Forms Page Workforce Investment Act (WIA) and Alameda County Workforce Investment Board (ACWIB) Forms Form Name Form Description Form File ACWIB General Forms Client Complaint/Grievance Form Client Complaint/Grievance Form Client Grievance-Complaints Filing Form 4-2006.doc Incident Report of Fraud, Criminal Activity, Mismanagement or Waste Incident Report of Fraud, Criminal Activity, Mis-management or Waste AB 32 - Incident reporting Form.doc   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 Instructions 09-09-08.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 Batch Log Batch Log Form 7 batch log revised 03 21 0611.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   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 Contract OJT Master Contract OJT Master Agreement10-17-06.pdf OJT Monitoring Report OJT Monitoring Report OJT MONITORING REPORT.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 OJT Referral Form OJT Referral Form OJT Referral Form 10-12-06.doc   Rapid Response Rapid Response Policies and Procedures Rapid Response Policies and Procedures PY 2008/2009 RAPID RESPONSE POLICIES-PROCEDURES 2008-2009 6-12-08.doc TAA/ATAA Application This page provides downloadable copies of the TAA Petition form and provides instructions. TAA RevisedPetition.pdf   Request for Proposals (RFP) 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 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 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 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   STRATEGIC FIVE-YEAR PLAN/LOCAL PLAN MODIFICATION 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 1-17-09.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 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. 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