Disaster Recovery DWG - Suggested Modification Summary and Narrative_final.pdf
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- 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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