1. WIA Youth Sampling Methodology and Eligibility Documentation What to document, and how to do it?

2. 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.

3. WIA Youth Program Eligibility Sampling SSN Ending #s SSN Ending #sStatewide RWB 12 3 158 158 6 12 12 135 135 13 13 17 17 114 114 5 30 30 123 123 6 93 93 141 141 4 Total Files Selected 671 671 34 34 Total SSNs In Universe 12,316 12,316 615 615 Percent of Sample 0.5% 0.5% 0.6% 0.6% Number of File Required In Sample 615.8 615.8 30.75 30.75

4. Required Eligibility Documentation for Sampling Methodology 95% Sample of All Youth 95% Sample of All Youth 5% Sample of All Youth 5% Sample of All Youth

5. ALL YOUTH APPLICANTS General Eligibility Items Applicants Social Security Number Applicants Social Security Number Citizenship/authorization to Work in the United States Citizenship/authorization to Work in the United States Selective Service Registration (for Males Born January 1, 1960 and Later) Selective Service Registration (for Males Born January 1, 1960 and Later)

6. ALL YOUTH APPLICANTS General Eligibility Items Parent/Legal Guardians Signature Parent/Legal Guardians Signature Applicants Name Applicants Name While this item is not actually an eligibility item, it is recommended that this item be verified to ensure accuracy of record keeping and to prevent erroneous duplicate files. While this item is not actually an eligibility item, it is recommended that this item be verified to ensure accuracy of record keeping and to prevent erroneous duplicate files.

7. Eligibility Items--All Youth Examples of Acceptable Documentation Social Security NumberSocial Security Number è DD-214, Report of Transfer of Discharge è Employment Record è IRS Form Letter è Letter From Social Security Agency è Pay Stub è School Records/Federal, State, Local ID Card è Social Security Benefits Letter è Signed Social Security Card è W-2 Form è Telephone Verification è Other

8. Eligibility Items--All Youth Examples of Acceptable Documentation Citizenship or Right to Work Citizenship or Right to Work Applicant Statement Applicant Statement IF Non-Citizen IF Non-Citizen êCompleted I-9 Form êAlien Registration Card Indicating Right to Work êBaptismal Record êBirth Certificate êDD-214, Record of Transfer or Discharge (If Place of Birth Is Shown) êFood Stamp Record êForeign Passport Stamped Eligible to Work êHospital Record

9. Eligibility Items--All Youth Examples of Acceptable Documentation Citizenship or Right to Work (continued) Citizenship or Right to Work (continued) êNaturalization Certification êPublic Assistance Records (If place of Birth is shown) êU.S. Passport êSocial Security Card (Work Eligible) êNative American Tribal Document êTelephone Verification êOther

10. Eligibility Items--All Youth Examples of Acceptable Documentation Selective Service Registrant Selective Service Registrant *Selective Service Registration Card *DD 214, Report of Transfer or Discharge *Stamped Post Office Receipt of Registration *Selective Service Registration Record (Form 3A) *Selective Service Verification/Registration (http://www.sss.gov/regist) *Telephone Verification (847) 688-6888 *Selective Service Advisory Opinion (Waiver )Letter *Selective Service Acknowledgement Letter *Other:______________

11. Documentation Requirements For 95% of Low Income Youth Source Documented Eligibility Items Source Documented Eligibility Items Social Security Number Social Security Number Citizenship/Right to Work Citizenship/Right to Work Selective Service Registration Selective Service Registration Parents/Legal Guardians Signature Parents/Legal Guardians Signature Self-Certification/Applicant Statement Self-Certification/Applicant Statement Age Age Low-Income Low-Income Barriers, except Basic Skills Deficiency Barriers, except Basic Skills Deficiency

12. Documentation Requirements For 5% of Youth Applicants Source Documented Eligibility Items: Source Documented Eligibility Items: Social Security Number Social Security Number Citizenship/Right to Work Citizenship/Right to Work Selective Service Registration Selective Service Registration Parents/Legal Guardians Signature Parents/Legal Guardians Signature Age Age Low-Income Low-Income Barriers to Employment or Education Barriers to Employment or Education

13. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Age Age Baptismal or Church Record Baptismal or Church Record Birth Certificate Birth Certificate Drivers License Drivers License DD214 Record of Transfer or Discharge DD214 Record of Transfer or Discharge Federal, State or Local Government Issued ID Card Federal, State or Local Government Issued ID Card School Records or ID Card School Records or ID Card Hospital Record of Birth Hospital Record of Birth Passport Passport Public Assistance/Social Services Records Public Assistance/Social Services Records Work Permit Work Permit Telephone Verification Telephone Verification Applicant Statement Applicant Statement Public Assistance/Social Services Records Work Permit and Work Permit and Telephone Verification Telephone Verification Applicant Statement Applicant Statement

14. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Low Income Low Income Cash Public Assistance Cash Public Assistance Copy of Authorization to Receive Cash Public Assistance Copy of Authorization to Receive Cash Public Assistance Copy of Public Assistance Check Copy of Public Assistance Check Public Assistance ID Card Public Assistance ID Card Public Assistance Records Printout Public Assistance Records Printout Medical Card showing Cash Assistance Grant Medical Card showing Cash Assistance Grant Refugee Assistance Records Refugee Assistance Records Applicant Statement Applicant Statement Telephone Verification Telephone Verification Other Other

15. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Low Income Low Income Food Stamps Food Stamps Current Authorization to Obtain Food Stamps Current Authorization to Obtain Food Stamps Current Food Stamp Recipient Current Food Stamp Recipient Food Stamp Card with Current Date Food Stamp Card with Current Date Letter From Food Stamp Disbursing Agency Letter From Food Stamp Disbursing Agency Public Assistance Records/Printout Public Assistance Records/Printout Applicant Statement Applicant Statement Telephone Verification Telephone Verification Other Other

16. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Supported Foster Child Supported Foster Child Court Contact Court Contact Court Documentation Court Documentation Documentation from State Department of Children and Families Documentation from State Department of Children and Families Medical Records Medical Records Verification of Payments made on behalf of the Child Verification of Payments made on behalf of the Child Applicant Statement Applicant Statement Telephone Verification Telephone Verification Other Other

17. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Homeless Homeless Written Statement from an Individual Providing Temporary Residence Written Statement from an Individual Providing Temporary 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

18. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Individuals with Disabilities Individuals with Disabilities Family of One Family of One Letter from Drug or Alcohol Rehabilitation Agency Letter from Drug or Alcohol Rehabilitation Agency Medical Records Indicating Substantial Disability Affecting a Major Life Function Medical Records Indicating Substantial Disability Affecting a Major Life Function Physicians Statement Physicians Statement Psychiatrists/Psychologists Statement Psychiatrists/Psychologists Statement Rehabilitation Evaluation Rehabilitation Evaluation Shelter Workshop Certification Shelter Workshop Certification Applicant Statement Applicant Statement Other Other

19. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Individuals with Disabilities Individuals with Disabilities Family of One (Continued) Family of One (Continued) Social Security Administration Disability Records Social Security Administration Disability Records Veterans Administration Letter/Record Veterans Administration Letter/Record Vocational rehabilitation Letter Vocational rehabilitation Letter Workers Compensation Record Workers Compensation Record Applicants Statement Applicants Statement Telephone Verification Telephone Verification

20. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Individual Income Individual Income Alimony Agreements Alimony Agreements Bank Statements Bank Statements Compensation Award Letter Compensation Award Letter Court Award Letter Court Award Letter Employer Statement/Employment Contract Employer 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)

21. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Individual Status/Family Size Individual Status/Family Size Statement of Family Size and Income Statement of Family Size and Income Birth Certificate Birth Certificate Decree of Court Decree of Court Divorce Decree Divorce Decree Landlord Statement Landlord Statement Lease Lease Marriage Certificate Marriage Certificate Medical Card Medical Card Most Recent Tax Return Where Possible Most 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 Statement Applicant Statement Telephone Verification Telephone Verification Other Other

22. Youth Applicants--5% SAMPLE Barriers to Education or Employment In addition to being low-income and 14-21 years of age, all youth (except for 5% window exception) must be within one or more of the following categories: In addition to being low-income and 14-21 years of age, all youth (except for 5% window exception) must be within one or more of the following categories: Deficient in Basic Literacy Skills Deficient in Basic Literacy Skills Pregnant or Parenting Individual Pregnant or Parenting Individual School Dropout School Dropout Offender Offender Homeless Homeless Runaway Youth Runaway Youth Foster Child Foster Child Requires Additional Assistance Requires Additional Assistance

23. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Deficient in Basic Literacy Skills Deficient in Basic Literacy Skills Generally Accepted Standardized or Criterion- referenced Tests (Such as TABE Generally Accepted Standardized or Criterion- referenced Tests (Such as TABE School Records School Records Telephone Verification Telephone Verification Other Other

24. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation School Dropout School Dropout School Attendance Records School Attendance Records Dropout Letter Dropout Letter Applicant Statement Applicant Statement Telephone Verification Telephone Verification Other Other

25. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Offender Offender Court Records Court Records Halfway House Resident Halfway House Resident Letter of Parole Letter of Parole Letter from Probation Officer Letter from Probation Officer Police Record Police Record Applicant Statement Applicant Statement Telephone Verification Telephone Verification Other Other

26. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Homeless or Runaway Youth Homeless or Runaway Youth Written Statement from an Individual Providing Temporary Residence Written Statement from an Individual Providing Temporary 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

27. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Foster Child Foster 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 Child Verification of Payment Made on Behalf of the Child Applicant Statement Applicant Statement Telephone Verification Telephone Verification Other Other

28. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Pregnant or Parenting Youth Pregnant or Parenting Youth Birth Certificate Birth Certificate Hospital Record of Birth Hospital Record of Birth Medical Card Medical Card Physicians Statement Physicians 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 Agnecy Statement from Social Service Agnecy Applicant Statement Applicant Statement Telephone Verification Telephone Verification Other Other

29. Youth Applicants--5% SAMPLE Examples of Acceptable Documentation Requiring Additional Assistance to Complete an Educational Program, or to Secure and Hold Employment Requiring Additional Assistance to Complete an Educational Program, or to Secure and Hold Employment Applicable documentation of this locally defined criteria, which could include medical or school records documenting a disability, etc. Applicable documentation of this locally defined criteria, which could include medical or school records documenting a disability, etc.

30. Youth Applicants 5% Window Documentation Up to 5% of youth served locally in any program year are not required to be low-income, IF they have one or more of the following categories: Up to 5% of youth served locally in any program year are not required to be low-income, IF they have one or more of the following categories: This is a different list than the one for low- income youth, though some Barriers are the same. This is a different list than the one for low- income youth, though some Barriers are the same.

31. Youth Applicants 5% Window Documentation Non Low-Income Youth Non 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)

32. Younger Youth and Older Youth Eligibility 5% Window Documentation One or More Grade Levels Behind One or More Grade Levels Behind School Records School Records Report Card Report Card Telephone Verification Telephone Verification Other Other Face Serious Barriers to Employment As Identified by Local Board (Approved Plan) Face Serious Barriers to Employment As Identified by Local Board (Approved Plan) Applicable Documentation Applicable Documentation Applicant Statement Applicant Statement

33. Younger Youth and Older Youth School Status School Status Reminder: 30 percent of WIA funds are required to be expended annually on youth who are out of schooldocument school status by school records, copy of diploma or equivalent, applicant or parental signed statement, or documented collateral contact with school board Reminder: 30 percent of WIA funds are required to be expended annually on youth who are out of schooldocument school status by school records, copy of diploma or equivalent, applicant or parental signed statement, or documented collateral contact with school board Alternative schools and home schooling are counted as being in school Alternative schools and home schooling are counted as being in school