ContractWioa Title 1 Youth – Subsidized Work Experience Authorization Form • September 27th, 2022
Contract Type FiledSeptember 27th, 2022Participant’s Name: ASSET Pin #: _ EMI Office Use Only □ 1.) WIOA Title 1 Youth – Subsidized Work Experience Authorization Form – September 2022 □ 2.) Worksite Assignment – Subsidized Work Experience Participation Agreement – July 2022 □ 3.) Worksite Agreement – current program year (Include Liability Insurance)(Copy provided to EMI with each new position or placement at identified Worksite) □ 4.) Form I-9 (Unexpired) □ 5.) Form W-4 (Current Year) □ 6.) Form WT-4 (Current Year) □ 7.) Work Permit (if applicable – only required for youth 14 or 15 years of age) □ 8.) Participant Handbook Receipt of Orientation (must review handbook with participant) □ 9.) ISS Printout with required signatures (must show work experience service/employability skills)