ࡱ>     ) 4bjbj 8ؐddؐdd*B %%%%%9998q-9q*1!h ,(,,,-P3TT6ppppppp$svdp%8--88p%%,,q<<<8^%,%,p<8p<<2"fj,N8^8^g.rpq0qg w8B w\j w%j88<88888pp<888q8888 w888888888 :  Temporary Assistance for Needy Families (TANF) Job Opportunities and Basic Skills (JOBS) Educational Training Guidelines We have two activities that will support the completion of your higher education or training, please read the requirements carefully and decide which one is appropriate for you. Self-Initiated Education: An activity in which participants are enrolled in a two or four-year program, earning credit toward a college degree. Learn new skills which will improve employability Can earn a college degree Post-Bachelor degree Vocational Training: An activity that provides participants with up to 18 months access to specific training that will lead to a career with an appropriate wage level and opportunity for employment. Programs within 18 months in length (or less) that will lead to a certificate, job offer, and/or career Program or training that will lead to high-demand /above-average wage employment Attendance Reporting Requirement: Submit weekly attendance using attendance form DHS 7861 Attendance reported from school program Online classes can be reported by printing out progress report and attaching it to attendance form Support Services: If receiving Financial Aid, please provide a copy of financial aid award letter to your Family Coach and discuss support services such as: Transportation Child care Testing fees Criminal background check Books The Department of Human Services (DHS) does not discriminate based on age, race, ethnicity, national origin, sex, sexual orientation, gender identity, religion, political belief, ability, or other legally protected class group. This means DHS will help all who qualify. If you believe DHS has discriminated against you, you may file a complaint with Governors Advocacy Office at  HYPERLINK "mailto:GAO.CR@state.or.us" GAO.CR@state.or.us Educational Activities Application Packet Please complete the following forms and steps needed to participate in Vocational Training or Self-Initiated Education. Read the JOBS Educational Training Guidelines Complete Educational Training request Complete Self-Assessment Questionnaire Complete the Budget Information Worksheet Complete the Labor Market Research Worksheet Complete the Background Check (if required by Family Coach) Background check can be requested at your local police department or if available through the JOBs contractor. Submit your completed packet to your Family Coach. They can help you schedule a staffing appointment where a decision about your request will be made. Attend staffing appointment (if you do not attend this staffing, this activity may not be approved). Please come prepared to discuss daycare, transportation and other costs as needed to complete your training. Educational Training Request Name: FORMTEXT      Phone number: FORMTEXT      Case number: FORMTEXT      Family coach: FORMTEXT       Please answer the following questions and attach additional information if needed. 1.Name of training or educational program:  FORMTEXT      2.Dates of schooling or training:  FORMTEXT      3.Name of school or agency providing training:  FORMTEXT      4.Length of training or educational program (in months):  FORMTEXT      5.Will this training or educational program result on a certificate or diploma? If so, what will it be?  FORMTEXT      6. Do you have limitations or need accommodations?  FORMTEXT      7.Do you need child care while attending training or educational program?  FORMTEXT      8.Do you need transportation while attending training or educational program?  FORMTEXT      9.How can we support you to be successful at completing this training? (ex.: other financial needs)  FORMTEXT        Self- Assessment Questionnaire Family1.What are the ages of your children?  FORMTEXT      2.Do they attend school? If so, what grade?  FORMTEXT      3.Which of the following describes your household?  FORMCHECKBOX  Single parent  FORMCHECKBOX  Two parent  FORMCHECKBOX  Teen parent4.What are some of your hobbies?  FORMTEXT      Education1.Highest grade completed?  FORMTEXT      2.Do you have a high school diploma or GED?  FORMCHECKBOX  No  FORMCHECKBOX  High school  FORMCHECKBOX  GED3.What other schooling or training have you completed beyond high school?  FORMTEXT      4.Do you have any certificates of training or occupational licenses? (ex.: C.N.A., cosmetologist, contractor)  FORMTEXT      Work experience1.Do you have any volunteering experience? If so, where did you volunteer? What did you do as a volunteer?  FORMTEXT      2.What jobs have you done? Please include odd jobs as well.  FORMTEXT      3. What are the reasons for leaving those jobs?  FORMTEXT      4.What is the length of the longest job you have had?  FORMTEXT       Are you or have you worked with other agencies? AgencyPastPresentAgencyPastPresentChild Welfare FORMCHECKBOX  FORMCHECKBOX Mental Health FORMCHECKBOX  FORMCHECKBOX Aging and people with Disability Services (APD) FORMCHECKBOX  FORMCHECKBOX Social Security (SSI/SSD/SSB) FORMCHECKBOX  FORMCHECKBOX Corrections/Parole/Probation FORMCHECKBOX  FORMCHECKBOX Employment Department FORMCHECKBOX  FORMCHECKBOX Division of Child Support FORMCHECKBOX  FORMCHECKBOX Support groups FORMCHECKBOX  FORMCHECKBOX Domestic Violence Services FORMCHECKBOX  FORMCHECKBOX Substance Use Disorder FORMCHECKBOX  FORMCHECKBOX Head Start FORMCHECKBOX  FORMCHECKBOX Vocational Rehabilitation FORMCHECKBOX  FORMCHECKBOX Family Support and Connections FORMCHECKBOX  FORMCHECKBOX Women Infants and Children (WIC) FORMCHECKBOX  FORMCHECKBOX Juvenile Court FORMCHECKBOX  FORMCHECKBOX Workers Compensation (SAIF) FORMCHECKBOX  FORMCHECKBOX Legal Aid FORMCHECKBOX  FORMCHECKBOX Other:  FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  What can we do to help you achieve your goals? 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=Pel+SEOG+Grant+Work+Loan+EdIncO 0$0.00Subtotal FORMTEXT  =Tuit+Book+Tool+Tran+EdExpO 0$0.00Total monthly income FORMTEXT  =Sal+Un+TANF+CS+Vet+Voc+SNAP+SSI+WC+Dis+Rel+IncOther+Pel+SEOG+Grant+Work+Loan+EdIncO 0$0.00Total monthly expenses FORMTEXT  =House+Ins+Tax+Util+Phn+Food+Gas+Car+Med+Persn+CC+Cred+Rec+ExpOther+Tuit+Book+Tool+Tran+EdExpO 0$0.00 Labor Market Research Worksheet If you are thinking about investing your time and money in schooling or training, it is important you learn as much as you can about the career path you are considering. The information you encounter while completing this worksheet will help you make an educated decision. There are many resources available to help people think about going to school for a specific job. Ask your Family Coach if you would like assistance to find these resources. 1.What is the title of the job you would like to have?  FORMTEXT      2.What is the starting wage for this job in your surrounding areas?  FORMTEXT      3.What type of education/training is needed for this job?  FORMTEXT      4.How would you describe the job outlook for this occupation? (ex.: grows much faster than average)  FORMTEXT      5.How many job listings were you able to find for this position?  FORMTEXT      6.Does the job require a background check?  FORMCHECKBOX  Yes  FORMCHECKBOX  No7.Have you ever been arrested or convicted of a crime? If so, please give dates and explain what happened.  FORMTEXT       To be completed by Branch LeadershipSupport Service DescriptionMonthly CostNumber of months in trainingTotal approx. cost of support service paymentsChild Care FORMTEXT       FORMTEXT       FORMTEXT  =McostCC*MnthCC 0$0.00Transportation FORMTEXT       FORMTEXT       FORMTEXT  =McostTrn*MnthTran 0$0.00Criminal background fees FORMTEXT       FORMTEXT       FORMTEXT  =CrimMCost*MnthCrim 0$0.00Other:  FORMTEXT       FORMTEXT      FORMTEXT       FORMTEXT  =McostOthr*MnthOthr 0$0.00 Decision:  FORMCHECKBOX  Approved  FORMCHECKBOX  Denied Decision date:  FORMTEXT      More information required:  FORMTEXT      Training/education start date:  FORMTEXT      Training/education end date:  FORMTEXT      Reasons for denial/comments:  FORMTEXT       SignaturesBranch Manager:Date: FORMTEXT      Engagement Specialist:Date: FORMTEXT      Family Coach:Date: FORMTEXT      JOBS contractor:Date: FORMTEXT      Participant:Date: FORMTEXT           DHS 7760 (6/18) Page  PAGE 6 of  NUMPAGES 8  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If so, what will it be?eWill this training or educational program result on a certificate or diploma? If so, what will it be?$$IfO!vh#v#v*):V l t0655*)22pytUhU2DText10/Do you have limitations or need accommodations?/Do you have limitations or need accommodations?$$IfO!vh#v#v*):V l0 t0655*)22pyt3A>DText11GDo you need child care while attending training or educational program?GDo you need child care while attending training or educational program?$$IfO!vh#v#v*):V l t0655*)22pytAO9DText12KDo you need transportation while attending training or educational program?KDo you need transportation while attending training or educational program?$$IfO!vh#v#v*):V l t0655*)22pytAO9DText13aHow can we support you to be successful at completing this training? (ex.: other financial needs)aHow can we support you to be successful at completing this training? 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(ex.: Collecting child support, housing, counseling, etc& )iWhat can we do to help you achieve your goals? 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(ex.: grows much faster than average) bHow would you describe the job outlook for this occupation? (ex.: grows much faster than average) $$IfO!vh#v#v*):V l t655*)/ 2 pytSnDText36>How many job listings were you able to find for this position?>How many job listings were you able to find for this position?$$IfO!vh#v#v*):V l t655*)/ 2 pytT#DCheck9YesYes~DCheck10NoNo$$IfO!vh#v#v*):V l t655*)/ 2 pytSDText24gHave you ever been arrested or convicted of a crime? If so, please give dates and explain what happenedgHave you ever been arrested or convicted of a crime? 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