Sample Documents

From Washington State:

Sample Program Forms:

• Agreement between the state agency and an employer who is seeking to hire a new employee through a subsidized jobs program.
• Handbook for supervisors of employees hired through the subsidized jobs program.
• Handbook for participants in subsidized jobs.
• Form to be filled out by an employee exiting a subsidized job.
• Form confirming a new participant's enrollment in a subsidized job.
• Individual development plan to be filled out by a new employee in a subsidized job; asks the employee to reflect on prior employment, state training goals, and confirm access to transportation and child care.
• Job description form to be filled out by employers seeking to hire a worker through the subsidized jobs program.
• Timesheet for an employee in a subsidized job, to be filled out by the employee's job counselor.
• Agreement to be signed by a new subsidized job employee, the employee's supervisor, and the employee's job counselor.

Sample Contractual Documents:

• Scope of Work: outlines rights and responsibilities of the employee, the supervisor, and the agency/job counselor.
  
• Compensation and Budget: Explains the financial contractural obligations of the employer and the agency.
• Payment schedule for different types of subsidized jobs.

Sample Program Marketing Materials:

• Letter to hiring managers encouraging them to consider hiring subsidized jobs program participants.
• Brochure about the subsidized jobs program, handed out to non-profit organizations that might consider taking on subsidized jobs program participants as volunteers. (Click here and here to view other sample brochures/handouts).
  
• Bulletin-board poster about the subsidized jobs program, geared to potential employers and participants.

Sample Documents Related to a Request for Proposals (RFP) for Contractors Interested in Overseeing the Subsidized Jobs Program in Various Parts of the State:

• Legal notice published as a newspaper advertisement announcing the imminent release of the RFP.
• The Request for Proposals.
• Spreadsheet providing information to potential RFP respondents about the size of the overall caseload, the number of subsidized jobs participants, and the amount of money budgeted to the subsidized jobs program in various parts of the state.
• Introductory letter to RFP readers/evaluators outlining the review process.

From California:

Forms used by San Francisco's JobsNow! Program, available on the National Transitional Jobs Network website:

• Employer Memorandum of Understanding, which employers use to apply to participate in the program, and which outlines the relationship between and obligations of the employer and the program. 
• Form used by employers to document costs and apply for reimbursement from the program.

Forms used by various counties in California to administer subsidized jobs programs.

Forms used by various locales in California (and one in Washington State) dealing with the receipt of TANF Emergency Fund money for non-recurrent short-term benefits.

From Iowa:

• Memorandum of Understanding between the state and a third party whose cash or in-kind expenditures will help the state meet its MOE requirements, and the 20% TANF Emergency Fund state matching requirement.
• Form collecting information from the third party that is required for the third party's cash or in-kind expenditure to count towards the MOE or the 20% matching requirement.

From Maine:

• Memorandum of Understanding between the state and a provider of services categorized as short-term non-recurrent benefits.
• Form used by the provider asking participants to consent to the release of some general information needed by the state in order to receive money from the TANF Emergency Fund, and also informing participants that no other information will be released.
• Letter from the state confirming that specific information about individual participants need not be released.

From Florida, Los Angeles, and Perry County, TN:

• Document containing samples of successful marketing materials used by subsidized jobs programs.

From Indiana:

• Statutory language authorizing the state to claim additional MOE for the TANF Emergency Fund.

From Pennsylvania:

• Brochure explaining eligibility rules to potential participants in Way to Work Philadelphia, the Phildadelphia subsidized employment program (a sub-program of the statewide Way to Work program).
• Brochure encouraging potential employers to offer positions through Way to Work Philadelphia.
• Frequently Asked Questions for potential employers.
• Frequently Asked Questions for job seekers.
• The state-approved Philadelphia Workforce Investment Board subsidized jobs plan, describing the Way to Work Philadelphia program.
• The wage subsidy agreement (contract) between an employer and the Philadelphia Workforce Investment Board.
• Calculators showing the amount of carrying costs per Way to Work Philadelphia employee for non-profit and for-profit employers.  Note that these calculations may be different in different states, depending on state laws and program reimbursement rules.