WIA Youth WIA Youth Sampling MethodologySampling Methodology

and and Eligibility DocumentationEligibility Documentation

What to document, and how What to document, and how to do it?to do it?

An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with

disabilities. All voice telephone numbers on this document may be reached by persons

using TTY/TDD equipment via the Florida Relay Service at 711.

WIA Youth Program Eligibility SamplingWIA Youth Program Eligibility Sampling

SSN Ending #sSSN Ending #s Statewide Statewide RWB 12RWB 12

33 158158 66

1212 135135 1313

1717 114114 55

3030 123123 66

9393 141141 44

Total Files Selected Total Files Selected 671671 3434

Total SSNs In UniverseTotal SSNs In Universe 12,31612,316 615615

Percent of SamplePercent of Sample 0.5%0.5% 0.6%0.6%

Number of File Required In SampleNumber of File Required In Sample 615.8615.8 30.7530.75

Required Eligibility Documentation for Required Eligibility Documentation for Sampling MethodologySampling Methodology

95% Sample of All Youth 95% Sample of All Youth

5% Sample of All Youth5% Sample of All Youth

ALL YOUTH APPLICANTS ALL YOUTH APPLICANTS General Eligibility ItemsGeneral Eligibility Items

• Applicant’s Social Security NumberApplicant’s Social Security Number

• Citizenship/authorization to Work in the Citizenship/authorization to Work in the United StatesUnited States

• Selective Service Registration (for Males Selective Service Registration (for Males Born January 1, 1960 and Later)Born January 1, 1960 and Later)

ALL YOUTH APPLICANTS ALL YOUTH APPLICANTS General Eligibility ItemsGeneral Eligibility Items

• Parent/Legal Guardian’s SignatureParent/Legal Guardian’s Signature

• Applicant’s NameApplicant’s NameWhile this item is not actually an eligibility While this item is not actually an eligibility

item, it is recommended that this item be item, it is recommended that this item be verified to ensure accuracy of record verified to ensure accuracy of record keeping and to prevent erroneous duplicate keeping and to prevent erroneous duplicate files.files.

Eligibility Items--All Youth Eligibility Items--All Youth Examples of Acceptable DocumentationExamples of Acceptable Documentation

• Social Security NumberSocial Security Number

DD-214, Report of Transfer of DischargeDD-214, Report of Transfer of Discharge

Employment RecordEmployment Record

IRS Form Letter IRS Form Letter

Letter From Social Security AgencyLetter From Social Security Agency

Pay StubPay Stub

School Records/Federal, State, Local ID CardSchool Records/Federal, State, Local ID Card

Social Security Benefits Letter Social Security Benefits Letter

Signed Social Security Card Signed Social Security Card

W-2 FormW-2 Form

Telephone Verification Telephone Verification

OtherOther

Eligibility Items--All Youth Eligibility Items--All Youth Examples of Acceptable DocumentationExamples of Acceptable Documentation

Citizenship or Right to WorkCitizenship or Right to WorkApplicant StatementApplicant Statement

IF Non-Citizen IF Non-Citizen Completed I-9 Form Completed I-9 Form Alien Registration Card Indicating Right to WorkAlien Registration Card Indicating Right to Work

Baptismal RecordBaptismal Record

Birth CertificateBirth Certificate

DD-214, Record of Transfer or Discharge (If Place of Birth Is DD-214, Record of Transfer or Discharge (If Place of Birth Is Shown)Shown)

Food Stamp RecordFood Stamp Record

Foreign Passport Stamped Eligible to Work Foreign Passport Stamped Eligible to Work

Hospital RecordHospital Record

Eligibility Items--All Youth Eligibility Items--All Youth Examples of Acceptable DocumentationExamples of Acceptable Documentation

Citizenship or Right to Work (continued)Citizenship or Right to Work (continued)

Naturalization Certification Naturalization Certification

Public Assistance Records (If place of Birth is shown)Public Assistance Records (If place of Birth is shown)

U.S. PassportU.S. Passport

Social Security Card (“Work Eligible”)Social Security Card (“Work Eligible”)

Native American Tribal DocumentNative American Tribal Document

Telephone Verification Telephone Verification

Other Other

Eligibility Items--All Youth Eligibility Items--All Youth Examples of Acceptable DocumentationExamples of Acceptable Documentation

Selective Service RegistrantSelective Service Registrant Selective Service Registration CardSelective Service Registration Card DD 214, Report of Transfer or Discharge DD 214, Report of Transfer or Discharge Stamped Post Office Receipt of RegistrationStamped Post Office Receipt of Registration Selective Service Registration Record (Form 3A)Selective Service Registration Record (Form 3A) Selective Service Verification/Registration Selective Service Verification/Registration

(http://www.sss.gov/regist)(http://www.sss.gov/regist) Telephone Verification (847) 688-6888Telephone Verification (847) 688-6888 Selective Service Advisory Opinion (Waiver )Letter Selective Service Advisory Opinion (Waiver )Letter Selective Service Acknowledgement LetterSelective Service Acknowledgement Letter Other:______________Other:______________

Documentation Requirements Documentation Requirements For 95% of Low Income YouthFor 95% of Low Income Youth

Source Documented Eligibility ItemsSource Documented Eligibility Items

Social Security Number Social Security Number

Citizenship/Right to WorkCitizenship/Right to Work

Selective Service Registration Selective Service Registration

Parent’s/Legal Guardian’s SignatureParent’s/Legal Guardian’s Signature

Self-Certification/Applicant StatementSelf-Certification/Applicant Statement

AgeAge

Low-IncomeLow-Income

Barriers, except Basic Skills DeficiencyBarriers, except Basic Skills Deficiency

Documentation Requirements Documentation Requirements For 5% of Youth ApplicantsFor 5% of Youth Applicants

Source Documented Eligibility Items:Source Documented Eligibility Items:

Social Security NumberSocial Security Number

Citizenship/Right to Work Citizenship/Right to Work

Selective Service Registration Selective Service Registration

Parent’s/Legal Guardian’s SignatureParent’s/Legal Guardian’s Signature

AgeAge

Low-IncomeLow-Income

Barriers to Employment or EducationBarriers to Employment or Education

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

AgeAge Baptismal or Church RecordBaptismal or Church Record Birth CertificateBirth Certificate Driver’s LicenseDriver’s License DD214 Record of Transfer or DischargeDD214 Record of Transfer or Discharge Federal, State or Local Government Issued ID CardFederal, State or Local Government Issued ID Card School Records or ID CardSchool Records or ID Card Hospital Record of Birth Hospital Record of Birth PassportPassport Public Assistance/Social Services RecordsPublic Assistance/Social Services Records Work PermitWork Permit Telephone VerificationTelephone Verification Applicant StatementApplicant Statement

Public Assistance/Social Services RecordsPublic Assistance/Social Services Records Work Permit and Work Permit and Telephone VerificationTelephone Verification Applicant Statement Applicant Statement

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Low IncomeLow Income Cash Public AssistanceCash Public Assistance

Copy of Authorization to Receive Cash Public Copy of Authorization to Receive Cash Public AssistanceAssistance

Copy of Public Assistance CheckCopy of Public Assistance Check Public Assistance ID CardPublic Assistance ID Card Public Assistance Records PrintoutPublic Assistance Records Printout Medical Card showing Cash Assistance GrantMedical Card showing Cash Assistance Grant Refugee Assistance RecordsRefugee Assistance Records Applicant StatementApplicant Statement Telephone Verification Telephone Verification OtherOther

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Low IncomeLow Income Food StampsFood Stamps

Current Authorization to Obtain Food StampsCurrent Authorization to Obtain Food Stamps Current Food Stamp RecipientCurrent Food Stamp Recipient Food Stamp Card with Current DateFood Stamp Card with Current Date Letter From Food Stamp Disbursing AgencyLetter From Food Stamp Disbursing Agency Public Assistance Records/PrintoutPublic Assistance Records/Printout Applicant Statement Applicant Statement Telephone Verification Telephone Verification OtherOther

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Supported Foster ChildSupported Foster Child Court Contact Court Contact Court Documentation Court Documentation Documentation from State Department of Documentation from State Department of

Children and FamiliesChildren and Families Medical Records Medical Records Verification of Payments made on behalf of the Verification of Payments made on behalf of the

Child Child Applicant Statement Applicant Statement Telephone Verification Telephone Verification OtherOther

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

HomelessHomeless

Written Statement from an Individual Providing Written Statement from an Individual Providing Temporary ResidenceTemporary Residence

Written Statement from Shelter Written Statement from Shelter

Written Statement from Social Service Agency Written Statement from Social Service Agency

Applicant Statement Applicant Statement

Telephone Verification Telephone Verification

Other Other

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Individuals with DisabilitiesIndividuals with Disabilities Family of OneFamily of One

Letter from Drug or Alcohol Rehabilitation AgencyLetter from Drug or Alcohol Rehabilitation Agency Medical Records Indicating Substantial Disability Medical Records Indicating Substantial Disability

Affecting a Major Life FunctionAffecting a Major Life Function Physician’s Statement Physician’s Statement Psychiatrist’s/Psychologist’s Statement Psychiatrist’s/Psychologist’s Statement Rehabilitation Evaluation Rehabilitation Evaluation Shelter Workshop Certification Shelter Workshop Certification Applicant Statement Applicant Statement OtherOther

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Individuals with DisabilitiesIndividuals with Disabilities

Family of One (Continued)Family of One (Continued)

Social Security Administration Disability RecordsSocial Security Administration Disability Records

Veterans Administration Letter/RecordVeterans Administration Letter/Record

Vocational rehabilitation LetterVocational rehabilitation Letter

Workers Compensation RecordWorkers Compensation Record

Applicants Statement Applicants Statement

Telephone VerificationTelephone Verification

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Individual IncomeIndividual Income Alimony AgreementsAlimony Agreements

Bank Statements Bank Statements

Compensation Award Letter Compensation Award Letter

Court Award Letter Court Award Letter

Employer Statement/Employment ContractEmployer Statement/Employment Contract

Farm/Business Financial Records Farm/Business Financial Records

Housing Authority Verification Letter Housing Authority Verification Letter

Family of One (Disability Status)Family of One (Disability Status)

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Individual Status/Family SizeIndividual Status/Family Size Statement of Family Size and IncomeStatement of Family Size and Income Birth Certificate Birth Certificate Decree of Court Decree of Court Divorce DecreeDivorce Decree Landlord Statement Landlord Statement Lease Lease Marriage Certificate Marriage Certificate Medical Card Medical Card Most Recent Tax Return Where PossibleMost Recent Tax Return Where Possible Public Assistance Records Public Assistance Records Public Housing Authority (if resident of or on waiting list)Public Housing Authority (if resident of or on waiting list) Applicant StatementApplicant Statement Telephone Verification Telephone Verification Other Other

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEBarriers to Education or EmploymentBarriers to Education or Employment

In addition to being low-income and 14-21 years of age, all In addition to being low-income and 14-21 years of age, all youth (except for 5% “window” exception) must be within youth (except for 5% “window” exception) must be within one or more of the following categories:one or more of the following categories:

Deficient in Basic Literacy Skills Deficient in Basic Literacy Skills

Pregnant or Parenting IndividualPregnant or Parenting Individual

School Dropout School Dropout

Offender Offender

Homeless Homeless

Runaway Youth Runaway Youth

Foster Child Foster Child

Requires Additional AssistanceRequires Additional Assistance

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Deficient in Basic Literacy SkillsDeficient in Basic Literacy Skills

Generally Accepted Standardized or Criterion-Generally Accepted Standardized or Criterion-referenced Tests (Such as TABEreferenced Tests (Such as TABE

School RecordsSchool Records

Telephone Verification Telephone Verification

OtherOther

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

School DropoutSchool Dropout

School Attendance RecordsSchool Attendance Records

Dropout Letter Dropout Letter

Applicant Statement Applicant Statement

Telephone Verification Telephone Verification

Other Other

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

OffenderOffender

Court RecordsCourt Records

Halfway House Resident Halfway House Resident

Letter of Parole Letter of Parole

Letter from Probation Officer Letter from Probation Officer

Police RecordPolice Record

Applicant Statement Applicant Statement

Telephone Verification Telephone Verification

Other Other

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Homeless or Runaway YouthHomeless or Runaway Youth

Written Statement from an Individual Providing Written Statement from an Individual Providing Temporary ResidenceTemporary Residence

Written Statement from ShelterWritten Statement from Shelter

Written Statement from Social Service Agency Written Statement from Social Service Agency

Applicant Statement Applicant Statement

Telephone Verification Telephone Verification

Other Other

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Foster ChildFoster Child

Court Document Court Document

Department of children and Families Records Department of children and Families Records

Medical Card Medical Card

Verification of Payment Made on Behalf of the ChildVerification of Payment Made on Behalf of the Child

Applicant Statement Applicant Statement

Telephone Verification Telephone Verification

Other Other

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Pregnant or Parenting YouthPregnant or Parenting Youth Birth CertificateBirth Certificate

Hospital Record of Birth Hospital Record of Birth

Medical Card Medical Card

Physician’s Statement Physician’s Statement

Referral from Official Agencies Referral from Official Agencies

School Program for Pregnant Teens School Program for Pregnant Teens

School Records School Records

Statement from Social Service AgnecyStatement from Social Service Agnecy

Applicant Statement Applicant Statement

Telephone Verification Telephone Verification

OtherOther

Youth Applicants--5% SAMPLEYouth Applicants--5% SAMPLEExamples of Acceptable DocumentationExamples of Acceptable Documentation

Requiring Additional Assistance to Requiring Additional Assistance to Complete an Educational Program, or Complete an Educational Program, or to Secure and Hold Employmentto Secure and Hold Employment

Applicable documentation of this locally defined Applicable documentation of this locally defined criteria, which could include medical or school criteria, which could include medical or school records documenting a disability, etc.records documenting a disability, etc.

Youth ApplicantsYouth Applicants5% Window Documentation5% Window Documentation

Up to 5% of youth served locally in any Up to 5% of youth served locally in any program year are not required to be program year are not required to be low-income, IF they have one or more low-income, IF they have one or more of the following categories:of the following categories:

This is a different list than the one for low-This is a different list than the one for low-income youth, though some “Barriers” are the income youth, though some “Barriers” are the same.same.

Youth ApplicantsYouth Applicants5% Window Documentation5% Window Documentation

Non Low-Income YouthNon Low-Income Youth

School Dropout (Same)School Dropout (Same)

Pregnant and Parenting (Same) Pregnant and Parenting (Same)

Deficient in basic Skills (Same) Deficient in basic Skills (Same)

Offender (Same) Offender (Same)

Individual with Disabilities (Same) Individual with Disabilities (Same)

Homeless/Runaway Youth (Same)Homeless/Runaway Youth (Same)

Younger Youth and Older Youth EligibilityYounger Youth and Older Youth Eligibility5% Window Documentation5% Window Documentation

One or More Grade Levels BehindOne or More Grade Levels Behind School Records School Records

Report Card Report Card

Telephone Verification Telephone Verification

OtherOther

Face Serious Barriers to Employment As Identified Face Serious Barriers to Employment As Identified by Local Board (Approved Plan)by Local Board (Approved Plan)

Applicable Documentation Applicable Documentation

Applicant StatementApplicant Statement

Younger Youth and Older YouthYounger Youth and Older Youth

School StatusSchool Status

Reminder: 30 percent of WIA funds are required Reminder: 30 percent of WIA funds are required to be expended annually on youth who are out to be expended annually on youth who are out of school—document school status by school of school—document school status by school records, copy of diploma or equivalent, records, copy of diploma or equivalent, applicant or parental signed statement, or applicant or parental signed statement, or documented collateral contact with school documented collateral contact with school boardboard

Alternative schools and home schooling are Alternative schools and home schooling are counted as being “in school”counted as being “in school”