Employment Recovery DWG - Suggested Modification Summary and Narrative_final.pdf

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National Dislocated Worker Grants Program Guidance
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ETA-TEGL-12-19
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Employment Recovery DWG – Suggested Modification Summary and Narrative

EMPLOYMENT 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 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

MODIFICATION NARRATIVE

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

Project Name:
Grant Number:
Financial Request Funding Amount:
Period of Performance Change Requesting an extension to:
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:
Modification Narrative Use this section to explain the details of the modification requests The narrative may continue on subsequent pagesRow1:
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