Workforce Connections NJCOS Data Entry and File Review Monitoring Tool - Youth

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1 Workforce Connections NJCOS Data Entry and File Review Monitoring Tool - Youth Sub Recipient: Desk Review: Case Manager: Reviewer: Onsite Review: Reviewer: Program Participant Name: User ID: Status at Enrollment: In-school Out-of-school Is this record approved for the 5% exception for income: Eligibility Element NJCOS Review File Review & Source Data Validation Date of Birth / / Social Security Number - - Authorization to Work SNWDA Residency Education Level School Status Employment Status Selective Service Exempt Eligible Veteran Status Date of service: Disability Status

2 Low Income/Public Assistance Status Type: 70% LLSIL Homeless Foster/Former Foster In Snap Shot? Additional Low Income Free/Reduced Lunch Criteria High Poverty Area Census tract: Needs Additional Assistance School Dropout Serious Barriers to Employment Basic Skills Deficient (BSD) /English Language Learner Marital Status Family Size Pregnant or Parenting Offender Homeless/Foster Child/Runaway Youth Failing to meet compulsory school attendance Are the barrier(s) selected marked correctly in the Snap Shot? Additional Eligibility Requirements Form Present and Properly Signed and Dated Youth Application Equal Opportunity is the Law Nepotism Participant Rights and Responsibilities Release of Information Income Worksheet

3 Services Element NJCOS Review File Review & Source Data Validation Date of 1 st Service/Enrollment / / Enrolling Service: Youth Elements Provided : (Print Service List) Tutoring, study skills training, and instruction leading to completion of secondary school, including dropout prevention Comprehensive guidance and counseling, including drug & alcohol abuse counseling and referral Paid and unpaid work experiences, including internships, job shadowing Adult mentoring Occupational skill training Leadership development opportunities Alternative secondary school services Financial Literacy Entrepreneurial Skills Training LMI, Career Counseling, Career Exploration Education offered w/ preparation and training Transition Activities that prepare for Training and Post-secondary Education Supportive Services Follow-up services Service Requirements Are services being offered every 90 days? Are needed services being offered to the participant? Are all services documented in the file? Are obligated amounts entered correctly? Are actual amounts entered and timely? Are services closed with timely and appropriate end dates?

4 Training Services Occupational Skills Start Date: End Date: Expired Planned End Date? Actual Cost: Sector Tab: ETPL: ITA: Progress & Attendance: Payments: On-the-Job Start Date: End Date: Expired Planned End Date? Actual Cost: Sector Tab: Pre-Award: SGA/Training Plan: Offer/Job Description: OJT: Payments: Work Experience Start Date: End Date: Expired Planned End Date? Actual Cost: Worksite Agreement: Training Plan: Job Description: Time Cards: Payments: Progress Report: In file? Case Notes Minimum Contact? Document Services? Justify Activities? Community Resources Provided? Entered Timely?

5 Form Objective Assessment Individual Service Strategy Additional Service Requirements Requirements Reflects specific and clear basic skills, prior work experience, occupational interest/aptitudes, support service needs? ISS is jointly developed, signed and dated? Reflects specific career pathway? Please List: Reflects specific and clear Employment/Occupational Goal? Reflects specific and clear Educational Goals? Reflects specific and clear Work Readiness Goals? Supportive Services correctly marked? All youth elements identified in the service strategy? STEM Reflects STEM interest? Reflects employability skills and developmental needs relative to STEM interest? Reflects understanding of the need for STEM skills for future employment? Traitify Assessment?

6 Occupational Skills Training Basic Skills Deficiency/ English Language Learner (ESL) Pre-Test Scores Date: / / Test Name: Was outside Financial aid available and utilized by Sub-recipient? Post-Test Scores Date: / / Math: EFL: Reading: EFL: Writing: EFL: Math: Reading: Writing: EFL: EFL: EFL: If BDS, does the education tab in Comp Assess match lit/num. in the Outcomes tab? Obtained an EFL gain in the corresponding program year? Outcomes Element NJCOS Review File Review & Source Data Validation Placement in Employment or Education Outcomes: Work History: Training Related Employment Blank Credential N/A Type: Date Rec d: / / Measurable Skills Gain (Pre & Post Test) EFL Gain Rec d Date of Exit / / Exit Reason: School Status at Exit Mark if left blank School Status in qtr. after exit. Mark if left blank 1 st Quarter After Exit 2 nd Quarter After Exit 3 rd Quarter After Exit Source

7 4 th Quarter After Exit Exclusion Taken Exclusion: Date Taken: Additional File Requirements Requirements File Review File Organization Additional Notes:

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