ATTACHMENT III - SF 424A (DVOP) Instructions

the abbreviation for your State name and your Grant Number at the top of the SF 424A. If using the electronic forms provided, entering this information on the SF 4
OP Front will populate the rest of the forms. Ensure the third number in the grant number represents the fiscal year for which the funding is being requested. Locked c
e electronic forms provided contain formulas to self-populate and do not require an entry by the State. All shaded areas on the form are to be left blank.

424A DVOP Front

on A – Budget Summary: If using forms provided as Attachment III, skip to Section B. This Section will self-populate after completing Section B. If not using the
s provided, complete Section B and use those figures to complete this section as follows:

mn (a), Line 1 should be used for Disabled Veterans’ Outreach Program (DVOP) Activities and Line 2 should be used for DVOP Special Iniatives as applicable.

mn (b) The “Catalog of Federal Domestic Assistance Number” for the DVOP program is 17.801.
mns (c), (d) and (f) should each be left blank.
mn (e) Lines 1 and 5 both equal the total of funds requested for the DVOP Activities in Section B, Line k, Column (1).
mn (g) 1 – Enter the amount from Column (e) 5 rounded to the nearest thousand.
mns (g) 2 – Enter the amount from Section B, Line k , Column (2), rounded to the nearest thousand.
mn (g), Line 5, "TOTAL" is the sum of Column (g) Lines 1 and 2. It must match the total from Page 2, Section D, Line 15 “Total for Year”.

on B – Budget Categories: Column (1) DVOP Activities is used to enumerate activities for DVOP specialists and Column (2) Special Initiatives is used to enumerate
associated with DVOP specialists who are serving under approved IPA agreements that continue into the fiscal year for which funds are being requested.

6a. Personnel: Equals the forecast salaries, wages, and overtime costs to be paid.
6b. Fringe Benefits: Equals the forecast amount of fringe benefits to be paid.
6c. Travel: Equals the forecast amount requested for DVOP related staff travel.
6d. Equipment: Equals the forecast cost of non-expendable personal property charged to the grant that has a useful life of more than one
year and a per-unit cost of $5,000 or more. A description and justification for this expense must be included in the Transmittal
Memorandum.
6e. Supplies: Equals the cost of consumable supplies and materials to be used during the project period (including but not limited to
computers/laptops and other electrical/electronic equipment) with a per-unit cost of less than $5,000.
 ATTACHMENT III - SF 424A (DVOP) Instructions

6f. Contractual and Line 6. g. Construction: Each should be left blank.

on B - Budget Categories: continued…
6h. Other: Equals the sum of the separate amounts for:
• Program related staff training;
• All other direct costs not clearly covered by Lines 6a. through 6g.
6i. Total Direct Charges: Equals the sum of the amounts entered on Lines 6a. through 6h.
6j. Indirect Charges: Equals the forecast amount of indirect costs to be charged for the funding period.
6k. TOTALS: Equals the sum of the amounts entered on Lines 6i. and 6j.
7. Program Income: Should be left blank.

24A DVOP Back

on C – Non-Federal Resources: Leave this section blank.

on D – Forecasted Cash Needs: If using the froms provided as Attachment III, the amounts on Line 15 will self-populate.
13: Enter the total amount requested for each of the four fiscal quarters. This amount must equal the front page, Section B, Line 6.k.,
Column (5). If the two amounts are not equal, the sum of the four quarters will appear in red strikethrough. NOTE: Amounts
entered on Line 13 are rounded and totaled on Line 15. Some adjustment may be required to ensure the Total on Line 15 equals the
Total on the front page, Section A, Line 5, Column (g).
15: Round the amounts listed for each of the four fiscal quarters to the nearest thousand and sum the total for the year. This number
must match the front page, Section A, Line 5, Column (g). If the two amounts are not equal, the rounded sum will appear in red
strikethrough.

on E –Budget Estimates of Federal Funds Needed For Balance of the Project: Leave this section blank.

on F – Other Budget Information:

21: Optional--use this space to explain amounts for individual direct object class cost categories that may appear to be out of
the ordinary.
 ATTACHMENT III - SF 424A (DVOP) Instructions

22: Enter the type of indirect rate used for planning purposes (provisional, predetermined, final or fixed) that will be in effect during the
funding period in the first block, the estimated amount of the base to which the rate is applied in the second block, and the indirect rate
used for planning purposes in the third block.
23: Enter the methodology used to forecast indirect charges: "Negotiated Indirect Cost Rate" or "Cost Allocation Plan" and provide any
other explanations or comments deemed necessary.
ATTACHMENT III - SF 424A (DVOP) * Shaded areas are to be left blank
Date of form: January 31, 2006

State Abbreviation: Grant Number:

BUDGET INFORMATION - Non-Construction Programs OMB Approval No. 0348-0044

SECTION A - BUDGET SUMMARY

Catalog of
Federal Estimated Unobligated Funds New or Revised Budget
Grant Program Domestic
Function Assistance
or Activity Number Federal Non-Federal Federal Non-Federal Rounded Total
(a) (b) (c) (d) (e) (f) (g)
1. DVOP Activities 17.8 $0 $0
2. Special Initiatives $0

5. Totals $0 $0
SECTION B - BUDGET CATEGORIES
GRANT PROGRAM, FUNCTION OR ACTIVITY
6. Object Class Categories Total
(1) DVOP Activities (2) Special Initiatives (5)
a. Personnel $0
b. Fringe Benefits $0
c. Travel $0
d. Equipment $0
e. Supplies $0
f. Contractual
g. Construction
h. Other $0
i. Total Direct Charges (sum of 6a-6h) $0 $0 $0
j. Indirect Charges $0
k. TOTALS (sum of 6i and 6j) $0 $0 $0

7. Program Income
Previous Edition Usable Authorized for Local Reproduction Standard Form 424A (Rev. 7-97)
Prescribed by OMB Circular A-102

$0
$0
ATTACHMENT III - SF 424A (DVOP) * Shaded areas are to be left blank
Date of form: January 31, 2006

State Abbreviation: 0 Grant Number: 0

SECTION C - NON-FEDERAL RESOURCES

(a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS

8.

9.
10.

11.
12. TOTAL (sum of lines 8-11)

SECTION D - FORECASTED CASH NEEDS

Total for Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal (DVOP)
$0
14. Non-Federal

15. TOTAL (rounded to nearest thousand)

$0 $0 $0 $0 $0
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (Quarters)
(a) Grant Program (b) First (c) Second (d) Third (e) Fourth (f) (g) Total

16.
17.

18.

19.
20. TOTAL

SECTION F - OTHER BUDGET INFORMATION

21. Direct Charges: 22. Indirect Charges

23. Remarks
Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Page 2

$0
$0
 ATTACHMENT III - SF 424A (LVER) Instructions

nter the abbreviation for your State name and your Grant Number at the top of the SF 424A. If using the electronic forms provided, entering this information on the
F 424A DVOP Front will populate the rest of the forms. Ensure the third number in the grant number represents the fiscal year for which the funding is being
equested. Locked cells in the electronic forms provided contain formulas to self-populate and do not require an entry by the State. All shaded areas on the form are to
e left blank.

F 424A LVER Front

ection A – Budget Summary: If using forms provided in Attachment III, skip to Section B. This Section will self-populate after completing Section B. If not using
he forms provided, complete Section B and use those figures to complete this section as follows:
olumn (a), Line 1 should be used for Local Veterans’ Employment Representative (LVER) Activities, Line 2 should be used for LVER
Special Initiatives, Line 3 should be used for Incentive Awards, and Line 4 should be used for TAP as applicable.
olumn (b) The “Catalog of Federal Domestic Assistance Number (CFDA)” for the LVER program is 17.804 and the CFDA Number for TAP
is 17.807.
olumn (c), (d) and (f) should each be left blank.
olumn (e), Line 1 equals the total funds requested in Section B, Line k, Column (1).
olumn (e), Line 3 equals the total funds for Incentive Awards listed in Section B, Line k, Column (3).
olumn (e), Line 5 equals the sum of Column (e), Lines 1 and 3.
olumn (g), Line 1 – Enter the amount from Column (e), Line 5 rounded to the nearest thousand.
olumn (g), Lines 2 and 4 – Enter the amount for the corresponding activity found in Section B, Line k. rounded to the nearest thousand.
olumn (g), Line 5, "TOTAL" is the sum of Column (g) Lines 1, 2 and 4. It must match the total from Page 2, Section D, Line 15 “Total
for Year”.

ection B -- Budget Categories: Column (1) LVER Activities is used to enumerate costs for LVER staff; Column (2) Special Initiatives is used to enumerate costs
ssociated with LVER staff who are serving under approved IPA agreements that continue into the fiscal year for which funds are being requested; Column (3) is used
o enumerate costs for Incentive Awards; and Column 4 is used to enumerate costs to facilitate TAP Employment Workshops.

ine 6a. Personnel: Equals the forecast salaries, wages, and overtime cost to be paid.
ine 6b. Fringe Benefits: Equals the forecast amount of fringe benefits to be paid.
ine 6c. Travel: Equals the forecast amount requested for LVER related travel.
 ATTACHMENT III - SF 424A (LVER) Instructions

ine 6d. Equipment: Equals the forecast cost of non-expendable personal property with a useful life of more than one year and per-unit
cost of $5,000 or more only. A description and justification for this expense must be included in the Transmittal Memorandum.
ection B -- Budget Categories: continued...
ine 6e. Supplies: Equals the forecast cost of consumable supplies and materials to be used during the project period (including but not
limited to computers/laptops and other electrical/electronic equipment) with a per-unit cost less than $5,000.
ine 6f. Contractual and Line 6. g. Construction: Each should be left blank.
ine 6h. Other: Equals the sum of the separate amounts for:
• Program related staff training;
• Performance Awards and Incentives (in column (3) only);
• All other direct costs not clearly covered by lines 6a. through 6g.
ine 6i. Total Direct Charges: Equals the sum of the amounts entered in 6a. through 6h.
ine 6j. Indirect Charges: Equals the forecast amount of indirect costs to be charged for the funding period.
ine 6k. TOTALS: Equals the sum of the amounts entered in 6i. and 6j.
ine 7. Program Income: Should be left blank.
F 424A LVER Back
ection C – Non-Federal Resources: Leave this section blank.
ection D – Forecasted Cash Needs: If using the forms provided as Attachment III, the amounts on Line 15 will self-populate.
ine 13: Enter the total amount requested for each of the four fiscal quarters. This amount must equal the front page, Section B, Line 6.k.,
Column (5). If the two amounts are not equal, the sum of the four quarters will appear in red strikethrough. NOTE: Amounts
entered on Line 13 are rounded and totaled on Line 15. Some adjustment may be required to ensure the Total on Line 15 equals the
Total on the front page, Section A, Line 5, Column (g).
ine 15: Round the amounts listed for each of the four fiscal quarters to the nearest thousand and sum the total for the year. This number
must match the front page, Section A, Line 5, Column (g). If the two amounts are not equal, the rounded sum will appear in red
strikethrough.

ection E –Budget Estimates of Federal Funds Needed For Balance of the Project: Leave this section blank.
ection F – Other Budget Information:
ine 21: Optional-use this space to explain amounts for individual direct object class cost categories that may appear to be out of the ordinary.
 ATTACHMENT III - SF 424A (LVER) Instructions

ine 22: Enter the type of indirect rate used for planning purposes (provisional, predetermined, final or fixed) that will be in effect
during the funding period in the first block, the estimated amount of the base to which the rate is applied in the second block,
and the indirect rate used for planning purposes in the third block.
ine 23: Enter the methodology used to forecast indirect charges: "Negotiated Indirect Cost Rate" or "Cost Allocation Plan" and provide any
other explanations or comments deemed necessary.
ATTACHMENT III - SF 424A (LVER) * Shaded areas are to be left blank
Date of form: January 31, 2006

State Abbreviation: 0 Grant Number: 0

BUDGET INFORMATION - Non-Construction Programs OMB Approval No. 0348-0044

SECTION A - BUDGET SUMMARY

Catalog of
Federal Estimated Unobligated Funds New or Revised Budget
Grant Program Domestic
Function Assistance
or Activity Number Federal Non-Federal Federal Non-Federal Rounded Total
(a) (b) (c) (d) (e) (f) (g)
1. LVER Activities 17.8 $0 $0
2. Special Initiatives $0
3. Incentive Awards $0
4. TAP 17.81 $0
5. Totals $0 $0
SECTION B - BUDGET CATEGORIES
GRANT PROGRAM, FUNCTION OR ACTIVITY
6. Object Class Categories Total
(1) LVER Activities (2) Special Initiatives (3) Incentive Awards (4) TAP (5)
a. Personnel $0
b. Fringe Benefits $0
c. Travel $0
d. Equipment $0
e. Supplies $0
f. Contractual $0
g. Construction $0
h. Other $0
i. Total Direct Charges (sum of 6a-6h) $0 $0 $0 $0 $0
j. Indirect Charges $0
k. TOTALS (sum of 6i and 6j) $0 $0 $0 $0 $0

7. Program Income
Previous Edition Usable Authorized for Local Reproduction Standard Form 424A (Rev. 7-97)
Prescribed by OMB Circular A-102
ATTACHMENT III - SF 424A (LVER)
Date of form: January 31, 2006

State Abbreviation: 0 Grant Number: 0

SECTION C - NON-FEDERAL RESOURCES

(a) Grant Program (b) Applicant (c) State (d) Other Sources (e) TOTALS

8.
9.
10.

11.
12. TOTAL (sum of lines 8-11)

SECTION D - FORECASTED CASH NEEDS

Total for Year 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter
13. Federal (LVER)
$0
14. Non-Federal

15. TOTAL (rounded to nearest thousand) $0 $0 $0 $0 $0

SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (Years)
(a) Grant Program (b) First (c) Second (d) Third (e) Fourth (f) (g) Total

16.
17.
18.
19.
20. TOTAL (lines 15-19)

SECTION F - OTHER BUDGET INFORMATION

21. Direct Charges: 22. Indirect Charges

23. Remarks
Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Page 2

$0
$0
 ATTACHMENT III - SF 424 Instructions

The SF 424 must be signed by an authorized person listed in the transmittal memorandum. If the form contains white-out or changes, a revised and sig
must be resubmitted free of such changes. If the instructions for a particular block say “Leave Blank,” it should not contain information. Errors, omiss
extraneous information will cause the form to be returned for correction. If using the electronic form provided, cells that contain standard information
be changed are locked. Lines 15a, 15e and 15g will self-populate.

Block 1: Check “Non-Construction”

Block 2: Enter the date the final form is completed
Blocks 3 and 4: Leave blank
Block 5: Enter complete information for the State Workforce Agency, including the Legal Name, Department, Organizational DUNS, Division, Street
Address, City, County (Parish or Borough), State, Zip Code, and Country in the appropriate blocks. Include the full name, telephone number,
and e-mail address of the person to be contacted regarding the application.
Block 6: Enter the IRS Number or Employer Identification Number
Block 7: States enter "A"
District of Columbia, Puerto Rico and Virgin Islands: enter “N”
Block 8: Check “Revision;” Indicate “A” (Increase Award) and “C” (Increase Duration) in the boxes
Block 9: Enter U.S. Department of Labor/VETS
Block 10: Enter "17.801 (DVOP)"
"17.804 (LVER)"
"17.807 (TAP)" (if applicable)
Title: Enter "Jobs for Veterans State Grant"
Block 11: Enter “Jobs for Veterans State Grant”
Block 12: States: enter “Statewide”
District of Columbia, Puerto Rico, and Virgin Islands, enter "DC," "PR," or "VI" as applicable
Block 13: Enter the first day of the fiscal year for which funds are being requested as the Start Date, i.e. October 1, 20XX. Enter the last day of the fiscal
year for which funds are being requested for the Ending Date, i.e. September 30, 20XX
Block 14a: Enter the Congressional District in which the Central Office is located
Block 14b: States: enter “Statewide”
District of Columbia, Puerto Rico, and Virgin Islands, enter "DC," "PR," or "VI" as applicable
Block 15a: Enter the total amount of funds requested for DVOP and LVER, not to exceed the appropriate allocation (with or without incentives)
Block 15e: Enter the total amount of funds requested for TAP and approved Special Initiatives
Block 15g: Enter the sum of lines 15a. and 15e.
Block 16a: This program is covered by E.O. 12372. Enter the date the application was reviewed only if the State has a Single Point of Contact (SPOC).
Block 16b: For States in which no Single Point of Contact exists, or where the program has not yet been selected for review, check the box:
“OR, PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW”
Block 17: Check the appropriate box. If a delinquency is indicated, an explanation must be attached.
 ATTACHMENT III - SF 424 Instructions

Block 18: Complete sections a. - e. for the signatory authority listed in the Transmittal Memorandum. This section cannot be signed
“for” the signatory authority.
 ATTACHMENT III - SF 424
D at e of form: Jan uary 31, 2006
Version 7/03
Applicant Identifier
APPLICATION FOR 2. DATE SUBMITTED
FEDERAL ASSISTANCE
1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier
Application Preapplication
Construction Construction 4. DATE REC'D BY FEDERAL AGENCY Federal Identifier

Non-Construction X Non-Construction
5. APPLICANT INFORMATION
Legal Name: Organizational Unit:
Department:

Organizational DUNS: Division:

Address: (Street, City, County, State, Zip Code) Name and telephone number of person to be contacted on matters involving this application
(Prefix, First, MI, Last)

Email:

6. EMPLOYER IDENTIFICATION NUMBER (EIN) Phone number (give area code)

-
8. TYPE OF APPLICATION 7. TYPE OF APPLICANT (See back of form for Application Types)
New Continuation X Revision

If Revision, enter appropriate letter(s) in box(es). A C

(See back of form for description of letters)
Other (specify)
Other (specify)
9. NAME OF FEDERAL AGENCY:
U.S. Department of Labor / VETS
10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT:
1 7 . 8 0 1 (DVOP)
1 7 . 8 0 4 (LVER)
1 7 . 8 0 7 (TAP)
Jobs for Veterans State Grant
TITLE (Name of Program): Jobs for Veterans State Grant
12. AREAS AFFECTED BY PROJECT (Citie s, Counties, States, etc)

13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF:

Start Date: Ending Date: a. Applicant b. Project

15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE

ORDER 12372 PROCESS?
a. Federal (total of current funding) $0 a. YES. THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE
TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON:
b. Applicant $ DATE:

c. State $ b. NO. PROGRAM IS NOT COVERED BY E.O. 12372.

d. Local $ OR, PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW

e. Other (TAP, Approved Special Initiatives) $0 17. IS APPLICANT DELINQUENT ON ANY FEDERAL DEBT?

f. Program Income $ Yes If "Yes" attach an explanation No

g. TOTAL $0
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN
DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES, IF THE ASSISTANCE
IS AWARDED.
a. Authorized Representative
Prefix First Name Middle Name

Last Name Suffix

b. Title c. Telephone Number (give area code)

d. Signature of Authorized Representative e. Date Signed

Previous Edition Usable Standard Form 424 (Rev. 9-2003)

Authorized for Local Reproduction Prescribed by OMB Circular A-102
ATTACHMENT III - SF 424
D at e of form: Jan uary 31, 2006
ATTACHMENT III - SF 424
D at e of form: Jan uary 31, 2006

2 . --
 ATTACHMENT III - Staffing Directory Instructions

NOTE: VETS is in the process of requesting OMB approval to make use of this Staffing Directory mandatory. It is optional at this time, but States are enc
the form provided to satisfy the requirement to ensure all covered DVOP specialists and LVER staff receive NVTI training in a timely manner. Users may a
rows as needed without affecting the calculation of totals at the bottom of the form.

SECTION A - GRANTEE IDENTIFICATION INFORMATION: Self-Explanatory

SECTION B - STAFFING INFORMATION--Use one line of the staffing directory for each staff person assigned or position funded by the grant. Use o
indicate half-time or '1' to indicate full-time in columns (d) through (j). Mark all columns that apply to the listed staff member or vacant position, i.e. S
full-time coordinator position paid by the grant would list the staff member's office, nameand title and list '1' in column (f) and column (i).

Column (a): List the office name and address for all service delivery points where grant funded staff are assigned as their primary work location
Column (b): List the grant funded staff assigned to that location using one line for each individual. Staff should be listed by last name, first. If a
position exists in the staffing plan, but is currently vacant, leave this column blank for that position. If the position is funded through
a special initiative or is a program manager or equivalent, you must include the staff person's title in this block.
Column (c): List the date the staff member was assigned to his/her current position, i.e. Disabled Veterans' Outreach Specialist (DVOP) or Local
Veterans' Employment Representative (LVER)
Column (d): If this staff member or position is assigned as a DVOP, enter '0.5' if assigned half-time or '1' if assigned full-time
Column (e): If the position is a DVOP and currently vacant, enter '0.5' if the position is half-time or '1' if it is full-time
Column (f): If this staff member or position is assigned as an LVER, enter '0.5' if assigned half-time or '1' if assigned full-time
Column (g): If the position is an LVER and currently vacant, enter '0.5' if the position is half-time or '1' if it is full-time
Column (h): If the position listed is funded through an approved Special Initiative, enter '0.5' if the position is half-time or '1' if it is full-time
Column (i): If the position is funded by the grant to provide program oversight, regional coordination or other supervisory/ managerial responsibilities,
enter '0.5' if the position is half-time or '1' if it is full-time
Column (j): If the position has been filled by a non-veteran for more than six months, enter '0.5' if the position is half-time or '1' if it is full-time

Column (k): Indicate whether or not the staff member has completed specialized training from the National Veterans' Training Institute (NVTI):
Mandatory training for DVOPs is: Labor and Employment Specialist and Case Management
Mandatory training for LVERs is Labor and Employment Specialist and Promoting Partnerships for Employment

SECTION C - TOTALS: If using the form provided in Attachment III, this section will self-populate.
Line 1): Enter the total number of half-time positions in each column for columns (d) through (j) of Section B
Line 2): Enter the total number of full-time positions in each column for columns (d) through (j) of Section B
Line 3): Enter the total number of full-time equivalent (FTE) positions in each column for columns (d) through (j) of Section B
 ATTACHMENT III - Staffing Directory Instructions

Line 4): Enter the total number of FTE positions filled for column (d) and column (f) of Section B
 ATTACHMENT III - Staffing Directory

Staffing Directory: Jobs for Veterans State Grant

SECTION A - GRANTEE IDENTIFICATION INFORMATION

1) Grant Number: 0 State Abbreviation: 0 3) Date Prepared:

SECTION B - STAFFING INFORMATION

(c) (h) (i) (j)

(b) (e) (g)
Date Funded Program Filled by
(a) Grant Funded Staff Name (d) DVOP (f) LVER
Appointed through Manager Non-Veteran
Office Name and Address DVOP Position LVER Position
to Current Special or more than 6
Last Name, First Name Vacant Vacant
Position Initiative Equivalent Months
Title as Applicable

Enter "1" if the position is full-time or "0.5" if the position is half-time

SECTION C - TOTALS
1) Number Half-Time Positions 0 0 0 0 0 0 0
2) Number Full-Time Positions 0 0 0 0 0 0 0
3) Total FTE Positions 0 0 0 0 0 0 0

Page 18 of 23
ATTACHMENT III - Staffing Directory

4) Number of FTE Positions Filled 0 0

Page 19 of 23
 ATTACHMENT III - Staffing Directory

(k)
Received
Training

Page 20 of 23
ATTACHMENT III - Staffing Directory

Page 21 of 23
ATTACHMENT III - TAP Employment Workshop Forecast

TAP Employment Workshop Forecast

STATE: 0
GRANT NUMBER: 0 FISCAL YEAR:

1st Quarter: # 2nd Quarter: # 3rd Quarter: # 4th Quarter: #

Workshops to Be Workshops to Be Workshops to Be Workshops to Be Total Number of
TAP Workshop Location Facilitated by Facilitated by Facilitated by Facilitated by Workshops
Grant Staff Grant Staff Grant Staff Grant Staff Forecast
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Totals 0 0 0 0 0
ATTACHMENT III - TAP Employment Workshop Forecast

Total Number of
Days Forecast to
be Facilitated by
Grant Staff

0.0