TEGL-4-18 Attach-ment A - Proposal Summary.doc

ATTACHMENT A

ATTACHMENT A

U.S. Department of Labor Employment and Training Administration

PROPOSAL SUMMARY

National Health Emergency Disaster Recovery Dislocated Worker Grants

GENERAL INFORMATION

State or Tribal Entity Name:

Project Name:

GRANT ACTIVITIES: PROJECTED COSTS AND ENROLLMENTS

PERFORMANCE

The DWG program applies performance measures as described in WIOA Section 116. Are the planned performance goals for the delivery of employment and training services in this project the same as the applicable negotiated goals established for the Dislocated Worker Program?

Indicate YES or NO: FORMCHECKBOX

YES FORMCHECKBOX

NO______________

If proposing to set DWG performance goals to levels lower than those established for the State's Dislocated Worker formula program, please explain why:

Note: There is a 10-page attachment limit for the submittal of supporting documentation.

STATEMENT OF NEED

COUNTIES, CITIES, OR COMMUNITIES INCLUDED IN PROJECT SERVICE AREA

Please list:

NEEDS OF THE AFFECTED COMMUNITIES RESULTING FROM OPIOID CRISIS

Briefly explain why the communities listed should be served by this grant, why the applicant selected these communities, and the clean-up and/or humanitarian needs the opioid crisis has created in those communities. The needs identified in this section must correlate to the applicant’s proposed disaster relief employment activities designed to address these needs.

Applicants must attach documentation supporting its determination of needs. This documentation counts towards a 10-page limit on attachments submitted for supporting documentation. Please see Section 8(a)(i) for further details.

Describe how the applicant has ascertained that there are a suitable number of eligible individuals available to participate in proposed disaster-relief employment. See Section 8(a)(ii) for details. Documentation supporting the applicant’s determination counts toward the collective 10-page limit on supporting documentation.

If proposing to provide employment and training activities independent of disaster-relief employment, demonstrate that a population of eligible participants exist for these activities as well. See Section 8(a)(ii) for details. Documentation supporting this demonstration count toward the 10-page limit on supporting documentation.

Has the applicant coordinated with all chief elected officials (as defined in the Workforce Innovation and Opportunity Act, Section 3 (9)) AND all local Workforce Development Boards in the communities identified in the project service area? See Section 8(a)(iii).

Indicate YES or NO: __ FORMCHECKBOX

YES FORMCHECKBOX

NO_____________

List each proposed partner in the left column. In the right column provide a brief explanation of the role the entity will play in the grant-funded initiatives, how resources will be aligned in the partnership, and the decision-making process for activities carried out under the partnership. The partners listed below must include at least one local Workforce Development Board (WDB) or an American Job Center (AJC) within the areas proposed to be covered by the grant. A letter of support from at least one WDB or AJC must be attached to the application package. Also required as a partner is at least one community organization working with individuals who are, or who have been, directly impacted by opioid use. The application package must also include an attached letter of support from the partner community organization. Applicants may add additional rows if there is a need to list more partners than space allows. See TEGL Section 8(a)(iii) for details.

SERVICE DELIVERY

List the types of disaster relief employment that the applicant anticipates to create with DWG funding, and how these jobs will address the opioid crisis issues in the proposed service area, as identified in the Statement of Need section. See Section 8(b)(1).

Describe the employment and training activities, including supportive services, to be provided to eligible participants and how these will be provided.

See TEGL Section 8(b)(2) for details.

Identify which approach(es) the applicant will take in the provision of employment, training, and supportive services (check all that apply). See Section 8(b)(2).

__ FORMCHECKBOX

_ Reintegration into the workforce of eligible participants who volunteer that they have impacted by the opioid crisis, consistent with the requirements of Section 14. These participants can be trained in any profession.

__ FORMCHECKBOX

_ Transition of eligible participants into one of the following professional fields that could impact the opioid crisis or its underlying or complicating causes, including: addiction treatment and related services; pain therapy and pain management services that could reduce or prevent dependence on prescription painkillers; and mental health care treatment services for disorders and issues that could lead to or exacerbate opioid abuse and addiction.

_ FORMCHECKBOX

__ Training participants in other professions – in addition to the fields mentioned above impacting the opioid crisis. If selecting this element, use the space below to (a) list the additional professions in which they wish to provide training; (b) demonstrate that those professions are in demand; and (c) demonstrate that training in these professions will mitigate the underlying circumstances of the opioid crisis in affected communities. Individuals personally affected by the opioid crisis can participate in these career and training activities. Applicants may attach additional documentation to make these required demonstrations, and this documentation counts toward the 10-page limit on additional documentation.

Will disaster-relief employment also serve as a training initiative for transitioning individuals into professions addressing the negative impacts of the opioid crisis (addiction treatment, mental health treatment, and pain management treatment that can avoid or reduce prescription painkiller addiction)? See Section 8(b)(2).

Indicate YES or NO: __ FORMCHECKBOX

YES FORMCHECKBOX

NO_________

Applicants may propose providing supportive services to any eligible participant of any activity under this grant. Explain the procedures used to determine each participant’s individual needs. (Applicants must indicate whether they or their partners plan to utilize techniques such as trauma-informed assessments, which partner will carry these out determinations, and how they will carry out the determination process.) See Section 8(b)(2).

Describe strategies for identifying and enrolling eligible participants in disaster relief employment.

See TEGL Section 8(b)(3). If the applicant proposes employing participants in a medical, mental health, or addiction treatment capacity, the applicant must demonstrate (i) it has a population of potentially eligible participants qualified to perform the temporary work it intends and/or (ii) a plan for training eligible participants who lack qualification or past experience so that they can safely and effectively provide appropriate services to those affected by the crisis.

Describe strategies for identifying and enrolling eligible participants in employment and training activities.

Applicants proposing activities to reintegrate individuals impacted by the opioid crisis must describe how their recruitment and enrollment of these individuals will comply with the requirements of Section 14 in the TEGL, “Inquiring about Opioid Addiction and Disability and Medical Information Protections for NHE Disaster Recovery DWG Participants.”

Applicants proposing to train eligible participants in professional fields that could impact the opioid crisis or its underlying causes must describe those efforts here.

See TEGL Section 8(b)(3) for details.

FOR RECIPIENTS OF NHE DISLOCATED WORKER DEMONSTRATION GRANTS ONLY

Briefly describe what needs this proposed grant funding will serve that cannot be served by the NHE Demonstration Grant.

See TEGL Sections 5 and 8(c) for details.