Form Ep 4 - Summary Of Fs/employment And Training Program
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29STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
DEPARTMENT OF SOCIAL SERVICES
PART I
SUMMARY OF FOOD STAMP EMPLOYMENT AND TRAINING PROGRAM
A.
Component Summary
The County must certify that each component summary is correct by checking the appropriate box following the
component description. If the component description provided summarizes your particular component check the
first box. If there are deviations from the component description provided, check the second box, and summarize
your description of component. If the component is not offered in your county check, Not Applicable.
1.
Independent Job Search
a. Description of component:
County certifies to the following description:
This component consists of an unsupervised job search effort, beginning at application, or at
certification or a combination of both. The participant attends an orientation session, in which, the
program requirements are explained, Rights and Responsibilities are provided, and guidance is given in
the methods of a successful job search. Participants report back at scheduled intervals for verification
of effort.
County certifies to the following description:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Not Applicable
b. Geographic areas to be covered:
Entire County
Other: __________________________________________________________
c. Number of job contacts that will be required over what time period:
Contacts:
24
24 - 36
36 - 48
________
Length of participation:
4 weeks
8 weeks
other: ___________________________________________________
d. Anticipated number of mandatory participants who will enter the component: ________________________
e. Anticipated number of volunteers who will enter the component: __________________________________
f.
Anticipated number of Notices of Adverse Action (NOAAs) to be sent to mandatory participants who fail to
comply with the component: ______________________________________________________________
g. Population served:
Applicants
Recipients.
EP 4 (12/99) REQUIRED
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