Disaster Recovery DWG - Suggested Project Operator Information_final.pdf

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National Dislocated Worker Grants Program Guidance
Opportunity number
ETA-TEGL-12-19
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Disaster Recovery DWG – Suggested Project Operator Worksite Information

DISASTER RECOVERY NATIONAL DISLOCATED WORKER GRANT (DWG)

SUGGESTED PROJECT OPERATOR WORKSITE INFORMATION

The information collected by this document is NOT required for the emergency DWG application; however, is required for the DWG full application that is due 60 days following the award of an emergency application. Please complete individual worksheets for each project operator, using additional worksheets, if necessary.

Grant recipients are encouraged to submit this form when requesting incremental/supplemental funding, as it demonstrates the grant recipient’s progress at each of the worksites.

GENERAL INFORMATION

Project Operator Name:

Address:

Project Counties Covered by Project Operator:

Total Number of Participants to be Enrolled in Disaster-Relief: Project Operator Funding Level:

Worksite

Location County

Description of the Primary Work to be

Performed

Number of

Participants at this

Worksite

Enter Percentage of Work

Complete (or

Enter NEW)

Project Operator Name:
Address:
Project Counties Covered by Project Operator:
Project Operator Funding Level:
Worksite LocationRow1:
CountyRow1:
Description of the Primary Work to be PerformedRow1:
Number of Participants at this WorksiteRow1:
Enter Percentage of Work Complete or Enter NEWRow1:
Worksite LocationRow2:
CountyRow2:
Description of the Primary Work to be PerformedRow2:
Number of Participants at this WorksiteRow2:
Enter Percentage of Work Complete or Enter NEWRow2:
Worksite LocationRow3:
CountyRow3:
Description of the Primary Work to be PerformedRow3:
Number of Participants at this WorksiteRow3:
Enter Percentage of Work Complete or Enter NEWRow3:
Worksite LocationRow4:
CountyRow4:
Description of the Primary Work to be PerformedRow4:
Number of Participants at this WorksiteRow4:
Enter Percentage of Work Complete or Enter NEWRow4:
Worksite LocationRow5:
CountyRow5:
Description of the Primary Work to be PerformedRow5:
Number of Participants at this WorksiteRow5:
Enter Percentage of Work Complete or Enter NEWRow5:
Worksite LocationRow6:
CountyRow6:
Description of the Primary Work to be PerformedRow6:
Number of Participants at this WorksiteRow6:
Enter Percentage of Work Complete or Enter NEWRow6:
Worksite LocationRow7:
CountyRow7:
Description of the Primary Work to be PerformedRow7:
Number of Participants at this WorksiteRow7:
Enter Percentage of Work Complete or Enter NEWRow7:
Worksite LocationRow8:
CountyRow8:
Description of the Primary Work to be PerformedRow8:
Number of Participants at this WorksiteRow8:
Enter Percentage of Work Complete or Enter NEWRow8:
Worksite LocationRow9:
CountyRow9:
Description of the Primary Work to be PerformedRow9:
Number of Participants at this WorksiteRow9:
Enter Percentage of Work Complete or Enter NEWRow9:
Worksite LocationRow10:
CountyRow10:
Description of the Primary Work to be PerformedRow10:
Number of Participants at this WorksiteRow10:
Enter Percentage of Work Complete or Enter NEWRow10:
Total Number of Participants to be Enrolled in Disaster-Relief:

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