Stamp Card with Current Date
the definition of TANF, Food Stamps, SSI, Letter from Food Stamp Disbursing Agency
Homeless, or Foster Child, this must be Postmarked Food Stamp Mailer with Applicable Name and
verified. However, family size does not need to Address
be verified and family income does not need to Public Assistance Records/Printout
be verified or recorded. Self-Certification Form
Telephone Verification
Other
HOMELESS Written Statement from an Individual Providing Temporary X
Residence
If the applicant is low-income based on meeting Written Statement from Shelter
the definition of TANF, Food Stamps, SSI, Written Statement from Social Service Agency
Homeless, or Foster Child, this must be Self-Certification Form
verified. However, family size does not need to Telephone Verification
be verified and family income does not need to Other
be verified or recorded.
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
ECONOMIC ELIGIBILITY CRITERIA
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
SUPPORTED FOSTER CHILD Court Contact X
Court Documentation
If the applicant is low-income based on meeting Medical Card
the definition of TANF, Food Stamps, SSI, Verification of Payments made on Behalf of the Child
Homeless, or Foster Child, this must be Written Statement from State/Local Agency
verified. However, family size does not need to
Self-Certification Form
be verified and family income does not need to
be verified or recorded.
Telephone Verification
Other
INDIVIDUALS WITH DISABILITIES Letter from Drug or Alcohol Rehabilitation Agency X X
Letter from Child Study Team stating Specific Disability
20 CFR 663.640 May an individual with a Medical Records
disability whose family does not meet income Observable Condition (Self-Certification Form Needed)
eligibility criteria under the Act be eligible for Physician’s Statement
priority as a low-income adult? Psychiatrist’s Diagnosis
Psychologist’s Diagnosis
Yes, even if the family of a disabled individual
does not meet the income eligibility criteria, the
Rehabilitation Evaluation
disabled individual is to be considered a low- Sheltered Workshop Certification
income individual if the individual’s own income: Social Service Records/Referral
(a) Meets the income criteria established in Social Security Administration Disability Records
WIA section 101(25)(B); or Veterans Administration Letter/Records
(b) Meets the income eligibility criteria for cash Vocational Rehabilitation Letter
payments under any Federal, State or local Signed Documentation from School Official
public assistance program. (WIA section Workers Compensation Record
101(25)(F).) Self-Certification Form
Telephone Verification
Other
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
YOUTH BARRIERS CRITERIA
Youth must be within one or more of the following Youth Barriers which consist of Basic Skills Deficient, Pregnant or Parenting,
School Dropout, Offender, Homeless, Runaway Youth or Foster Child, and Requires Additional Assistance.
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
YOUTH BARRIERS BASIC SKILLS DEFICIENT X
Assessed by a Generally Accepted Standardized Test
School Records
Self-Certification Form
Telephone Verification
Other
YOUTH BARRIERS PREGNANT OR PARENTING X
Birth Certificate
Hospital Record of Birth
Medical Card
Physician’s Note
Referrals from Official Agencies
School Program for Pregnant Teens
School Records
Statement from Social Service Agency
Self-Certification Form
Telephone Verification
Other
YOUTH BARRIERS SCHOOL DROPOUT X
Attendance Record
Dropout Letter
Self-Certification Form
Telephone Verification
Other
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
YOUTH BARRIERS CRITERIA
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
YOUTH BARRIERS OFFENDER X
Court Documents
Halfway House Resident
Letter of Parole
Letter from Probation Officer
Police Records
Self-Certification Form
Telephone Verification
Other
YOUTH BARRIERS HOMELESS, RUNAWAY YOUTH X
Written Statement from an Individual providing Temporary
Residence
Written Statement from Shelter
Written Statement from Social Service Agency
Self-Certification Form
Telephone Verification
Other
OR FOSTER CHILD
Court Contact
Court Documentation
Medical Card
Verification of Payment made on Behalf of the Child
Written Statement from State/Local Agency
Self-Certification Form
Telephone Verification
Other
YOUTH BARRIERS REQUIRES ADDITIONAL ASSISTANCE X
Self-Certification Form
Other
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
DISLOCATED WORKER CRITERIA
DISLOCATED WORKER – the term “dislocated worker” means an individual who (a) has been terminated or laid off, or who has received a notice of termination or
layoff, from employment; is eligible for or has exhausted entitlement to unemployment compensation; or has been employed for a duration sufficient to demonstrate, to
the appropriate entity at a one-stop center, attachment to the workforce, but is not eligible for unemployment compensation due to insufficient earnings or having
performed services for an employer that were not covered under a State unemployment compensation law; and is unlikely to return to a previous industry or occupation;
(b) has been terminated or laid off, or has received a notice of termination or layoff, from employment as a result of any permanent closure of, or any substantial layoff at,
a plant, facility, or enterprise; is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days; or for
purposes of eligibility to receive services other than training services, intensive services, or supportive services, is employed at a facility at which the employer has made a
general announcement that such facility will close; (c) was self-employed (including employment as a farmer, a rancher, or a fisherman) but is unemployed as a result of
general economic conditions in a community in which the individual resides or because of natural disasters; or (d) is a displaced homemaker.
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
DISLOCATED WORKER TERMINATED/LAID OFF/RECEIVED NOTICE OF TERMINATION OR X
LAYOFF
Certification of Expected Separation
Layoff Letter from Employer
Verification from Prospective Employer
Verification from Employment Agency
Self-Certification Form
Other
AND ELIGIBLE FOR UI
UI Documents and/or Printout
E.S. Contact
Profile Reemployment Program (PREP) Service Activity Plan
Other
AND UNLIKELY TO RETURN (Reemployment Opportunity is poor)
Contact with Separating Employer
Job Service Contact
Layoff/Termination Notice
Profile Reemployment Program (PREP) Service Activity Plan
Statewide/Local Labor Market Information
UC Printout listing Reason for Termination
Self-Certification Form
Telephone Verification
Other
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
DISLOCATED WORKER CRITERIA
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
DISLOCATED WORKER PERMANENT CLOSURE OF PLANT/FACILITY/ ENTERPRISE OR X
SUBSTANTIAL LAYOFF
Certification of Expected Separation
Letter from Employer
Media Announcement with Employment Verification
Contact with Separating Employer
Layoff Notice
Public Notice as determined by the State’s Rapid Response
Coordination Services
UI Documents and/or Printout
WARN Notice to Individual with Separating Employer
WARN Notice to Labor Union which represents Worker
Self-Certification Form
Telephone Verification
Other
DISLOCATED WORKER GENERAL ANNOUNCEMENT OF CLOSURE X
Verification from Media Source
Employer Verification
Self-Certification Form
Telephone Verification
Other
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
DISLOCATED WORKER CRITERIA
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
DISLOCATED WORKER FORMERLY SELF-EMPLOYED/CURRENTLY UNEMPLOYED X
Business License/Permit
IRS Forms
Labor Market Information
Unemployment Rate
Approved Labor Market Analysis
Business Ledgers
Chapter 7 – Bankruptcy published in Newspaper (Date must
be shown)
Chapter 11 – Bankruptcy published in Newspaper (Date must
be shown)
Failure of Business Supplier
Failure of Business Customer
Depressed Prices or Market
Federal/State Declaration of Disaster
BWI Approved Disaster AND Permanent Dislocation
Self-Certification Form
Telephone Verification
Other
77 November 20, 2003
ATTACHMENT G
WIA ACCEPTABLE ELIGIBILITY VERIFICATION
DISLOCATED WORKER CRITERIA
Displaced Homemaker – an individual who has been providing unpaid services to family members in the home and who
(A) has been dependent on the income of another family member but is no longer supported by that income; AND
(B) is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.
Dislocated
ELIGIBILITY CRITERIA ACCEPTABLE VERIFICATION Youth Adult
Worker
DISLOCATED WORKER DISPLACED HOMEMAKER X
The term “displaced homemaker”
means an individual who has been
providing unpaid services to family
members in the home and who
(A) has been dependent on the IRS Forms
income of another family member Court Records
but is no longer supported by that Medical Records
income; Bank/Financial Records
Divorce Decree
Spouse Death Certificate
Spouse Disability check
Self-Certification Form
AND AND
(B) is unemployed or underemployed Employer Verification
and is experiencing difficulty in Job Search Verification
obtaining or upgrading Self-Certification Form
employment. Telephone Verification
Other
77 November 20, 2003
ATTACHMENT H
INSTRUCTIONS FOR COMPLETING WORKFORCE INVESTMENT ACT (WIA)
STATEMENT OF FAMILY SIZE/FAMILY INCOME
This form is required for the verification of income of all WIA participants (EXCEPT WHEN THE FAMILY
INCOME WORKSHEET IS UTILIZED AS SPECIFIED IN ATTACHMENT K). In cases where the
recommended verification sources of Family Size verification are unavailable, then this form may also be used
to document family size.
For WIA program services, in extraordinary circumstances, this form may be also used to document income.
The explanation of the extraordinary circumstances will be documented in the case file. The documentation
will include the Self Attestation Statement described in attachment I.
This form will also be used
The purpose of this form is to verify the WIA applicant’s family size at time of registration and family income
during the last six months (26 weeks). This entails verifying the size and makeup of the applicant’s FAMILY. This
form is only required when eligibility is based on FAMILY INCOME.
The applicant should complete the Statement of Family Size/Family Income with the assistance of intake staff to
ensure it is completed correctly. The applicant will then take the form to have it signed by a witness who can
corroborate the given information.
Family – two or more persons related by blood, marriage, or decree of court, who are living in a single residence,
and are included in one or more of the following categories:
(A) a husband, wife, and dependent children.
(B) a parent or guardian and dependent children.
(C) a husband and wife.
A dependent child is defined as a child:
Under age 19 at the end of the previous calendar year, or
Under age 24 at the end of the previous calendar year and was a student.
A dependent child was a student if he or she:
Was enrolled as a full-time student at a school during any 5 months of the previous calendar year or
took a full-time, on-farm training course during any 5 months of the previous calendar year. The
course had to be given by a school or a state, county or local government agency. A school includes
technical, trade, and mechanical schools. It does not include on-the-job training courses or
correspondence schools.
Also, regardless of residence and/or citizenship, anyone claimed as a dependent on another person’s Federal
Income Tax return for the previous year shall be presumed to be part of the person’s family for the current
year. To negate this assumption, the person who was claimed as a dependent for income tax purposes would
be required to provide information that demonstrates the individual is no longer financially dependent.
In applying the definition of family, runaway youth, emancipated youth, and court adjudicated youth
separated from the family through involuntary temporary residence elsewhere (e.g., institutionalized,
incarcerated, or placed as a result of a court order) shall not be classified as dependent children.
1 August 5, 2002
ATTACHMENT H
An individual with a disability whose own income is at or below the Poverty Line or 70% of the Lower Living
Standard Income Level may be treated as a family of 1.
An individual with a disability and own income at or below the Poverty Line or 70% of the Lower Living
Standard Income Level.
Family Income – for the purpose of determining WIA income eligibility, list the total income received by you and
members of your family from (1) gross wages and salaries (before deductions); (2) net self-employment income
(gross receipts minus operating expenses); and (3) other money income from sources such as net rents, social
security, pensions, alimony, government and armed forces retirement payments, insurance policy annuities, and
other sources of periodic income.
Inclusions for Family Income
Money wages and salaries before any deductions;
WIA OJT wage payments to participants;
Disaster Relief Employment Wages;
Net receipts from non-farm self-employment (receipts from a person’s own unincorporated business,
professional enterprise, or partnership after deductions for business expense);
Net receipts from farm self-employment (receipts from a farm which one operates as an owner, renter, or
sharecropper, after deductions for farm operating expenses);
Regular payments from social security, railroad retirement, strike benefits from union funds, worker’s
compensation (public/private), and training stipends;
Alimony;
Military family allotments or other regular support from an absent family member or someone not living in
the household;
Pensions whether private government employee (including military retirement pay);
Regular insurance or annuity payments;
College or university grants, fellowships and assistantships;
Dividends, interest, net rental income, net royalties, periodic receipts from estates or trust;
Net gambling or lottery winnings;
Net self-employment income (gross receipts minus operating expenses).
Exclusions for Family Income
Unemployment compensation;
Child support payments;
Cash welfare payments (including TANF, SSI, RCA, GA);
Old Age and Survivors Insurance (OASI) benefits received under Section 202 of the Social Security Act
(42 U.S.C. 402);
Foster care payments;
Needs-based scholarship assistance;
Financial assistance under Title IV of the Higher Education Act, i.e., Pell Grants, Federal Supplemental
Educational Opportunity Grants and Federal Work Study, PLUS, Stafford, and Perkins loans like any
other kind of loan are debt and not income;
Income earned while the veteran was on active military duty and certain other veterans’ benefits, i.e.,
compensation for service-connected disability, compensation for service-connected death, vocational
rehabilitation, and education assistance;
Tax refunds, gifts, loans, lump-sum inheritances, one-time insurance payments, or compensation for
injury;
Any assets drawn down as withdrawals from a bank, the sale of property, a house or a car;
IRA withdrawals;
Capital gains;
Non-cash benefits such as employer-paid fringe benefits, food or housing received in lieu of wages,
Medicare, Medicaid, food stamps, school meals, and housing assistance;
WIA payments to participants (except OJT wages) shall not be considered as income for the purposes of
2 August 5, 2002
ATTACHMENT H
determining eligibility.
NOTE: When a federal statute specifically provides that income or payments received under such
statute shall be excluded in determining eligibility for the level of benefits received under
any other federal statute, such income or payments shall be excluded in WIA eligibility
determination.
IDENTIFYING INFORMATION
Please complete this block with the WIA applicant’s name, address, social security number, and
application date.
FAMILY MEMBERS NAME/RELATIONSHIP TO APPLICANT/FAMILY MEMBER INCOME
List the names of all FAMILY MEMBERS living in the applicant’s residence on the date of registration.
Indicate the relationship of each FAMILY MEMBER to the applicant.
Indicate the income during the last six months (26 weeks) of each FAMILY MEMBER living in the applicant’s
residence on the date of registration.
Complete the block Total Number in Family.
Complete the block Total Income (if applicable).
NAME/LOCATION/REASON
List the names of any FAMILY MEMBERS not currently residing in the applicant’s residence.
This should include any FAMILY MEMBER who is not currently living in the residence but would be
considered a part of the applicant’s family. These absences may be due to temporary and voluntary
residence elsewhere (e.g., attending school or college, or visiting relatives). It would not include involuntary
temporary residence elsewhere (e.g., incarceration, or placement as a result of a court order). Members of
the Armed Forces on extended temporary assignment elsewhere are considered to be assigned involuntarily
and would not be considered as part of the applicant’s FAMILY.
Indicate the location of the absent family member.
Indicate the reason for the absence. Include whether the absence is voluntary or involuntary and if it is
temporary or permanent.
The applicant must sign and date the form.
A corroborating witness must sign and date the form attesting to the accuracy of the given information. The
corroborating witness may live in or out of the residence, and may or may not be related to the applicant. The
witness must have verifiable knowledge of the applicant’s FAMILY STATUS.
3 August 5, 2002
ATTACHMENT H
WORKFORCE INVESTMENT ACT
STATEMENT OF FAMILY SIZE/FAMILY INCOME
IDENTIFYING INFORMATION
Applicant’s Name
Last First MI
Address
Social Security Number Application Date:
To be completed by WIA applicant with staff assistance
For use in completing this form, the definitions of FAMILY and FAMILY INCOME can be found on the previous
page.
Please provide information regarding the applicant’s FAMILY as requested below.
RELATIONSHIP TO FAMILY MEMBER INCOME
FAMILY MEMBER’S NAME
APPLICANT (Last Six Months)
Total Number in Family: Total Income:
If applicable, please complete the following information for FAMILY MEMBERS not currently residing in the applicant’s residence
(see instructions).
NAME LOCATION REASON
I attest to the best of my knowledge that the information above is true and correct.
Signature of Applicant Date
CORROBORATING WITNESS – I attest to the best of my knowledge that the information is true and correct.
Name Signature Date
Street Address City State Zip
Telephone Number Relationship to WIA Applicant
4 August 5, 2002
ATTACHMENT I
Self-Certification Requirements
After review of the eligibility criteria, along with possible ways to verify the criteria, it was found that much of
the verification was readily available through a number of agencies or sources. In some cases, definitive
verification is required (e.g., eligibility to work (I-9 requirements under IRCA) and Selective Service
Registration or exemption for males.
WIIN 3-99, Change 2 allows for the use of Self-Certification to verify those items that in some cases are not
verifiable or may cause undue hardship for individuals to obtain. A Self-Certification may be used after all
practicable attempts to secure verification have failed.
In order to utilize the Self-Certification as verification, the Self-Certification Form, or facsimile, must be
utilized.
Use of the Self-Certification Form is as follows:
If an applicant states that he/she cannot provide evidence that no income was received during
the past six months, and that he/she was unemployed for that period, the blank spaces following
the words “I certify, under penalty of law, that the following information is true” must be
completed. For example:
“Have received no income from any source during the past six months, I have been unemployed
during that time, and have been supported by donations/contributions from relatives and friends.”
NOTE: When using the “Self-Certification” form, the “Counselor’s Signature/Date” found in the “Certification” block must be completed.
The “Reviewer’s Signature/Date” is to be completed by the Case Manager/Contract Intake Staff Supervisor.
1 August 5, 2002
ATTACHMENT I
SELF-CERTIFICATION FORM
IDENTIFYING INFORMATION
Applicant’s Name
Last First MI
Address
Social Security Number Application Date:
I HEREBY CERTIFY UNDER PENALTY OF LAW, THAT THE FOLLOWING INFORMATION IS
TRUE.
I ATTEST THAT THE INFORMATION STATED ABOVE IS TRUE AND ACCURATE, AND
UNDERSTAND THAT THE ABOVE INFORMATION, IF MISREPRESENTED, OR INCOMPLETE, MAY
BE GROUNDS FOR IMMEDIATE TERMINATION AND/OR PENALTIES AS SPECIFIED BY LAW.
APPLICANT’S SIGNATURE and DATE APPLICANT’S PHONE NUMBER
APPLICANT’S ADDRESS
SIGNATURE OF PARENT OR GUARDIAN (as needed)
The above Self-Certification is being utilized for verification of the following eligibility criteria:
CERTIFICATION
I certify that the individual whose signature appears above provided the information recorded
on this form.
Counselor’s Signature/Date:
Reviewer’s Signature/Date:
2 August 5, 2002
ATTACHMENT J
Telephone/Document Inspection Verification Requirements
Introduction
WIA eligibility criteria may be verified by telephone contacts with cognizant governmental or social service
agencies, or by document inspection. The information obtained must be verified by recording the
information on a standardized form such as the example contained on page two of Attachment J.
Information recorded must be adequate to enable a monitor or auditor to trace back to the cognizant
agency or the document used. Telephone verification must include the name of the agency
representative providing the verification information.
In some cases, the information provided by an agency through telephone contact may be sufficient to
satisfy multiple WIA eligibility criteria. For example, verification that an applicant has been determined
eligible to receive TANF can satisfy the requirement for Youth program eligibility.
Verification of eligibility through document inspection is appropriate when documents cannot or may not
be machine-copied.
Agencies that may assist in verifying via telephone are as follows:
Local Schools
Social Security Administration
Veterans Administration
Medical and health facilities
Vocational rehabilitation facilities
Drug and alcohol rehabilitation facilities
Housing authorities
Homeless shelters
Judicial agencies and institutions
Other State and local government agencies
When WIA eligibility verification is accomplished via telephone or document inspection, Local Workforce
Investment Areas are required to use a standardized form, such as the example on page two for
monitoring and audit purposes.
November 20, 2003
ATTACHMENT J
WIA TELEPHONE VERIFICATION/DOCUMENT INSPECTION FORM
IDENTIFYING INFORMATION
Applicant’s Name
Last First MI
Social Security Number Date:
WIA ELIGIBILITY VERIFICATION BY TELEPHONE
NAME AND/OR NUMBER OF DOCUMENT
ELIGIBILITY ITEM(S) TO BE VERIFIED:
INFORMATION VERIFIED:
AGENCY PROVIDING VERIFICATION:
AGENT VERIFYING ELIGIBILITY ITEM:
DATE AND TIME OF VERIFICATION:
TELEPHONE NUMBER OF AGENCY PROVIDING VERIFICATION:
WIA ELIGIBILITY VERIFICATION BY DOCUMENT INSPECTION
NAME AND/OR NUMBER OF DOCUMENT
ELIGIBILITY ITEM TO BE VERIFIED:
INFORMATION VERIFIED:
DOCUMENT TO BE INSPECTED:
ORIGINAL SOURCE OF DOCUMENT:
REASON FOR DOCUMENT INSPECTION: REMOTE SITE ELIGIBILITY, NO COPIER AVAILABLE.
ON SITE ELIGIBILITY, NO COPIER AVAILABLE.
DOCUMENT CANNOT BE COPIED.
I ATTEST THAT THE INFORMATION RECORDED BY ME ON THIS DOCUMENT WAS
OBTAINED THROUGH TELEPHONE CONTACT OR DOCUMENT INSPECTION ON THE
ABOVE DATE. AS INDICATED BY THE AGENT, ALL INFORMATION WAS OBTAINED
FROM DATA PREVIOUSLY DETERMINED AND RECORDED IN THE APPLICANT’S
RECORDS AT THE AGENCY PROVIDING THE ELIGIBILITY VERIFICATION.
OR
I ATTEST THAT THE DOCUMENT INSPECTION VERIFIED THE PRIMARY/SECONDARY
ITEMS REQUIRED TO DETERMINE ELIGIBILITY FOR THE WIA PROGRAM.
ELIGIBILITY SPECIALIST’S SIGNATURE DATE
November 20, 2003
ATTACHMENT K
Alternative Income Verification Methods
Introduction
When income is used to document low income status, the eligibility is based on the income of the family. Family
income will be documented as described in Attachment “G”. The verification of income may be accomplished in
two ways:
Statement of Family Size/Family Income
Family Income Worksheet
The use of the Family Income Worksheet is an alternative method of verification . It replaces the requirement that
income be listed on the Statement of Family Size/ Family Income (Attachment “G”). Although an alternative, it
relies on the list of family members identified on that form and is subject to the definitions of Family and Includable
Family Income found in Attachment “G”
A separate section of the Family Income Worksheet will be completed for each applicant and family member over
15 years of age. When the individual has no income, “no income” should be written on the Annualized Total line.
For family members with wages/salary, the form will be completed as specified, identifying, the periods of work,
and the amount of income for the period. For individuals with other includable income, the type of income and
amount of income will be provided.
Income is calculated for the six (6) month period prior to application. It is then doubled to obtain the individuals
annual income. When this has been completed for all the family members, the individual family incomes are totaled
to obtain the total annual family income. The total annual family income is then compared with the appropriate
income tables found in Attachment “E”.
The form will also be used to document excludable income when it assists in verifying the support of the family.
November 20, 2003
DELAWARE DEPARTMENT OF LABOR
INCOME DETERMINATION PERIOD: FROM: ______________ TO: ___________
FAMILY INCOME WORK SHEET
APPLICANT’S NAME:
INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME
From _______ To ________ $________ per wk X _______ wks = $________ Supplemental Sec. Income: $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ AFDC, GA, RA $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ Food Stamps $________ per wk X ________ mos = $________
Pension/Military Retirement $________ per mo X _______ mos = $________ Unemployment Comp. $________ per wk X ________ wks = $________
Soc. Sec. Dis. Income $________ per mo X _______ mos = $________ Child Support $________ per wk X ________ wks = $________
Workman’s Compensation $________ per mo X _______ mos = $________ Old Age & Survivors Income $________ per wk X ________ wks = $________
Other, Specify: Other, Specify:
$________ per wk X ________ mos = $________
$________ per wk X _______ mos = $________
$________ per wk X ________ mos = $________
$________ per wk X _______ mos = $________
6 MONTH TOTAL = $_______
6 MONTH TOTAL = $________ If there has been no income in the family during the income determination period,
X2 state how the applicant has been living during the last 6 months:
ANNUALIZED TOTAL = $ ________
FAMILY MEMBER’S NAME: RELATIONSHIP: AGE:
INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME
From _______ To ________ $________ per wk X _______ wks = $________ Supplemental Sec. Income: $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ AFDC, GA, RA $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ Food Stamps $________ per wk X ________ mos = $________
Pension/Military Retirement $________ per mo X _______ mos = $________ Unemployment Comp. $________ per wk X ________ wks = $________
Soc. Sec. Dis. Income $________ per mo X _______ mos = $________ Child Support $________ per wk X ________ wks = $________
Workman’s Compensation $________ per mo X _______ mos = $________ Old Age & Survivors Income $________ per wk X ________ wks = $________
Other, Specify: Other, Specify:
$________ per wk X _______ mos = $________ $________ per wk X ________ mos = $________
$________ per wk X _______ mos = $________ $________ per wk X ________ mos = $________
6 MONTH TOTAL = $________
X2
ANNUALIZED TOTAL = $_________
2
ATTACHMENT K DELAWARE DEPARTMENT OF
INCOME DETERMINATION PERIOD: FROM: ______________ TO: ___________
LABOR
FAMILY INCOME WORK SHEET
FAMILY MEMBER’S NAME: RELATIONSHIP: AGE:
INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME
From _______ To ________ $________ per wk X _______ wks = $________ Supplemental Sec. Income: $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ AFDC, GA, RA $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ Food Stamps $________ per wk X ________ mos = $________
Pension/Military Retirement $________ per mo X _______ mos = $________ Unemployment Comp. $________ per wk X ________ wks = $________
Soc. Sec. Dis. Income $________ per mo X _______ mos = $________ Child Support $________ per wk X ________ wks = $________
Workman’s Compensation $________ per mo X _______ mos = $________ Old Age & Survivors $________ per wk X ________ wks = $________
Income
Other, Specify: Other, Specify:
$________ per wk X _______ mos = $________ $________ per wk X ________ mos = $________
$________ per wk X _______ mos = $________ $________ per wk X ________ mos = $________
6 MONTH TOTAL = $________
X2
ANNUALIZED TOTAL = $_________
FAMILY MEMBER’S NAME: RELATIONSHIP: AGE:
INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME
From _______ To ________ $________ per wk X _______ wks = $________ Supplemental Sec. Income: $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ AFDC, GA, RA $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ Food Stamps $________ per wk X ________ mos = $________
Pension/Military Retirement $________ per mo X _______ mos = $________ Unemployment Comp. $________ per wk X ________ wks = $________
Soc. Sec. Dis. Income $________ per mo X _______ mos = $________ Child Support $________ per wk X ________ wks = $________
Workman’s Compensation $________ per mo X _______ mos = $________ Old Age & Survivors $________ per wk X ________ wks = $________
Income
Other, Specify: Other, Specify:
$________ per wk X ________ mos = $________ $________ per wk X ________ mos = $________
$________ per wk X ________ mos = $________ $________ per wk X ________ mos = $________
6 MONTH TOTAL = $________
ATTACHMENT K DELAWARE DEPARTMENT OF
INCOME DETERMINATION PERIOD: FROM: ______________ TO: ___________
LABOR
FAMILY INCOME WORK SHEET
X2
ANNUALIZED TOTAL = $_________
ATTACHMENT K DELAWARE DEPARTMENT OF
INCOME DETERMINATION PERIOD: FROM: ______________ TO: ___________
LABOR
FAMILY INCOME WORK SHEET
FAMILY MEMBER’S NAME: RELATIONSHIP: AGE:
INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME
From _______ To ________ $________ per wk X _______ wks = $________ Supplemental Sec. Income: $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ AFDC, GA, RA $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ Food Stamps $________ per wk X ________ mos = $________
Pension/Military Retirement $________ per mo X _______ mos = $________ Unemployment Comp. $________ per wk X ________ wks = $________
Soc. Sec. Dis. Income $________ per mo X _______ mos = $________ Child Support $________ per wk X ________ wks = $________
Old Age & Survivors Income $________ per mo X _______ mos = $________ Other, Specify:
Workman’s Compensation $________ per mo X _______ mos = $________
$________ per wk X ________ mos = $________
Other, Specify:
$________ per wk X ________ mos = $________
$________ per wk X _______ mos = $________ 6 MONTH TOTAL = $________
$________ per wk X _______ mos = $________
6 MONTH TOTAL = $________
X2
ANNUALIZED TOTAL = $_________
FAMILY MEMBER’S NAME: RELATIONSHIP: AGE:
INCLUDABLE INCOME (Wages/Salary) EXCLUDABLE INCOME
From _______ To ________ $________ per wk X _______ wks = $________ Supplemental Sec. Income: $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ AFDC, GA, RA $________ per wk X ________ mos = $________
From _______ To ________ $________ per wk X _______ wks = $________ Food Stamps $________ per wk X ________ mos = $________
Pension/Military Retirement $________ per mo X _______ mos = $________ Unemployment Comp. $________ per wk X ________ wks = $________
Soc. Sec. Dis. Income $________ per mo X _______ mos = $________ Child Support $________ per wk X ________ wks = $________
Old Age & Survivors Income $________ per mo X _______ mos = $________ Other, Specify:
Workman’s Compensation $________ per mo X _______ mos = $________
$________ per wk X ________ mos = $________
Other, Specify:
$________ per wk X ________ mos = $________
$________ per wk X _______ mos = $________ 6 MONTH TOTAL = $________
$________ per wk X _______ mos = $________
6 MONTH TOTAL = $________
ATTACHMENT K DELAWARE DEPARTMENT OF
INCOME DETERMINATION PERIOD: FROM: ______________ TO: ___________
LABOR
FAMILY INCOME WORK SHEET
X2
ANNUALIZED TOTAL = $_________
17. DOCUMENTATION FOR PERFORMANCE GOAL ATTAINMENT
Requirements specified for performance goal attainment in the Contract/Agreement must be met
before performance recognition can be requested. Information System information must also be
completed and received by the Management Information System/Internet Reporting System.
Documentation substantiating performance and actual training must be available upon request.
I. The following general documentation criteria exists:
A. Items must be documented by the verification of at least two sources except in the following
circumstances.
If the exception is clearly stated in the contract/agreement, or
If the exception is specifically established in this procedure.
B. Training will be documented. At a minimum the following will be documented:
Hours of attendance
Training Participation
Satisfactory progress, and competency/credential attainment
Documentation of attendance and satisfactory progress require both the verification
signature of the contractor/work location and the verification signature of the trainee
(participant).
Documentation of training participation must be available. Acceptable documentation of
training will include the initial assessment, periodic evaluations, portfolios and other
evidence of training.
Credential documentation will include ratings, evaluations, tests and portfolio items indicating achievement,
and it will include the date that the competency was achieved.
C. Documentation of all employment and other outcomes such as work activity participation
(incremental and final), up to and including 90 day outcome retention, requires one of the
following:
A written verification by the employer/trainer (when training is the outcome) of the participant,
or
A copy of a check stub for the period in question and in cases where the documentation is for a
outcome based on a period of time (day1,30,60,90 etc.), a Verification form completed and
signed by a contractor staff person will be attached to the check stub(s)
Documentation of outcome in the Second, Third, and Fourth full quarter following exit can be accomplished through
counseling notes as long as there is a current Individual Service Strategy. Counseling notes when used for
documentation will answer the following questions:
Who -Who was contacted and what staff made the contact?
What - What was the result of the contact and what does this contact document?
When - The time and date of the contact?
Where - Where did the contact take place?
Why - What was the purpose of the contact?
How - How was the contact made?
II. Items that apply to I, C:
A. Documentation, that contains a live signature (faxes/e-mails will be accepted) is the best and
preferred type of documentation.
B. Documentation for each employment performance verification will at a minimum contain
the following:
Date Verification Accomplished
Employer/Trainer (name, address, telephone number)
Date Employment/Training Began
Position/Type of Training
Hours Weekly
Anticipated Duration
Hourly Wage
Period of Employment/Training Documented
Signature of Individual Providing the Affirmation (include date signed)
Source of Information (if different than the individual who signs the document)
III. Other documentation items:
A. The use of signatures obtained prior to the date of the documented performance event is
forbidden.
IV. Documentation items specific to TANF Welfare Reform Contracts
1. In addition to the previously established documentation established for performance/performance
payment points, activity hours must be entered into DCIS according to the Division of Social Services
Standard for the
Federal reporting of activity hours. Entry is expected to be done weekly.
2. Documentation that hours have been entered into DCIS will be the entry of hours on the Division of
Employment & Training “Attendance Summary Sheet” with the notation that the data has been entered.
These sheets will be compared regularly on a sample basis for consistency with actual DCIS entry.
Failure to maintain 100% accuracy may, at the discretion of DET, result in the contractor being required
to print the DCIS table(s) of hours to support each performance item.
ETO Procedure 17 – effective August 9, 2006
DAY ONE OUTCOME
VERIFICATION
START DATE OF EMPLOYMENT:
EMPLOYER:
address
address
phone
POSITION:
HOURS WORKED PER WEEK:
HOURLY WAGE: $
Name of Participant (Print):
Signature of Participant:
Date
Signature of Employer:
Date
60 DAY OUTCOME
VERIFICATION
EMPLOYMENT PERIOD:
START END DATE
DATE
EMPLOYER:
address
address
phone
POSITION:
HOURS WORKED PER WEEK:
HOURLY WAGE: $
Name of Participant (Print):
Signature of Participant:
Date
Signature of Employer:
Date
NOTE: If using a pay stub for documentation, the participant must sign off on this form, and a
copy of the pay stub must be attached
40
90 DAY OUTCOME
VERIFICATION
EMPLOYMENT PERIOD:
START END DATE
DATE
EMPLOYER:
address
address
phone
POSITION:
HOURS WORKED PER WEEK:
HOURLY WAGE: $
Name of Participant (Print):
Signature of Participant:
Date
Signature of Employer:
Date
NOTE: If using a pay stub for documentation, the participant must sign off on this form, and a
copy of the pay stub must be attached
40
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