Form Wtw 39 - Assembly Bill (Ab) 74 County Welfare Department (Cwd) Expanded Subsidized Employment (Ese) Plan

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
ASSEMBLY BILL (AB) 74
COUNTY WELFARE DEPARTMENT (CWD)
EXPANDED SUBSIDIZED EMPLOYMENT (ESE) PLAN
DATE:
CWD:
CWD CONTACT INFORMATION
NAME/POSITION:
ADDRESS:
PLEASE INDICATE THE DATE YOUR CWD WILL BEGIN
PHONE NUMBER:
EMAIL ADDRESS:
OFFERING AN ESE PROGRAM:
HOW MANY TOTAL PARTICIPANTS DO YOU EXPECT TO PLACE IN ESE IN
HOW MANY PARTICIPANTS DO YOU EXPECT TO PLACE IN ESE BY THE END OF MARCH 2014?
STATE FISCAL YEAR 2013-14?
STARTING WITH STATE FISCAL YEAR 2014-15, HOW MANY PARTICIPANTS DO YOU EXPECT TO
PLACE IN ESE ANNUALLY?
Please describe how your CWD plans to utilize funds allocated for the ESE Program and include responses to the following
10 categories. There is an 11th text box to enter other information about your ESE Program if needed. The text boxes will
accept up to 1,000 characters of text. If additional space is needed you may also submit attachments to accommodate the
additional information. You may also attach CWD materials that address each of the areas below if the materials can be
converted to pdf format for posting to the CDSS website (i.e., not scanned copies).
1.
What are your ESE Program goal(s) for the participants: basic employability skills, training for a specific field, obtaining
unsubsidized employment, other?
2.
What types of employers and industries will you place your participants in: private, public, non-profit, for-profit, retail,
manual labor, data entry, health services, etc.?
WTW 39 (12/13)
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