Wioa Title 1 Youth – Subsidized Work Experience Authorization Form Sample Contracts

Contract
Wioa Title 1 Youth – Subsidized Work Experience Authorization Form • September 27th, 2022

Participant’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)

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Contract
Wioa Title 1 Youth – Subsidized Work Experience Authorization Form • October 19th, 2021

Participant’s Name: ASSET Pin #: _ EMI Office Use Only □ 1.) WIOA Title 1 Youth – Subsidized Work Experience Authorization Form □ 2.) Worksite Agreement – March 2021a. Create with Each New Worksite (Include Liability Insurance)(Copy provided to EMI with each new position or placement at identified Worksite) □ 3.) Job Description (From Employer) □ 4.) Work Assignment - Subsidized Work Experience (Hire Letter - Participant Handbook) □ 5.) Academic & Occupational Skills Form – March 2021 □ 6.) Form I-9 (Unexpired) □ 7.) Form W-4 (Current Year) □ 8.) Form WT-4 (Exempt Withholding if Applicable) □ 9.) Work Permit (if applicable – only required for youth 14 or 15 years of age) □ 10.) Participant Handbook Receipt of Orientation (must review handbook with participant) □ 11.) Progress Report Template – March 2021 (submit within 60 days of start date)

Contract
Wioa Title 1 Youth – Subsidized Work Experience Authorization Form • March 1st, 2021

Participant’s Name: _ ASSET Pin #: EMI Office Use Only  1.) WIOA Title 1 Youth – Subsidized Work Experience Authorization Form  2.) Worksite Agreement – March 2021a. Create with Each New Worksite (Include Liability Insurance)(Copy provided to EMI with each new position or placement at identified Worksite)  3.) Job Description (From Employer)  4.) Work Assignment - Subsidized Work Experience (Hire Letter - Participant Handbook)  5.) Academic & Occupational Skills Form – March 2021  6.) Form I-9 (Unexpired)  7.) Form W-4 (Current Year)  8.) Form WT-4 (Exempt Withholding if Applicable)  9.) Participant Handbook Receipt of Orientation (must review handbook with participant)  10.) Progress Report Template – March 2021 (submit within 60 days of start date)

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