Employment Administration
Workforce Investment Act
WIA YOUTH PROGRAM
SERVICE DESIGN AND PROGRAM DELIVERY
PROVIDER IDENTIFICATION
LOCAL AREA / PROGRAM YEAR(S)PREPARED BY / DATE
The following information needs to be completed during the procurement process as part of the documentation required for identifying youth program services in the local area. This information needs to be submitted as an addendum to the local area strategic plan at renewal and as changes occur with the provision of youth services.
1.Required Design Framework Components
Describe how (and by whom) each of the following required design framework components is being made available in your local area.
Intake and Referral
One-Stop Operator
Procurement
Provider’s NameObjective Assessment
One-Stop Operator
Procurement
Provider’s NameDevelopment of the Individual Service Strategy (ISS)
One-Stop Operator
Procurement
Provider’s NameCase Management Services
One-Stop Operator
Procurement
Provider’s NameWIA-1017AFORFF (2-09)
2.Ten Required Program Elements
Describe how (and by whom) each of the following ten program elements is being made available in your local area.
Tutoring, Study Skills Training, and Instruction (leading to secondary school completion, including dropout prevention strategies)
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameAlternativeSecondary School Offerings
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameSummer Employment Opportunities
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameOccupational Skill Training
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameLeadership Development Opportunities
Free of charge
Procurement
Sole-source
In-house provision of services
Provider’s NameWIA-1017AFORFF (2-09)
Adult Mentoring
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameComprehensive Guidance and Counseling
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NamePaid and Unpaid Work Experiences
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameSupportive Services
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameFollow-up Services
Free of chargeProcurement
Sole-sourceIn-house provision of services
Provider’s NameEqual Opportunity Employer/Program Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VIII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, the Department prohibits discrimination in admissions, programs, services, activities, or employment based on race, color, religion, sex, national origin, age, and disability. The Department must make a reasonable accommodation to allow a person with a disability to take part in a program, service or activity. For example, this means if necessary, the Department must provide auxiliary aids and services upon request to individuals with disabilities, such as sign language interpreters for people who are deaf, a wheelchair accessible location, or enlarged print materials. It also means that the Department will take any other reasonable action that allows you to take part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you will not be able to understand or take part in a program or activity because or your disability, please let us know of your disability needs in advance if at all possible. To request this document in alternative format or for further information about this policy, contact your local office manager, TTY/TDD Services: 7-1-1.