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Forms Page

Workforce Investment Act (WIA) and Alameda County Workforce Investment Board (ACWIB) Forms

Form Name Form Description Form File
ACWIB General Forms
Client Grievance Complaint Filing Form Spanish Client Grievance Complaint Filing Form Spanish WIBClient Grievance-Complaints Filing Form 20081-spa.doc
Client Grievance Complaint Filing Form Vietnamese Client Grievance Complaint Filing Form Vietnamese Client Grievance-Complaints Filing Form 2008_Vietnamese.doc
Clients Rights Summary Form Chinese Clients Rights Summary Form Chinese CHINESE-Client Rights Summary Form Revised 2008.doc
Clients Rights Summary Form Spanish Clients Rights Summary Form Spanish WIBClient Rights Summary Form Revised 2008-spa.doc
Clients Rights Summary Forms Translated Into Spanish, Chinese and Vietnamese Client Grievance Filing Form Chinese CHINESE-Client Grievance-Complaints Filing Form 2008.doc
Clients Rights Summary Vietnamese Summary Vietnamese Client Rights Summary Form Revised 2008_Vietnamese.doc
Grievance and Complaint Procedures Grievance and Complaint Procedures 2008 AB 8 2008 Grievances Complaints Bulletin.pdf
NOTIFICATION OF COMPLAINT/GRIEVANCE NOTIFICATION OF COMPLAINT/GRIEVANCE Client Grievance-Complaints Filing Form 2008.pdf
Respondent Form Complaints Chinese Respondent Form Complaints Chinese CHINESE-Respondent Form Complaints 2008.doc
Respondent Form Complaints Vietnamese Respondent Form Complaints Vietnamese Respondent Form Complaints 2008_Vietnamese.doc
Respondent Form Complaints Spanish Respondent Form Complaints Spanish WIBRespondent Form Complaints 20081-spa.doc
SUMMARY NOTIFICATION OF RIGHTS AND COMPLAINT PROCEDURES SUMMARY NOTIFICATION OF RIGHTS AND COMPLAINT PROCEDURES Client Rights Summary Form Revised 2008.pdf
ACWIB COMPLAINT PROCEDURES ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD
COMPLAINT PROCEDURES
Grievance-Complaint Procedures 2008.pdf
Incident Report for Fraud, Criminal Activity, Mismanagement or Waste Incident Report for Fraud, Criminal Activity, Mismanagement or Waste Incident report form 2008.pdf
NOTIFICATION OF COMPLAINT NOTIFICATION OF COMPLAINT
RESPONDENT INFORMATION
Respondent Form Complaints 2008.pdf
Batch Log 2009 Batch Log 2009 7 batch log revised Oct 2009.xls
 
Customized/Upgrade Training
Customized Training Master Agreement OPIC Customized/Upgrade Training Master Agreement OPIC Customized Training Master Agreement 06 06 06.doc
Customized/Upgrade Training Application Customized/Incumbent Worker Training Application ACWIB Customized Training Application 06 06 06.dot
Customized/Upgrade Training Monitor Report Customized/Upgrade Training Monitor Report CT Monitoring Report 9-18-06.doc
Customized/Upgrade Training Referral Form Worksheet Customized/Upgrade Training Referral Form CT Referral Form Worksheet 06 06 06.doc
Union Concurrence Union Concurrence Form Union Concurrence form 3-15-061.doc
 
Eligible Training Provider List (ETPL)
ETPL Application ETPL Application ETPL Application FORMS 9-09-08.doc
ETPL Application Checklist ETPL Application Document Checklist ETPL CHECKLIST 9-09-08.pdf
ETPL Application Instructions ETPL Application Instructions ETPL InstructionsA 2009.pdf
 
Individual Training Account (ITA) Training Forms
Classroom Training (ITA) Request Form Classroom Training (ITA) Request Form Classroom Training Request - Rev 6-14-051.doc
ITA Cancellation/Refund Form ITA Cancellation/Refund Career Counselor Worksheet CAREER COUNSELOR WORKSHEET 06 06 06.doc
ITA Career Counselor Worksheet ITA Career Counselor Worksheet career counselor ITA worksheet 06 06 06.dot
ITA Monitoring Form ITA Monitoring Form ITA Monitoring Site Visit-customer.doc
ITA Occupational Training Supplies Authorization Occupational Training Supplies Authorization (ITA) Occupational Training Supply Authorization 06 06 06.doc
ITA Pre-Contract Site Visit Compliance Monitoring Report ITA Pre-Contract Site Visit Compliance Monitoring Report ITA Pre-Contract Site Visit Compliance Monitoring Tool - Monitor.doc
 
One-Stop Forms
AB 65 Direct Referral Form Postponement of Steps to Success AB 65 Direct Referral Form Postponement of Steps to Success AB 65 - RevisedPostponementofStepsRefForm0107(Attach).doc
AB 65 Steps to Success  Employer Initiated Referral Form AB 65 Steps to Success  Employer Initiated Referral Form AB 65 - StepsToSuccessEmployerInitiated(Attach).doc
Adult/Dislocated Worker Document Checklist WIA Adult and Dislocated Worker Documentation Checksheet. Adult-DW Document Checklists1 11-08-06.xls
Adult/Dislocated Worker Exit Form Adult/Dislocated Worker Exit Form 5 EWIT adult diswk exit 10 24 061.xls
Adult/Dislocated Worker Follow-Up Form Adult/Dislocated Worker Follow-Up Form 6 EWIF follow up 11 0511.xls
Adult/Dislocated Worker Non-Training Enrollment Form WIA Adult/Dislocated Worker Non-Training Enrollment Form ADW 2 EWIE non training enrollment 09 051.xls
Adult/Dislocated Worker Training Enrollment Form WIA Adult/Dislocated Worker Training Enrollment Form 3 EWIE training enrollment 09 0511.xls
EASTBAY Works ONE-STOP BUSINESS AND CAREER CENTER GENERAL POLICIES AND PROCEDURES (RULES) EASTBAY Works ONE-STOP BUSINESS AND CAREER CENTER GENERAL POLICIES AND PROCEDURES (RULES. batch log revised Oct 2009.xls
ESR Quarterly Report Template Employer Services Quarterly Report Template EMPLOYER SERVICES Quarterly Report Template 2-28-07.doc
IB #22 Updated Exit Form IB #22 Updated Exit Form IB - 22 Exit Form(Attach)1.xls
Intensive Service to Training Service Determination Form Intensive Service to Training Service
Determination Form
IntensiveTrainingDeterminationForm.doc
ITA-OJT Counselors Handbook 2007 ITA-OJT Counselors Handbook 2007 hanbook.zip
Monitoring Guide for One-Stop Career Centers WIA PROGRAM MONITORING GUIDE FOR ONE-STOP CAREER CENTERS

Program Monitor Guide One-Stops 2006-2007, Rev 2.doc
Referral to Additional Services Referral to Additional Services Letter of Introduction ACCESS Referral Form 11-06.doc
Staff-Assisted to Intensive Services Form Staff-Assisted to Intensive Services
Determination Form
StaffAssistIntensiveDeterminationForm 07-05.doc
Steps to Success Form Steps to Success Form (Rev 11/3/06) StepsToSuccessDirectReferral10-06 rev.doc
Talent Scout Referral Form Talent Scout Referral Form Talent Scout Referral.doc
WIA PARTICIPANT REIMBURSEMENT CLAIM WIA PARTICIPANT REIMBURSEMENT CLAIM Part Reimburse WIA 7-17-061.pdf
 
On-the-Job Training (OJT) Forms
Employer Information & Union Concurrence Employer Information Sheet & Union Concurrence Form Union Concurrence form 3-15-06.doc
OJT Cancellation Form Use this form to cancel an OJT. Complete the form and forward to OPIC for processing. OJT CANCELLATION 5-29-08.doc
OJT Master Agreement 2009 OJT Master Agreement 2009 Word format OJT Master Agreement 7-14-09.doc
OJT Master Contract OJT Master Contract OJT Master Agreement rev 2009.pdf
OJT Monitoring Report OJT Monitoring Report OJT MONITORING REPORT.doc
OJT Referral Form 9-28-09 OJT Referral Form OJT Referral 9-28-09.doc
OJT Tool/Equipment Authorization OJT Tool/Equipment Authorization OJT Tool Authorization Form.doc
ON THE JOB TRAINING (OJT) MODIFICATION WORKSHEET Use this form to modify an OJT. Complete and send to OPIC. #8 OJT Mod Worksheet.doc
 
Rapid Response
Rapid Response Policies and Procedures PY2009 Rapid Response Policies and Procedures PY2009 RAPID RESPONSE POLICIES-PROCEDURES (Ariel) 2009-2010 9-15-09.pdf
TAA/ATAA Application This page provides downloadable copies of the TAA Petition form and provides instructions. TAA RevisedPetition.pdf
 
Request for Proposals (RFP)
CTS Bidders Conference Q & As July 1,2009 RECOVERY ACT  CAREER TRANSITION SERVICES RFP BIDDERS CONFERENCE
QUESTIONS & ANSWERS
July 1, 2009
CTS Bidders Q&A 7-01-09.pdf
CTS Follow-Up Question July 20, 2009 Additional question received via email on Monday July 20, 2009. CTS RFP Question.pdf
REQUEST FOR PROPOSALS - CAREER TRANSITION SERVICES REQUEST FOR PROPOSALS - CAREER TRANSITION SERVICES for Dislocated Workers. (PDF)
CTS Application REVISED 6-18-09.pdf
REQUEST FOR PROPOSALS - CAREER TRANSITION SERVICES REQUEST FOR PROPOSALS - CAREER TRANSITION SERVICES for Dislocated Workers. (Word) CTS Application REVISED 6-18-09.doc
REQUEST FOR PROPOSALS (RFP) FOR ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD STRESS COUNSELING SERVICES REQUEST FOR PROPOSALS (RFP) FOR
ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD
STRESS COUNSELING SERVICES
StressCounselingRFPAnnouncement 6.091
STRESS COUNSELING PROGRAM RFP BIDDERS CONFERENCE QUESTIONS & ANSWERS STRESS COUNSELING PROGRAM RFP BIDDERS CONFERENCE QUESTIONS & ANSWERS from June 16, 2009.
Stress Counseling Bidders' ConferenceQA.6.17.09
Stress Counseling Services Request for Proposals Stress Counseling Services Request for Proposals Stress Counseling RFP 6.10.09
Stress Counseling Services Request for Proposals Forms Stress Counseling Services Request for Proposals Forms Stress Counseling RFP Part II Forms 6.10.09
SYEP RFP Part I 2009-2010 Summer Youth Employment Program May 1 through September 30, 2009. Proposal Submission Deadline: Monday, April 6, 2009 3:00 pm RFP SYEP 2009 Part I - Final 3-16-091.pdf
SYEP RFP Part II 2009-2010 Summer Youth Employment Program May 1 through September 30, 2009. Proposal Submission Deadline: Monday, April 6, 2009 3:00 pm RFP SYEP 2009 Part II Forms Final 3-17-09.pdf
ANNOUNCEMENT - REQUEST FOR PROPOSALS (RFP) For ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD CAREER TRANSISTIONAL SERVICES REQUEST FOR PROPOSALS (RFP) For
ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD
CAREER TRANSISTIONAL SERVICES
ANNOUNCEMENT CTS 6-11-09.pdf
EDEN AREA ONE-STOP CAREER CENTER RFP REQUEST FOR PROPOSALS (RFP) For
ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD
EDEN AREA ONE-STOP CAREER CENTER
RFP Announcement for Eden Area One-Stop 10-07.doc
Posting Q&A from Youth RFP Bidders' Conference Posting Q&A from Youth RFP Bidders' Conference Questions & Answers from the Youth.
RFP Bidders Conference- Employment Plus Programs, Tuesday, October 9, 2007 are posted.
BIDDERsconf QA.10.09.07 Youth.doc
NORTH CITIES ONE-STOP CAREER CENTER RFP REQUEST FOR PROPOSALS (RFP) For
ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD
NORTH CITIES ONE-STOP CAREER CENTER
RFP Announcement for North Cities One-Stop 10-07.doc
EMPLOYMENT PLUS PROGRAMS FOR HIGH-RISK YOUTH REQUEST FOR PROPOSALS (RFP) For
ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD
EMPLOYMENT PLUS PROGRAMS FOR HIGH-RISK YOUTH 
ALL SERVICE AREAS
RFPYouth Announcement 2008-11.doc
 
STRATEGIC FIVE-YEAR PLAN/LOCAL PLAN MODIFICATION
Notice Of Public Comment Ninth-Year Modification We are submitting the draft Ninth-Year Modification to the Alameda County Local Workforce Investment Area for your review and comment.

Each year, the Local Workforce Investment Boards are required to submit modifications to the original plan that may include: the submission of required elements missing from previous plans; reports on significant changes in local economic conditions; changes in leadership structure; and changes in program strategies to address performance goals and community needs.

All previous Plan Modifications have been incorporated into the body of the original Strategic Ninth-Year Plan. The full plan is available to view upon request as a MS Word document email attachment, and as a hardcopy at our office. You may also go to our website at www.acwib.org. to retrieve a copy.

Please send your comments, referencing the section and page number of the original plan, in writing to be received by our office no later than the close of business on November 18, 2008 to:

Ninth-Year Modification Plan Comments
Alameda County Workforce Investment Board
Attn: Dorothy Chen
24100 Amador St., 6th Floor
Hayward, CA 94544-1203

You may also email your comments with the subject title Ninth-Year Modification Plan Comments to: dchen@acgov.org We look forward to your invaluable feedback.

To request a full copy of the plan, please contact Flo Fox at 510-259-3842 or via email ffox@acgov.org and a copy of the plan will be emailed to you.
5-yr Plan Modifications 9th yr 08-09 FINAL.pdf
Participant Plan Summary 2008/2009 Participant Plan Summary Attachment D - Participant Plan Summary.xls
Budget Plan 2008/2009 Budget Plan for PY 2008/2009 Attachment B - Budget Summaries.xls
Budget Plan 2007/2008 Budget Plan 2007/2008 Budget Plans FY07-08.xls
Participant Plan Summary Participant Plan Summary ParticipantPlanSummary0708.xls
STRATEGIC FIVE-YEAR PLAN/LOCAL PLAN MODIFICATION STRATEGIC FIVE-YEAR PLAN/LOCAL EIGHT YEAR PLAN MODIFICATION open for comment. WIA- PY07-08 Plan Modifications.doc
WIA Plan Addendum X WIA PLan Addendum X WIA Plan Addendum X.rtf
 
Survey Forms
Job Fair/Recruitment Survey Job Fair/Recruitment Survey JOB FAIR SURVEY EBW logo.doc
 
WIB PowerPoint Presentations
OJT and Other Mysteries of the Universe This PowerPoint presentations attempts to exlain the process, policies and procedures of an OJT contract. OJT Mysteries 12-2006 Rev 6-29-09.ppt
One Stop Employer and WIB Business Services Defined This brief PowerPoint presentation defines the roles of Employer Services at the One Stop Career Center level and Business Services at the WIB level. BUSINESS Services Slide Show 9-8-08.ppt
 
Youth Program Forms
Batch Log Batch Log 7 batch log revised 03 21 061.xls
Monitoring Guide for Youth Program Operators WIA PROGRAM MONITORING GUIDE FOR YOUTH PROGRAM OPERATORS Program Year 2007-2008
Program Monitor Guide Youth 2006-2007-3.doc
SYEP Bidder's Conference March 20, 2009 Questions and Answers ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD

RECOVERY ACT  SUMMER YOUTH EMPLOYMENT PROGRAM

RFP BIDDERS CONFERENCE

QUESTIONS & ANSWERS

March 20, 2009
ACWIB YOUTH RFP Q & A 3-26-09.pdf
SYEP PARTICIPANT TRANSPORTATION SUMMER YOUTH EMPLOYMENT PROGRAM

PARTICIPANT TRANSPORTATION
SYEP Participant Transportation.pdf
SYEP SUPPORT SERVICE POLICY AND PROCEDURES ALAMEDA COUNTY WORKFORCE INVESTMENT BOARD
SUMMER YOUTH EMPLOYMENT PROGRAM (SYEP)

SUPPORT SERVICE POLICY AND PROCEDURES
Effective June 1, 2009

Applicable to Provision of all Types of Support Services

SYEP AB 81 - Attachment - SYEP Support Service Policy.pdf
SYEP TRANSPORTATION REIMBURSEMENT CLAIM SUMMER YOUTH EMPLOYMENT PROGRAM

TRANSPORTATION REIMBURSEMENT CLAIM

SYEP Transportation Reimbursement Claim.pdf
Youth Document Checklist Youth In School/Out of School Checksheet for Eligibilty Youth Document Checklists 11-08-06.xls
Youth Enrollment Form Youth Enrollment Form Youth 2a EWIE youth enrollment 09 051.xls
Youth Exit Form WIA Youth Exit Form youth exit 5 EWIT 09 051.xls
Youth Follow-Up Information Form YWIA outh Follow-Up Information Form Youth 6 EWIF follow up 11 051.xls
Youth Goals Form WIA Youth Goals Form Yoth EWIG youth goals 09 051.xls
Youth Test Scores Form Youth Test ScoresForm (revised) youth test scores revised 4a 07-25-061.xls
 
     
 
  ACWIB
24100 Amador Street, 6th Floor
Hayward, CA 94544-1203
Click here for directions
Phone: (510) 259-3842
Fax: (510) 259-3845
Email: rbertuccelli@acgov.org
 
     
  The Alameda County Workforce Investment Board is a WIA Title I financially assisted
program or activity and is an equal opportunity employer/program. Auxiliary aids
and services are available upon request to individuals with disabilities.
 
     
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