WIOA YOUTH PROGRAM FORMS

WIOA Eligibility Forms
(These forms are required as part of your eligibility packet)

Youth Barrier and Verification Form (OSY)
Youth Barrier and Verification Form (ISY)

Youth Addendum
Income Calculations Worksheet (if income needs to be verified)
I.S.S (Individual Service Strategy)
SWJC Authorization for Release of Confidential Information

Job Seeker’s Code of Conduct-(Hard File)
WIOA Complaint-Grievance Procedures-(Hard File)

WIOA Youth Out-of-School Eligibility Training
WIOA Youth In-School Eligibility Training

Supporting Documents for Eligibility

2023-High-Poverty-Zip-Codes
CalJOBS Registration (Hard Copy NOT Required for Eligibility)
Bi-Monthly I.S.S Reviews & Exit Tracking Sheet
Residence/Support Verification
Applicant Statement
Income inclusions/exclusions for low income determination
Medical Consent and Emergency Information
Selective Service-Who Must Register
I.S.S Pre Filled Example
I.S.S Template User Reference Guide-ISY
I.S.S Template User reference Guide-OSY

Program Misc. Forms

Transmittal Form-Cover Sheet
Exit Form
Follow Up Form
Youth Test Score Form

Work Experience (WEX)

Form W-4
LIST OF ACCEPTABLE DOCUMENTS-I-9
Worksite Agreement – WIOA

Work Experience Employer Handbook 
WEX Training PowerPoint
WEX Worksite List Template

WIOA Youth Program CalJOBS Training Materials

CalJOBS Activity Code & Case Note Training
Supportive Service & Incentive Training
WIOA Youth Program Flow Chart

Case Note Flow
WIOA Youth Performance
CalJOBS Training- Introduction to CalJOBS
Registration-Creating an Individual
Creating a WIOA Application
Scanning Documents into CalJOBS
Setting up Alerts and Creating a Search List for Your Caseload

Supporting Documents for Case Manager

WIOA Youth Agency Codes PY 23-24
Follow-up Chart PY 21-22
CalJOBS- Activity Codes Dictionary
Case Manager File Tracking Checklist
CalJOBS Activity Codes and Performance Crosswalk
CalJOBS Activity Codes Detailed Listing – Individual
CASAS Grade Scale PY 23-24
CASAS – Test Scores Outside Accurate Range