WorkSource Helpdesk

Additional Funding Request

Board Waiver Form

Business Services Technical Assistance

Local Workforce Development Area

First Name

Last Name

Email Address

Phone Number

Rapid Response Quarterly Report

DWG Monthly Report

Local Workforce Development Area*
Name*
First Last
Title*
Email*
Enter Email Confirm Email
Phone*
Participants Served (actual):*
Cumulative Quarterly Expenditures:*
Number of Individuals who provided Contact Tracing (if applicable):*
Number of Sites Cleaned:*
Provide a brief summary of grant activities Include planned and actual progress. Please include the following: • Services supported by the grant • Key activities completed, including partnership development and coordination, employer engagement, capacity building • Service and training activities and outcomes • Innovative Practices • Positive Outcomes*
After your initial monthly report, please just provide any updates/new information since the previous month’s report.*
Provide a projected grant timeline. The timeline should paint a picture of project flow that includes start and end dates of grant activities, schedule of activities, and projected outcomes. After your initial monthly report, please update this timeline appropriately to reflect any changes that occurred since the previous month’s report.*
Describe any challenges or concerns the project has encountered that may have affected or slowed grant progress and how the LWDA intends to resolve them. If technical assistance is needed to overcome these challenges, please indicate so.*
Describe the next steps or key areas of emphasis planned for the project next quarter.*
If appropriate, please highlight a grant- or participant-level success story, with the participant’s expressed permission (if providing a participant success story). In documenting success stories, please describe include planned and actual progress. Please include the following: • Services supported by the grant • Key activities completed, including partnership development and coordination, employer engagement, capacity building • Service and training activities and outcomes • Innovative Practices • Positive Outcomes
Name
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Financial Technical Assistance

Local Workforce Development Area

First Name

Last Name

Email Address

Phone Number

Financial Transfer Request

Local Workforce Development Area

First Name

Last Name

Email Address

Phone Number

Origin Grant #

Funds to be Transferred

Amount of Program Funds:

Amount of Administrative Funds:

Funds to be Transferred:

Total: $

Purpose of Transfer:

Please provide an explanation for the reason you are wanting to transfer these funds.

Attach Copy of Most Recent Submitted FSR

Attach Signed Letter from your LWDA Executive Director's formal approval

Financial Documents Submission

WFD Financial Documents Submission

Local Workforce Development Area(Required)
First Name(Required)
Last Name(Required)
Email(Required)
Phone(Required)
Type of Documents (e.g. Local Budgets, Local Audit Reports, Local FSRs)(Required)
Description/Notes (if needed)
Include a description of your submission, and any clarifying details, as needed.
Attach Documents(Required)
Drop files here or

Accepted file types: xls, xlsx, pdf, doc, docx, Max. file size: 2 MB.
Comments
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Large Purchase Request ($5,000 - $50,000)

Local Workforce Development Area

First Name

Last Name

Email Address

Phone Number

Purchase Amount

Purchase Description and Justification

Attach Local Procurement Policy

Attach Signed Letter from your LWDA Executive Director's formal approval

Large Purchase Request ($50,000+)

Local Workforce Development Area

First Name

Last Name

Email Address

Phone Number

Purchase Amount

Statement of Need

Your Statement of Need (SON) should include: the benefits expected from the equipment; the total costs of ownership over the whole of its operational life, covering acquisition costs, maintenance and disposal; and how the acquisition will promote the agency’s objectives.

Specification of Requirement

Your Specification of Requirement (SOR) should include: the primary contact for questions about the purchase or procurement process; a description of the equipment to be purchased; details of the procurement methodology used, as well as associated documentation of completed procurement process; the proposed cost of equipment, including any additional costs associated with equipment (maintenance, training, installation, etc.); the required cost/price analysis that was completed; a description of the need for the equipment within the LWDA (*this should be specific*); a discussion of how this equipment will impact your service delivery/participants; a discussion of how this purchase will impact your performance; and a discussion of how this purchase will assist with obtaining your intended goal(s).

Attach Local Procurement Policy

Attach Signed Letter from your LWDA Executive Director's formal approval

Programmatic Technical Assistance

Programmatic Technical Assistance Requestor Information

Local Workforce Development Area

First Name

Last Name

Email Address

Phone Number

Staff Change Notification

Local Workforce Development Area

Departing Staff Member Information:

First Name

Last Name

Title

Main Area(s) of Responsibility

Replacement Staff Member Information:

First Name

Last Name

Title

Main Area(s) of Responsibility (if different than above)

Email Address

Phone Number

Effective Date

Further Explanation

Requests and Assistance

Additional Funding Requestor Information

Multiple project requests should be submitted as separate forms. Single forms with multiple requests will be asked to resubmit their requests in separate forms before being considered.

Project Details:

Training Projects

Board Waiver Form

Business Services Technical Assistance

Rapid Response Quarterly Report

Companies Engaged

Dislocated Workers Served

DWG Monthly Report

Financial Technical Assistance

Financial Transfer Request

Funds to be Transferred

Total: $

WFD Financial Documents Submission

Large Purchase Request ($5,000 - $50,000)

Large Purchase Request ($50,000+)

Programmatic Technical Assistance Requestor Information

Staff Change Notification

Departing Staff Member Information:

Replacement Staff Member Information: