WTW 2 CHEAT SHEET

CORE HOURS

I must do at least 20 “core” hours per week. They are:

Unsubsidized employment / for / hours / Job search and job readiness assistance / for / hours
(Full- or part-time employment in the public or private sector.) / (Job Club and full-time/part-time job search. Maximum 6 weeks per calendar year.)
Subsidized private sector employment / for / hours / Vocational education and training(up to 12 months) / for / hours
(Paid employment in the private sector for which the employer receives a subsidy. This activity replaced
  • Paid Work Study,
  • Paid Internship,
  • Paid Externship.)
/  Available months:
(Vocational training program other than a baccalaureate or advanced degree.)
Community service / for / hours
 FLSA hours:
(Supervised volunteer projects that serve a useful community purpose. FLSA calculation (see back side) required.When determining and calculating the FLSA hours for clients on the WTW15, the State Minimum Wage should be used)
Subsidized public sector employment / for / hours
(Paid employment in the public sector for which the employer receives a subsidy. This activity replaced
  • Paid Work Study,
  • Paid Internship,
  • Paid Externship.)

Work experience / for / hours
 FLSA hours:
(Unpaid and supervised work activity. FLSA calculation (see back side) required. When determining and calculating the FLSA hours for clients on the WTW15, the State Minimum Wage should be usedThis activity replaced
  • Unpaid Work Study,
  • Unpaid Internship,
  • Unpaid Externship,
  • Bridge – when needed as a stand alone activity for more than one calendar month.)

Self-employment / for / hours
(Additional hours may be required to meet the 32/35 hours requirement. To determine core hours for self-employment, use this formula:
$ / (gross income) / - $ / (business expense) / = / (core hours)
$5.15 (Federal minimum wage)
On-the-job- training / for / hours
(On the job training paid by Work2Future (WIA)/NOVA)

NON-CORE HOURS

I must do these activities for the number of hours shown.

Job skills training directly related to employment / for / hours
  • (Vocational training after 12 months life time limit, or
  • Classes that required by an employer to provide an individual with the ability to obtain employment or to advance or adapt to the changing demands of the workplace, or
  • Remedial classes that required as prerequisites for Vocational Education and Training.)

Education directly related to employment / for / hours
(Education or training related to a specific occupation, job, or job offer. Limited to clients without a US high school diploma or certificate of high school equivalency; may include ABE, ESL, or education leading to GED.)
Satisfactory progress in a secondary school / for / hours
(Cal-learn and teens.)

ASSIGNMENT AND SERVICES

(For transitional activities, only complete the Assignment and Services section)

Transitional activities may include: Bridge-when needed for less than one calendar month, Assessment, Keys to Success, Substance Abuse, Mental Health, and Rehabilitation.)

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STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICES

SIMPLIFIED FOOD STAMP PROGRAM UNPAID WORK EXPERIENCE

(WEX) AND UNPAID COMMUNITY SERVICE HOURS WORKSHEET

GRANT/CALCULATION MONTH (MONTH PRIOR TO THE ACTIVITY PARTICIPATION MONTH)
ACTIVITY PARTICIPATION MONTH

Complete this form to determine the maximum number of hours a county may assign an individual to unpaid community service and/or unpaid WEX, up to 32- or 35-hours per week. (Note: A county need not assign an individual all of the hours determined by the formula below). If the assignment is less than 32- or 35-hours per week, the individual is required to participate in other activities to meet his or her work participation requirement.

PARTICIPANT’S NAME / CASE NO.
  1. Actual Cash Grant Authorized for the Grant/Calculation Month, Including Underpayments and Supplemental Payments On or Before the 10th of the Month. (After Penalties and Overpayments. Do Not Include Any Amount Used to Subsidize Grant-Based OJT Community Services.)
/ $
  1. Actual Food Stamp Allotment Authorized for the Grant/Calculation Month, Including Underissuances Paid On or Before the 10th of the Month. (After Overissuance Adjustments.) To determine prorated amount for mixed food stamp households, use this formula:
/ + $
Total Household FS Allotment / ($ ) / = / x
# of FS Recipients in Household / ( ) / (FS
Amonut/
Person / (# of
CalWORKs
Recipients
  1. Total Benefits Paid for the Grant/Calculation Month.
(Total of line 1 and line 2) / =
  1. Monthly Minimum Wage Calculation Amount for the Grant/Calculation Month. (Divide line 3 by the appropriate minimum wage)
$ ÷ $
(line 3) (Minimum Wage) / =
  1. Maximum Average Unpaid WEX/Community Service Hours for the Grant/Calculation Month.
(Divide line 4 by 4.33) ÷ 4.33
(Round Down) (line 4) / =
COMPLETED BY / AGENCY / DISTRICT NUMBER (IF APPLICAABLE) / DATE
WTW 15 (12/05) RECOMMENDED FORM
IDM-CWES, F6

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