Forms

2023
Document Release Date Control Number Download
Program Complaint Form 10/26/2023 QUA-029
Summary Program Complaint Process Form 10/25/2023 QUA-039
Summary Discrimination Complaint Procedures – electronic 10/25/2023 QUA-031E
Providers Statement of Alternate Delivery of Summary Complaint Process 10/25/2023 GEN-004
WIOA Eligibility TAG 09/26/2023 ELI-003
Supportive Services Manual 08/11/2023 SUP-001
Adult Monthly Financial Status Report 07/26/2023 FIS-003
Youth Monthly Financial Report 07/26/2023 FIS-010
CalJOBs Funding Transfer Request 07/20/2023 FIS-013
Incident Report 06/30/2023 GSA-004
Designation of Information Security Staff 06/30/2023 QUA-101
Confidential Information Acknowledgement 06/30/2023 QUA-100
Fresno County Eligibility Technical Assistance Guide 06/14/2023 ELI-003
Work Experience/Transitional Jobs Bi-Weekly Timesheet – electronic 05/03/2023 WEX-001E
Supportive Services Self-Certification – electronic 04/20/2023 SUP-002E
CalJOBS Reference Guide for Transitional Jobs 04/20/2023 TRN-TJS-001 Rev F View More
Contract Modification Request Form 03/07/2023 CON-023
2022
Document Release Date Control Number Download
Needs Related Payment Approval 11/03/2022 SUP-006E
Participant Training Progress Report 09/23/2022 STA-221
Health/Medical Information Verification Form 09/15/2022 QUA-070
Waiver Request Form 07/27/2022 QUA-194
Scholarship Checklist 07/19/2022 STA-207
Adult Notice of Intent to Exit letter template 07/12/2022 ADW-001
Youth Notice of Intent to Exit letter template 07/12/2022 YTH-008
Spanish Job Track Application 07/07/2022 JOB-001sp
Training Related Placement Survey Tool 04/20/2022 QUA-038
Training Related Placement Survey Tool – Spanish 04/20/2022 QUA-038S
Basic Career Services Survey Tool 04/20/2022 QUA-032
Basic Career Services Survey Tool – Spanish 04/20/2022 QUA-032S
Placement Survey Tool 04/20/2022 QUA-034
Placement Survey Tool – Spanish 04/20/2022 QUA-034S
Job Seeker Satisfaction Reporting Template 04/20/2022 QUA-035
Laptop Return Letter Template 03/16/2022 GSA-003
Release of Liability 03/11/2022 CON-024
Laptop Loan Program – Checkout and Liability Agreement 02/23/2022 GSA-002
Special Projects Monthly Financial Report 02/02/2022 FIS-011
Skills Training Scholarship Application 01/28/2022 STA-204
Career Track Application 01/28/2022 CAR-005
CalJOBS Reference Guide for Supportive Services 01/27/2022 TRN-SUP-002 Rev E
2021
Document Release Date Control Number Download
PEE Bi-Weekly Timesheet 12/09/2021 STA-218E
Bi-Weekly Timesheet – electronic 12/09/2021 GEN-002E
Public Education Entity Bi-Weekly Time Sheet – electronic 12/09/2021 STA-218E
LinkedIn Content Guide 11/12/2021 TRN-REM-001
Drug Testing Disclosure Form 11/10/2021 GEN-014
Youth Work Experience Agreement 10/27/2021 WKX-019e
Work-site Supervisor – Youth Performance Review 10/25/2021 WKX-018e
Pre-Employment Interview / Relocation Request 10/20/2021 SUP-008E
Pre – Employment Interview/ Relocation Expense Report 10/20/2021 SUP-009E
Youth Universal Referral 10/19/2021 YTH-006E
YAS Entrance Interview Appointment and Rescheduling Policy 10/19/2021 YAS-001
MCPP Scholarship Application 10/19/2021 STA-222E
CalJOBS Reference Guide for Work Experience 10/19/2021 TRN-WEX-002
Employer Services Module Users Assistance Guide 10/19/2021 TRN-ADW-001
YAS Employer Screening Interview form 10/19/2021 INT-002E
YAS CPP Prescreening Criteria 10/19/2021 INT-001E
Universal Worksite Monitoring Form 10/19/2021 CAR-008
Skills Training Agreement 10/13/2021 STA-220
CalJOBs Training and Reference Guide for Skills Training 10/13/2021 TRN-STA-002 Revision G
Occupation Self-Certification 10/13/2021 STA-208
Skills and Experience Form 09/27/2021 OB-014
Job Search Log 09/27/2021 J0B-013
Job Track Application 09/27/2021 JOB-001
Focus Forward Leadership Activity 09/16/2021 YTH-003
Nepotism Statement- electronic 08/26/2021 REG-111E
Storage Box Label Template 08/23/2021 GSA-001
Job Shadow Packet 08/20/2021 YTH-007
Mock Interview Checklist 07/29/2021 JOB-005
Job Ready Checklist 07/29/2021 JOB-003
Youth WEX Survival Guide 07/14/2021 WKX-010
Youth Contract – electronic 06/29/2021 REG-112e View More
WIA Parent/Student Contract 06/29/2021 REG-112e
OJT Employer Eligibility Checklist (reference only) 06/22/2021 OJT-001
OJT Scholarship Application and Rating Matrix 06/22/2021 OJT-019
OJT Scholarship Checklist 06/22/2021 OJT-018
OJT Contract Amendment Request 06/22/2021 OJT-012
Employer Reimbursement Invoice 06/22/2021 OJT-006
OJT Occupational Self-Certification 06/22/2021 OJT-003
Provider of Services OJT Monitoring Form 06/22/2021 OJT-008
OJT Agreement Template 06/22/2021 OJT-020
CalJOBS Reference Guide for On the Job Taining 06/22/2021 TRN-OJT-002
Transitional Jobs Worksite Performance Review 06/21/2021 TJS-003
Transitional Jobs Work-site Agreement 06/21/2021 TJS-004
Transitional Jobs Participant Survival Guide 06/21/2021 TJS-005
Work Experience Reimbursement Request 06/21/2021 CAR-007
Job Readiness Workshop Evaluation 06/16/2021 JOB-011
Online Job Ready Workshop Instructions 06/16/2021 OD 05-17 Attachment
IMAGO Facilitator Guide 06/16/2021 OD 05-17 Attachment
IMAGO Account Creation 06/16/2021 Attachment OD 05-17
YAS APPLICANT Questionairre 06/10/2021 YTH-002E
Interest Worksheet 06/10/2021 REG-104E
SRT Questionnaire – electronic 05/19/2021 REG-106E
SRT Script 05/18/2021 UNI-002
Active Participants Transfer Form 05/17/2021 QUA-203
Follow up Participants Transfer Form 05/17/2021 QUAA-204
Participant Letter for POS Change 05/17/2021 QUA-205
Spanish Career Track Application 05/07/2021 CAR-005sp
Monthly Young Adult Exit Survey Summary Report 03/04/2021 QUA-037
Young Adult System Exit Survey 03/04/2021 QUA-036
2020
Document Release Date Control Number Download
CASAS Participant Letter 07/30/2020 ASM-008
CASAS Proctor Script 07/30/2020 ASM-009
COVID-19 Screening Tool 07/16/2020 GEN-013
SRT Schedule Policy and Appointment Sheet – electronic 05/22/2020 UNI-005E
Applicant Statement – electronic 05/22/2020 GEN-001E
Media Release – electronic 05/22/2020 MCD-004E
Universal Release of Information – electronic 05/22/2020 REG-100E
Individual Participation Agreement – electronic 05/22/2020 REG-116E
2019
Document Release Date Control Number Download
Youth WEX Supervisor Manual 10/22/2019 WKX-007
Workforce Connection OJT Flyer Template 09/26/2019 BSC-015
HR Hotline Flyer 2015 09/26/2019 BSC-016
Request for Amendment to OJT Agreement 04/23/2019 OJT-012
Supportive Services Request 02/05/2019 SUP-007
2018
Document Release Date Control Number Download
Local Data Change Request 08/22/2018 TEC-002
Applicants Statement 08/14/2018 GEN-001
Aztec Assessment Remediation Tool 04/19/2018 TRN-ASM-001
Spanish CalJOBS Registration Form 04/13/2018 REG-114sp
CalJOBS Registration Form 04/13/2018 REG-114
Discrimination Complaint Form 02/13/2018 QUA-028
2017
Document Release Date Control Number Download
WIOA Participant Outstanding Achievement Award Application 12/13/2017 GEN-009
Adult Employer of Excellence Award Application 12/13/2017 GEN-008
Youth Employer of Excellence Award Application 12/13/2017 GEN-007
Partner Referral Form Level 1 07/06/2017 REG-108
Partner Referral Form Level 2 07/06/2017 REG-109
Interview Prep Certificate of Completion 07/06/2017 GEN-006
2016
Document Release Date Control Number Download
Spanish Resource Room Dress Code 11/30/2016 UNI-004sp View More
Agency Summary of Services Checklist 08/18/2016 REG-101
Universal Release of Information 06/06/2016 REG-100 View More
Media Release of Liability 05/26/2016 MCD-004
Letter of Introduction Template 05/25/2016 BSC-014
2015
Document Release Date Control Number Download
Youth Orientation (PowerPoint) 08/18/2015 YTH-005
2014
Document Release Date Control Number Download
Job Seeker Satisfaction Site Data Summary Worksheet 10/07/2014 QUA-035
Work Experience Certificate 01/23/2014 WKX-004
2013
Document Release Date Control Number Download
Business Rating Form & Matrix 08/08/2013 BSC-001
2012
Document Release Date Control Number Download
Job Seeker Introduction Letter 10/26/2012 JOB-006
Business Services Center Follow-up form 09/26/2012 BSC-012
2005
Document Release Date Control Number Download
Partner Co-Enrollment & Referral Process 11/28/2005 PGM-REG-001 Revision B
2004
Document Release Date Control Number Download
Communicating Aggressive Behavior 04/13/2004 WIB-QUA-009 Revision A
Secondary Screening Process 01/28/2004 ADW-JOB-002
2003
Document Release Date Control Number Download
Security Response Process 04/13/2003 WIB-GSA-001 Revision A
This WIOA, Title 1-financially assisted program/service is an equal opportunity employer/program. Auxiliary aids and services are available upon request to people with disabilities and/or limited English. To learn more about Equal Opportunity click here.