Disaster Recovery DWG - Suggested Modification Summary and Narrative_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 Modification Summary and Narrative

DISASTER RECOVERY NATIONAL DISLOCATED WORKER GRANT (DWG)

SUGGESTED MODIFICATION SUMMARY AND NARRATIVE

Grant Recipient Name:

Project Name:

Grant Number:

Are all quarterly reports up to date? ☐ Yes ☐ No

Check applicable requests made in this modification request:

☐ Financial Request / Funding Amount: ☐ Budget Realignment

☐ Statement of Work Change ☐ Response to Outstanding Terms and Conditions

☐ Incorporate Negotiated Indirect Cost Rate Agreement

(NICRA) or Cost Allocation Plan (CAP)

☐ Period of Performance Change

Requesting an extension to:

☐ Change of Address or Authorized Representative Information ☐ Equipment Purchase

Enrollment Summary – Update for Disaster-Relief Employment

For Modifications

Initial

Projection

Enrolled to

Date

Projected New

Enrollments

Number of Participants in Disaster-Relief Employment Only

Number of Participants in Career and Training Services Only

Number of Participants in Both Disaster-Relief Employment and Career and

Training Services

Participant Totals

Enrollment Summary – Update for Employment and Training Services

For Modifications

Initial

Projection

Enrolled to

Date

Projected New

Enrollments

Project Participant Totals

Participant Totals by Service:

Number of Participants in Career Services

Number of Participants in Training

Number of Participants in Supportive Services

PROJECT NARRATIVE

PROJECT MANAGEMENT

Grant recipients who received a DWG award after submitting an emergency application must answer the following questions if submitting the full application. If these questions were answered in an earlier modification, you may skip this section and proceed to the next.

Provide an explanation of the procedures you will use to identify funds not being utilized in accordance with the project plan:

Explain your plan for developing and implementing corrective action where required, to ensure adherence to the project goals:

Modification Narrative: Use this section to explain the details of the modification request(s). The narrative may begin and/or continue on subsequent pages.

Project Name:
Grant Number:
Period of Performance Change Requesting an extension to:
Enrolled to DateParticipant Totals: 0
Initial ProjectionProject Participant Totals:
Enrolled to DateProject Participant Totals:
Projected New EnrollmentsProject Participant Totals:
Initial ProjectionParticipant Totals by Service:
Enrolled to DateParticipant Totals by Service:
Projected New EnrollmentsParticipant Totals by Service:
Initial ProjectionNumber of Participants in Career Services:
Enrolled to DateNumber of Participants in Career Services:
Projected New EnrollmentsNumber of Participants in Career Services:
Initial ProjectionNumber of Participants in Training:
Enrolled to DateNumber of Participants in Training:
Projected New EnrollmentsNumber of Participants in Training:
Initial ProjectionNumber of Participants in Supportive Services:
Enrolled to DateNumber of Participants in Supportive Services:
Projected New EnrollmentsNumber of Participants in Supportive Services:
Provide an explanation of the procedures you will use to identify funds not being utilized in accordance with the project plan:
Explain your plan for developing and implementing corrective action where required to ensure adherence to the project goals:
Modification Narrative Use this section to explain the details of the modification requests The narrative may begin andor continue on subsequent pagesRow1:
Check Box2: Off
Check Box1: Off
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box7: Off
Check Box8: Off
Check Box9: Off
Check Box10: Off
Financial Request Funding Amount:
Initial ProjectionNumberDisasterRelief Employment Only:
Initial ProjectionNumberCareer and Training Services Only:
Initial ProjectionNumberBoth DisasterRelief Employment and Career and Training Services:
Initial ProjectionParticipantTotals: 0
EnrolledDisasterRelief Employment Only:
EnrolledCareer and Training Services Only:
EnrolledBoth DisasterRelief Employment and Career and Training Services:
ProjectedNewEnrollmentsNumberDisasterRelief Employment Only:
ProjectedNewEnrollmentsNumberCareer and Training Services Only:
ProjectedNewEnrollmentsNumberBoth DisasterRelief Employment and Career and Training Services:
ProjectedNewEnrollmentsParticipant Totals: 0

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