Attachment 5e: WIOA In-School Youth File Review Monitoring Guide

Name ______MSK #______

Local Area ______Monitor ______

Eligibility: Criteria and Documentation (Not younger than 14 or not older than 21 at time of enrollment)
PGL 15-09-WIOA WIOA Eligibility Youth-Attachment #3, Workforce Innovation and Opportunity Act
Citizenship/Eligible to Work:
Selective Service Registration:
Affidavit of Immigration Status:
SAVE documentation:
AgeDate of Birth:
Low Income Status:
Release of Information Form:
Signed Application: Date__/__/__
Veteran Status: / __In File __Missing(*Exception Victim of severe form of human trafficking)
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __N/A
Comments:
Youth Status at Enrollment
School Status / ___In School; H.S. or Less
___In School; Alternative School
___In School; Post-Secondary (at least 1 course that leads to a credential related to a demand occupation in local economy. / ___In School; SWAP (those enrolled in secondary school up to age 21)
___In School; Transition Programs (receiving 18-21 services/still obtaining Free Appropriate Public Education).
Documentation: Yes No
If Positive / Eligible for Free or Reduced School Lunch:
Food Stamps/Other Public Assist:
TANF Status:
Living in High Poverty Area:
Employment Status: / ___ In File ___ Missing __ N/A
___ In File ___ Missing __ N/A
___ In File ___ Missing __ N/A
___ In File ___ Missing __ N/A
___ In File ___ Missing __ N/A
Barrier / ___Basic Skills Deficient(<grade 8.9)
___ English Language Learner
___ Offender
___ Homeless Individual/Foster child
___Pregnant/Parenting (can be married)
___ Youth with a Disability
___Requires Additional Assistance
*Not more than 5% of ISY enrolled may be youth who require additional assistance / 5% Income Exception / 5% of total youth enrolled each year do not have to be low income as long as they meet the other criteria for either in-school or out-of-school youth.
Comments:
Youth Program Design - Not more than 25% of youth formula PROGRAM funds may be used to serve in-school youth
First Youth Service:______Date: ___/___/___
Does Documentation and Service date(s) match? __Yes __No
Objective Assessment: Yes No
Academic / Occupational Assessment: Is there a fully developed ISS?: YesNo
Yes No
Was the date of registration the date of the first program funded service? ___ Yes ___ No
Are all services properly documented and appropriately used? ___ Yes ___ No
Is there proper justification provided for Training services? ___ Yes ___ No
Comments:
Training (at least 20% of local youth formula PROGRAM funds must be used for paid/unpaid work experiences)
Is the Youth Provider List for program elements current?
Signed OJT / WE / Internship Agreements: (Employer & Youth)
I-9 for Work Experience:
Attendance / grades / progress for school, training, or WE:
Degree / Certificates attained: Degree Type:______
Date Attained: ____/____/______
Training Cap – Training funds expended:
Payment Invoices: / ___ Yes ___ No
___ In File ___ Missing ___ N/A
___ In File ___ Missing ___ N/A
___ In File ___ Missing ___ N/A
Type Code Match: ___ Yes ___ No
___ In File ___ Missing ___ N/A
___ Yes ___ No Total: $______
___ In File ___ Missing ___ N/A
Supportive Services
Is there justification and documentation for supportive services?
Payment Invoices: / ___ Yes ___ No
___ In File ___ Missing ___ N/A
Exit/Post Enrollment
Enrolled in Education during enrollment: ___ Yes ___ No
If yes, documentation in file: ___ Yes ___ No
Case notes document regular contact (not more than 90 w/o services) ___ Yes ___ No
Exit Service: ______Date of Service: ____/____/____
Documentation: ___ In File ___ Missing Type of documentation: ______
Any Reactivating Services in 90 days following? ___ Yes ___ No
Is participant exited from all US DOL programs at the same time? ___ Yes ___ No
Employment Verification: ___ Yes ___ No
Are the follow-up services consistent? ___ Offered ___ Provided Documentation:______
Comments:

WIOA Out-of-School Youth File Review Checklist

Name ______MSK #______

Region ______Monitor ______

Eligibility: Criteria and Documentation (Not younger than 16 or older than age 24 at time of enrollment)
PGL 15-09-WIOA WIOA Youth Eligibility Attachment #3, Workforce Innovation and Opportunity Act
Citizenship/Eligible to Work:
Selective Service Registration:
Affidavit of Immigration Status:
SAVE documentation:
Age Date of Birth:
Income Status (if applicable):
Release of Information Form:
Signed Application: Date__/__/__

Veteran Status: / __In File __Missing (*Exception Victim of severe form of human trafficking)
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __N/A
__In File __Missing __ N/A
__In File __Missing __N/A
Comments:
Youth Status at Enrollment:
School Status / ___ Out-of-School; H.S. Dropout
___ Out-of-School; H.S. Graduate
___ Out-of-School; GED Classes / ___ Out-of-School; Not attending Any School
___ Out-of-School; SWAP (not enrolled in secondary school)
___ Documentation: Yes No
If Positive / Food Stamps/Other Public Assist:
TANF Status:
Employment Status:
Living in High Poverty Area / ___ In File ___ Missing __ N/A
___ In File ___ Missing __ N/A
___ In File ___ Missing __ N/A
___ In File ___ Missing __ N/A
Barrier / ___ School Dropout
___ Not Attending Secondary School
___ Secondary School Diploma or its equivalent who is low income and is;
Basic Skills Deficient (<grade 8.9) or English Language Learner
___Offender
___ Homeless individual/Foster child
___Pregnant/Parenting (includes married)
___ Youth with a Disability
___A low-income individual who Requires Additional Assistance to enter or complete an educational program.
*Note low income is only required if 3 or 8 above is used for eligibility / 5% Income Exception / 5% of total youth enrolled each year do not have to be low-income as long as they meet the other criteria for out-of-school youth.
Comments:
Youth Program Design (At least 75% of local youth formula PROGRAM funds must be used to serve OSY)
First Youth Service: Date: ___/___/___
Does Documentation and Service date(s) match? __Yes __No
Objective Assessment: Yes No Is there a fully developed ISS outlining all activities?: Yes No
Occupational/Academic Activities: Yes No
Was the date of registration the date of the first program funded service? ___ Yes ___ No
Are all services properly documented and appropriately used? ___ Yes ___ No
Is there proper justification provided for Work Based Learning activities? Yes No N/A
Comments:
Training (At least 20% of local youth formula PROGRAMfunds must be used for paid and unpaid work experiences)
Is the Youth Provider List current?
Signed OJT / WE / Internship Agreements/ Other: (Employer & Youth)
I-9 for Work Experience:
Attendance / grades / progress for school training, WE, or other:
Degree / Certificates attained: Degree Type:______
Date Attained: ____/____/______
Training Cap – Training funds expended:
Payment Invoices: / ___ Yes ___ No
___ In File ___ Missing ___ N/A
___ In File ___ Missing ___ N/A
___ In File ___ Missing ___ N/A
Does Code Match: ___ Yes ___ No
___ In File ___ Missing ___ N/A
___ Yes ___ No Total: $______
___ In File ___ Missing ___ N/A
Supportive Services:
Is there justification and documentation for supportive services?
Payment Invoices: / ___ Yes ___ No
___ In File ___ Missing ___ N/A
Exit/Post Enrollment:
Enrolled in Education during enrollment: ___ Yes ___ No
If yes, documentation in file: ___ Yes ___ No
Case notes document regular contact (not more than 90 days w/o services?) ___ Yes ___ No
Exit Service: ______Date of Service: ____/____/____
Documentation: In File Missing Type of documentation: ______
Is participant exited from all US DOL programs at the same time? ___ Yes ___ No
Employment Verification: ___ Yes ___ No
Are the follow-up services offered for a minimum of 12 months? Yes No Documentation: ______
Comments:

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ISY/OSY Annual Compliance Monitoring Review Checklist Rev. 7/27/15