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							  JDF PROGRAM (Components) APPLICATION
                                2010 Request for Proposals
                                PROPOSAL COVER SHEET
                      RESPONDENT ORGANIZATION
     NAME:

     ADDRESS:



     PHONE:                                              FAX:
                                 This proposal is being submitted to
    Workforce Solutions of Providence Cranston
      Area:               Providence
                          Cranston
    Workforce Partnership of Greater RI
      Area:               East Bay      West Bay      Washington County        Northern RI
Program Type:                    Summer Employment                         Leadership Development
Choose one or more of these      Work Prep. & Maturity Skills              Adult Mentoring
components                       Job Development & Placement               Occupational Skills Training
                                 Paid and Unpaid Work Experience
                              Answer all questions below:
Number to serve
Age Group(s)                      14-16          17-18        19-21      22-24
School Status                     In School # _______         Out of School # ______
Amount Requested
Cost Per Person
Program Dates                 Start Date:                      End Date:
Internal Use Only
                               Proposal Received Date Stamp
PROPOSAL NUMBER
PC Y10 -

PROPOSAL NUMBER
GRI Y10 -


RI Youth Workforce Development 2010 JDF Proposal Response Packet                                          1
                                            PROPOSAL CHECKLIST

Proposals with incomplete or missing sections will not be eligible and will not be considered. Please take the
time to complete this checklist to make sure that all of the necessary information is included in your proposal
packet.


PROPOSALS ARE DUE MONDAY, DECEMBER 21, 2009 BY 4:00 pm
Deliver proposals to:

Workforce Solutions of Providence/Cranston
180 Westminster St.
Providence, RI 02903
PLEASE NOTE: It is often difficult to find parking downtown, so don’t wait until the last day.

Workforce Partnership of Greater RI
RI Department of Labor and Training Complex Bldg. 73
1511 Pontiac Ave.
Cranston, RI 02920

Each copy of the proposal must include the following in the order listed:

   Cover Sheet
   Proposal Checklist
   Signed Title Page
   Signed Certifications Page
   Enrollment Plan
   Section A: Agency Information
   Section B: Program Information
   Section C: Budget Forms – Excel file provided with the RFP
   Partner Agreements (if applicable)

Package Includes:

   One original signed proposal and ten copies.
   One copy of the past year’s organizational audit, including the accompanying financial statements.
   One copy of the agency’s cost allocation plan.
   Electronic copy – a CD or disk with an electronic copy of the proposal.




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                                            TITLE PAGE
                Complete all requested information and include all required signatures
  1. Agency Organizational Structure: (Check any that apply)
       Non-Profit         Public Sector           Educational Institution
       For-Profit         Private Sector          Other ________________________________

  2. Agency Fiscal Year End Date:

  3. Name and Title of Agency Administrator:
  Name:                                                               Phone:
   Title:                                                              FAX:
   Email:
  4. Proposed Program Contact Person:
  Name:                                                               Phone:
   Title:                                                              FAX:
   Email:
  5. Name and Title of Person authorized to sign financial invoices:
  Name:                                                               Phone:
   Title:                                                              FAX:
   Email:
  6. Agency Fiscal Management Contact Person: (If different from above)
  Name:                                                               Phone:
   Title:                                                              FAX:
   Email:

  7. Internal Revenue Service Employer I.D. Number (F.E.I.N.):
  8. Agency's Rhode Island Department of Labor and Training Registration
  Number (ten digits)




                                PROPOSAL SUBMITTAL CERTIFICATION
On behalf of the respondent organization, I approve this proposal submittal to the Workforce Solutions of
Providence/Cranston and/or Workforce Partnership of Greater Rhode Island

Signature: __________________________________________                     Date: __________________

Typed Name: _______________________________________                       Title




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                                                                 CERTIFICATIONS
1. DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION CERTIFICATION
Lower Tier Covered Transaction
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, Section 98.510,
Participant’s Responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211).
1.a. The Agency attests that neither it, its principals, nor its partners are presently debarred, suspended, proposed for debarment, declared ineligible
or voluntarily excluded by any federal department or agency from applying for or receiving federal funds.
2. NONDISCRIMINATION AND EQUAL OPPORTUNITY COMPLIANCE CERTIFICATION
This certification is required by regulations implementing WIA Section 188, “Nondiscrimination”, and as promulgated in 29 CFR Parts 31 and 32.
    2.a. The Agency attests that it:
             (1) Shall not exclude any individual from participation in, deny the benefits of, subject to discrimination under, or deny employment in the
administration of or in connection with any of its programs/services because of race, color, religion, sex, national origin, age, disability or political
affiliation or belief.
             (2) Shall not employ participants on the construction, operation, or maintenance of so much of any facility as is used or to be used for
sectarian instruction or as a place for religious worship.
             (3) Shall not discriminate, with respect to terms and conditions affecting or rights provided to participants in activities supported by funds
provided under this Act, against such individuals solely because of their status as such participants.
             (4) Shall ensure that participation in programs and activities financially assisted in whole or in part under this Act 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 U.S. Attorney General to work in the United States.
3. AMERICANS WITH DISABILITIES ACT COMPLIANCE CERTIFICATION
3.a. The Agency attests that it is in compliance with all applicable provisions of the Americans With Disabilities Act (ADA) and shall make any and all
reasonable accommodation to provide access and equity of services to disabled persons applying to or enrolled in any program controlled by this
contract.
4. CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
 4.a. The Agency attests that it will provide a drug free workplace in accordance with 29 CFR Part 98 by:
(1)Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is
prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition.
(2)Establishing an ongoing drug-free awareness program to inform employees about:
(a) The dangers of drug abuse in the workplace;
(b) The grantee’s policy of maintaining a drug-free workplace;
(c) Any available drug counseling, rehabilitation and employee assistance programs; and
(d) The penalties that may be imposed upon employees for drug abuse violations.
5. CONFLICT OF INTEREST CERTIFICATION
The Agency attests that it and its principals are in compliance with the provisions of the Rhode Island “Conduct of Employee and Code of Ethics
Law” (R.I.G.L. 36-14) as well as all applicable federal, state, and municipal ethics guidelines.
6. LOBBYING
The Agency attests that it and its principals must comply with the restrictions on lobbying which are codified in the Department of Labor Regulations
at 29CRF Part 93.
7. E-VERIFY
I/we certify that I/we have registered to utilize the E-Verify program (www.dhs.gov/E-Verify) to ensure compliance with federal and state law. I
understand and agree that I am required to continue to utilize the services of the E-Verify program for as long as I continue to do business with the
State of Rhode Island. I further understand that my failure to continue to utilize the services of the E-verify program will adversely affect my ability to
continue to do business with the State of Rhode Island and my ability to do business with the State of Rhode Island in the future.
8.     BCI
I/WE certify that all staff working directly with youth in programs funded under this grant will obtain a Background Check Information (BCI).
I further understand that my failure to do BCI checks will adversely affect my ability to continue to do business with the State of Rhode Island.
The Agency hereby certifies, by signature of its authorized representative affixed below, to all attestations identified above.



SIGNATURE OF AUTHORIZED AGENCY REPRESENTATIVE                                                                          DATE

TYPED NAME                                                                                                             TITLE




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                                            ENROLLMENT PLAN

Include the number of participants to be enrolled for each month of your program and total the columns.


                                            Enrolled
                                        April 2010
                                        May 2010
                                        June 2010
                                        July 2010
                                        August 2010
                                        September 2010
                                        October 2010
                                        November 2010
                                        December 2010
                                        January 2011
                                        February 2011
                                        March 2011
                                        TOTAL:


What percentage of youth with the characteristics listed below do you anticipate serving?


                                PARTICIPANT              PLANNED PERCENTAGE
                              CHARACTERISTIC                SERVICE LEVEL

                                     Male
                                    Female
                                    Student
                              High School Dropout
                               Welfare Recipient
                               Disable Individual
                           Limited English Speaking
                           Pregnant/Parenting Teen
                           Single Head of Household
                              Basic Skills Deficient
                                    Veteran
                             Homeless or Runaway
                                    Offender
                                  Foster Care
                                     Other




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                                   SECTION A – Agency Information

Agency’s Experience Undertaking Similar Projects/Working with Target Population: Please list 2 projects
in which your agency has delivered workforce or related services to the target population. Please be as
succinct as possible and keep your response to the space provided. Be sure to provide key lessons learned
and how they apply to your current proposal.


        Project:                                          Number Planned to Serve:
        Funding Source:                                   Number Actually Served:
        Brief Synopsis:




        Key Learnings                                     Relation to Proposed Project




        Project:                                          Number Planned to Serve:
        Funding Source:                                   Number Actually Served:
        Brief Synopsis:




        Key Learnings                                     Relation to Proposed Project




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Agency Readiness & Capacity – Please state specific ways your agency has the ability to start, manage, and
follow through on this project and what elements of your proposed approach such as key staff, partners, and
other elements are now in place. Include other related ingredients that drive capacity and readiness that your
agency is marshalling for this project.

Please use concise bullet points rather than narrative.




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                                       SECTION B: Program Information
                                            Executive Summary
Provide a one-page overview of the proposed program that includes each of the components, activities, services,
expected outcomes, etc… PLEASE use 12 pt. Font.
      This summary will be submitted by staff to members of local Youth Councils and Workforce Boards.




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                                             Outreach and Recruitment
Describe your outreach and recruitment strategies for the target population. What criteria will you use to select youth?
Include the names of schools, youth organizations, and other agencies or programs that will be utilized for outreach and
recruitment purposes and describe any relationships with these groups that have or will be established, including the
names of key staff members.
For JDF proposals you may attach an agreement with your local youth center to provide assessment.
If you conduct your own outreach and recruitment, you must send recruits to the Youth Center for
eligibility verification.

1.       Describe all outreach and recruitment strategies that will be used.                            (For example,
         newspaper ads, etc.)




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                                                   Assessment
Describe the process that will be used to determine program appropriateness for each youth participant
including how you will make these determinations. Include a description of how basic (academic) skills,
occupational skills, and supportive services will be determined.

For JDF proposals you may attach an agreement with your local youth center to provide assessment.

How will academic, basic and occupational skills be assessed for each youth participating in this
program? (Identify the assessment instrument or tools that will be used as well as other methods that will be
used for this purpose)




Who will conduct the assessment? (Identify staff or partner agency that will conduct the assessments.)




Describe how youth will be referred to alternative programs and services.




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                                          Individual Service Strategy (ISS)

    For JDF proposals you may attach an agreement with your local youth center to provide the ISS.

How will the ISS will be developed? (Specify how short- and long-term goals will be developed based on
each participant’s assessment)




Who will develop and update the ISS? (Identify staff involved in this process)




Describe how the ISS will be continually updated.                  (Include how often the ISS will be reviewed and
evaluated to reflect participant needs and progress)




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                         State the numbers of youth you are proposing to achieve the following outcomes.

                                    Our Goals                                         Outcome Measures          Proposed # Participants to
                                                                                                                    Achieve Outcome
     Increase the number of youth participating in activities and programs of    Enrollment
     the workforce development system
     Increase the number of youth participants who acquire the basic or          Measured Skill Gains
     English language skills needed to complete the educational functioning
     level in which they were initially enrolled.
     Increase the number of youth participants with a high school completion     High School Credentials
     goal who earned a high school diploma or recognized equivalent.
     Increase the number of youth participants with recognized certificates.     Standards-Based Certificates
     Increase the number of youth participants with an employment goal who       Find First/New Job
     obtained a job during the program or within one quarter after WIA
     program exit.
     Increase the number of youth participants with a job retention goal who     Keep Job
     a) entered employment within one quarter after WIA exit and b) were still
     employed in the third quarter after WIA program exit.
     Increase the number of youth participants who acquire work readiness        Measured Skill Gains
     skills per Youth Center or other curriculum.
     Increase the number of youth participants who obtain and successfully       Work experience placement
     complete a paid or unpaid work experience.                                  with progress reports from
                                                                                 worksite.

                                 CAREER LADDERS:
     Increase the number of youth participants with a job advancement goal       Secure Next Job
     who entered next level of employment during the program or within one
     quarter after WIA exit.
     Increase the number of youth participants who establish a goal to           Postsecondary
     continue their education and who entered postsecondary education or         Education/Training Entry
     training within 3 quarters of WIA program exit.
     Increase the number of youth participants who establish a goal to           Apprenticeship Program
     continue their education through approved apprenticeship programs           Enrollment
     and who are entered in an approved apprenticeship during the program
     or within 3 quarters after WIA exiting.
     Increase the percentage of youth participants engaged in and satisfied      Satisfaction and Engagement
     with services.




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COMPONENT: SUMMER EMPLOYMENT OPPORTUNITIES

Summer employment is designed to provide in-school youth up to age 18 with a range of summer employment opportunities in different high demand industries and develop their
career awareness in those industries. Summer employment opportunities should be related to each youth’s identified career goal and may also include workshops, job
shadowing, life skills, basic skills, mentoring, leadership skills and work readiness training and must be linked to academic and/or occupational learning. All work experience
opportunities must be consistent with State and Federal Child Labor laws.


   DURATION AND                   LINKAGES WITH EMPLOYERS                             PARTICIPANT                           DESCRIPTION OF HOW THIS ACTIVITY
TIMEFRAME FOR THIS                  (Identify employer partner                 REIMBURSEMENT PLANS (e.g.,                    WILL COMPLEMENT PARTICIPANT
     ACTIVITY                               agreements)                            wages, stipends, etc.)                    CAREER GOALS, INTERESTS AND
                                                                                                                                       APTITUDES




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PARTICIPANT OUTCOMES FOR SUMMER EMPLOYMENT OPPORTUNITIES
 #   Goal                   Activity                  Expected Gain(s)   Measurement




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COMPONENT: PAID OR UNPAID WORK EXPERIENCE
Work experience is a planned, structured learning experience that takes place at a public, private, for-profit or non-profit organization for a limited period of time. The purpose of
this activity is to provide the youth with opportunities for career exploration and skill development. All work experience opportunities must be consistent with State and
Federal Child Labor laws. Service providers are responsible for developing work experience sites, completing worksite agreement, providing orientation to worksite supervisors,
completing payroll documentation, reporting participant wages or stipends, monitoring and documenting work experience activities and progress, maintaining time sheets and
participant evaluations.


   DURATION AND                     LINKAGES WITH EMPLOYERS                              PARTICIPANT                             DESCRIPTION OF HOW THIS ACTIVITY
TIMEFRAME FOR THIS                    (Identify employer partner                  REIMBURSEMENT PLANS (e.g.,                      WILL COMPLEMENT PARTICIPANT
     ACTIVITY                                 agreements)                             wages, stipends, etc.)                      CAREER GOALS, INTERESTS AND
                                                                                                                                            APTITUDES




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PARTICIPANT OUTCOMES FOR PAID OR UNPAID WORK EXPERIENCE
 #   Goal                    Activity                   Expected Gain(s)   Measurement




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COMPONENT: OCCUPATIONAL SKILLS TRAINING FOR JDF PROGRAMS
There are three types of Occupational Skills Training for which a provider can apply: (1) Occupational skills training within an institution such as a Community
Based Organization, Faith Based Organization, school or other training entity, (2) Employer based training at the employment site, and (3) training offered by an
employer or training provider (including schools, CBO’s, FBO’s and other training entities) in partnership with a Youth Center and provided at the Youth Center
location. Occupational skills training must also have a job placement component where at least 50% of those trained will be placed in paid, unsubsidized
employment. Please note: Occupational Skills Training is not Work Readiness Training but specific to a particular job (Nursing Assistant,
Phlebotomist, Auto Mechanic, etc.)

      OCCUPATIONAL SKILL TRAINING AREA                                  TRAINING METHOD                                    LINKAGES WITH EMPLOYER
                                                                 (Classroom, field placement, etc.)
                                                                Include credential information and
                                                                     attach curriculum outline




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PARTICIPANT OUTCOMES FOR OCCUPATIONAL SKILLS TRAINING
 #   Goal                   Activity                          Expected Gain(s)   Measurement




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COMPONENT: LEADERSHIP DEVELOPMENT OPPORTUNITIES

Leadership development opportunities may include exposure to post-secondary opportunities, educational opportunities, community service learning projects,
tutoring, peer mentoring and peer-centered activities encouraging responsibility, organizational and teamwork training, decision-making, citizenship training,
training in areas such as the life skills, budgeting, financial literacy, media literacy (see definition of media literacy on page 39 of Statement of Work) parenting,
social responsibility (including pregnancy prevention), and positive social behaviors to include maintaining a healthy lifestyle and being alcohol and drug free,
positive attitude development, positive self esteem building, cultural diversity, work simulation activities and other soft skills training.

                                                                                                                     WHO WILL PROVIDE THIS PROGRAM ELEMENT?
               DESCRIPTION OF PLANNED ACTIVITIES                               TIMEFRAME AND DURATION               (Identify staff who will deliver this program element
                                                                                                                         or linkages with partners/other providers)




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PARTICIPANT OUTCOMES FOR LEADERSHIP DEVELOPMENT OPPORTUNITIES
 #   Goal                    Activity                 Expected Gain(s)   Measurement




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COMPONENT: ADULT MENTORING
Adult mentoring connects youth to caring, competent adults who are positive role models. Mentors should assist, encourage, challenge and support the youth to successfully
complete the program and transition to employment and/or post secondary educational opportunities. Adult mentors should be pre-screened (e.g., BCI check, etc.) and receive
training to prepare them for their mentoring role (i.e., youth development, communication skills, building relationships, styles of teaching/training, etc.). Examples of adult mentors
can include workplace supervisors or managers or co-workers, local business or agency representatives, program alumni and other caring members of the community who can
demonstrate successful skills.

      DESCRIPTION OF PLANNED                        TIMEFRAME AND                       LOCATION OF SERVICES                           WHO WILL PROVIDE MENTORING?
            ACTIVITIES                                 DURATION                                                                 (Include a description of qualification and training
                                                                                                                                                    to be given)




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PARTICIPANT OUTCOMES FOR ADULT MENTORING
 #   Goal                    Activity                         Expected Gain(s)   Measurement




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COMPONENT: JOB DEVELOPMENT AND PLACEMENT

This component targets youth seeking long-term jobs, employment preparation assistance, and career awareness for youth, includes developing a job bank that is
appropriate for youth, and job preparation assistance in applying, interviewing, negotiating the job offer, and ongoing job coaching to ensure the youth successfully
maintains employment. Responders must demonstrate that they have strong connections to employers. Explain how suitable, career-oriented employment will be
determined. Include documentation that demonstrates existing connections to employers, industry groups, and other entities that will lead to employment
opportunities. Describe how job coaching services will be implemented, how youth will be matched to available jobs, how related services will be coordinated, and
how labor market information will be used in the placement process.

               DESCRIPTION OF                           ASSESSMENT PROCESS TO DETERMINE                            LINKAGES WITH EMPLOYERS AND
             PLANNED ACTIVITIES                             APPROPRIATE OCCUPATION                                     PLACEMENT OUTCOMES




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PARTICIPANT OUTCOMES FOR JOB DEVELOPMENT AND PLACEMENT
 #   Goal                    Activity                  Expected Gain(s)   Measurement




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COMPONENT: WORK PREPARATION / WORK MATURITY SKILLS
Youth will participate, as needed, in a basic workplace skills program that includes to components: (1) Employability Skills Training which includes those activities to get hired for
a job including, but not limited to, making career decisions, using Labor Market Information for job search, preparing a resume, completing a job application, handling job
interviews and (2) Work Maturity Skills which are the skills required to meet employer expectations for dependability and productivity that are essential to enable a youth to keep a
job once s/he gets hired including, but not limited to, attendance, punctuality, positive behavior / attitude, appearance, interpersonal relations and task completion. When a
participant is determined job or training ready, s/he will move to job seeking or training activities. Youth will actively seek employment with the assistance of staff who may be
Youth Center staff and/or vendors.

     DESCRIPTION OF PLANNED                        TIMEFRAME AND                       LOCATION OF SERVICES                          WHO WILL PROVIDE THE SERVICE?
           ACTIVITIES                                 DURATION                                                                 (Include a description of staff qualifications and
                                                                                                                                             training to be given)




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PARTICIPANT OUTCOMES FOR WORK PREPARATION AND WORK MATURITY SKILLS
 #   Goal                   Activity                  Expected Gain(s)   Measurement




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                                                              STAFFING PLAN
Respondents are asked to complete the following chart that describes the staffing that will be available for this program Please include
           information regarding skills and abilities described in the Youth Worker Core Competencies in Attachment B
                      (Please note all positions that are included in the budget sections must include and described in this section)

 POSITION TITLE        NAME OF STAFF                   REPORTS TO                            RESPONSIBILITIES                           MINIMUM YOUTH
                         MEMBER                                                                                                            WORKER
                                                                                                                                        QUALIFICATIONS




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                                                         PARTNERSHIPS
Respondents are asked to complete the following chart that identifies program components and/or activities that will be provided by
partner agencies or organizations. Signed partner agreements must be included. If you are not providing the services directly, you must
attach signed partner agreements for those services.

        PROGRAM COMPONENT                   WHO WILL PROVIDE THE SERVICES               IS A SIGNED PARTNER AGREEMENT INCLUDED?
            or ACTIVITY                     APPLICANT OR PARTNER AGENCY


                                                                                                     YES    NO         

                                                                                                     YES    NO         

                                                                                                     YES    NO         


                                                                                                     YES    NO         

                                                                                                     YES    NO         


                                                                                                     YES    NO         

                                                                                                     YES    NO         

                                                                                                     YES    NO         

                                                                                                     YES    NO         

                                                                                                     YES    NO         


                                                                                                     YES    NO         


                                                                                                     YES    NO         




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                     PERFORMANCE EXPECTATIONS JDF (NON-WIA)

    For programs serving youth (14-24 years of age), the proposer agrees to meet or exceed the following
                                          performance standard.

         PERFORMANCE MEASURE                                            PERFORMANCE

             Basic Skills Gain                                         Applicant proposes

   Diploma or Equivalent Attainment                                    Applicant proposes

          Credential Attainment                                        Applicant proposes

            Enter Employment                                           Applicant proposes

             Work Readiness                                            Applicant proposes

      Work Experience Placement                                        Applicant proposes

  Entered Post Secondary Education
    Entered Advanced Training or
           Apprenticeship
                                                                       Applicant proposes
  Entered a Job Corps or a National
 Service Corps program or YouthBuild

       Entered Military Services




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                                               PARTNER AGREEMENT


The following Partner Agreement is a collaborative effort which sets forth the terms for the provision of youth services as
authorized under Title I of the Workforce Investment Act of 1998 and as detailed in Section IV of this Agreement.

This Partner Agreement is entered into between the parties identified below:

       Workforce Development Applicant Agency
                    (Contractor)                                                      Partner Agency




I.       PURPOSE OF AGREEMENT

The purpose of this Agreement is to coordinate resources to prevent duplication and ensure the effective and efficient
delivery of services to youth.

II.      DURATION OF AGREEMENT

This Agreement will commence on ________ day of ____________, 20__ and shall remain in effect until the __________
day of _____________, 20__ or until the Agreement is cancelled by the Agencies in accordance with the terms set forth
in Section VI.



III.     LEGISLATIVE GOALS FOR YOUTH

The Workforce Investment Act places emphasis on serving youth through year round programming within a
comprehensive statewide workforce development system. The Act prioritizes long-term interventions that focus on:

        Improving educational achievement (including such elements as tutoring, study skills training, and instruction
         leading to secondary school completion; drop-out prevention strategies and alternative secondary school
         offerings
        Preparing for and succeeding in employment (including summer employment opportunities, paid and unpaid
         work experiences and occupational skills training)
        Supporting youth (including meeting supportive service needs and providing adult mentoring, follow-up services
         and comprehensive guidance and counseling); and
        Offering services intended to develop the potential of youth as citizens and leaders (including leadership
         development opportunities).




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IV.      RESPONSIBILITIES OF AGENCIES TO THIS AGREEMENT

         A.       In consideration of the mutual intent of this Agreement the Partner agrees to deliver the following
                  services:



 PARTNER ORGANIZATION:                              FUNDING SOURCE(S)

                                                    JDF funds from this proposal to the partner:
                                                    AMOUNT:

 ADDRESS:                                           WIA FUNDS from this proposal to the partner:
                                                    AMOUNT:
                                                    Funds Partner Organization is contributing to this proposal:
                                                    AMOUNT

 NOTE: The cost associated with each service/activity must be listed.

 SERVICES / ACTIVITIES INCLUDE                                               COST

 (1)

 (2)
 (3)

 (4)

 (5)
 (6)



V.       GENERAL PROVISIONS

The Contractor must ensure that the Partner to this Agreement complies with the applicable General Provisions issued by
the Local Workforce Investment Board. If WIA funds are used to support the delivery of Partner services, the Contractor
must ensure the integrity of those funds and compliance with WIA legislation and applicable OMB guidelines.

                             VI.      AMENDMENT OR CANCELLATION OF AGREEMENT

The Agreement may be modified at any time with mutual agreement of the Contractor and Partner. Any such
modification(s) will be preceded by written notice to the local workforce board of the intent to modify and the purpose for
such modification.

The Contractor and Partner may terminate their participation in the Agreement by giving              calendar days written
notice of intent to terminate. Termination does not alter the programmatic and financial obligations through the date of
termination by either party.



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VII.        CERTIFICATION

This Agreement is hereby entered into between the designated Contractor and Partner and validated by the signatures
affixed below.


              APPROVED FOR THE CONTRACTOR                                     APPROVED FOR THE PARTNER




 Authorized Signature              Date                      Authorized Signature                  Date




 Typed Name                     Title                        Typed Name                    Title




Provide a narrative description of how this partnership enhances your proposal by answering the following:


How does this partner agreement reduce costs?

How does this agreement reduce duplication of services for youth?

What program component or strengths does this partner bring to the delivery of services?

How does this partnership increase your capacity to meet program goals?

How is community involvement included in this partnership?




RI Youth Workforce Development 2010 JDF Proposal Response Packet                                            32 of 32

						
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