Illinois Department of Commerce and Economic Opportunity Grant Application Cover Page Job-Driven (JD) NEG Project Section 1: Applicant Information 1.1 Legal Name of Applicant: (Attach copy of W-9) 1.2 Address of Applicant: (Include your extended 9-digit zip code): 1.3 Officer: (If more than one, attach a list with all Officers) Name: Address: Fax: E-Mail: 1.4 Description of Applicant: (200 Character maximum) 1.5 NAICS Code: (6-digit Industry Classification Code) 1.6 Applicant Website: 1.7 Applicant FEIN: 1.8 Applicant SSN: (Enter only if applicant is individual and does not have a FEIN) N/A 1.9 Applicant’s DUNS Number: 1.10 Applicant Fiscal Year: From: To: 1.11 If applicable, indicate the following. Female-Owned Minority-Owned If minority-owned, then check the appropriate race/ethnic group box. Black / African Americans Hispanic Americans Native Americans Asian-Pacific Americans Asian-Indian Americans 1.12 Indicate the number of people expected to be served by the in the appropriate race/ethnic group box below. Race/Ethnic Group # People Served by Black / African Americans Hispanic Americans Native Americans Asian-Pacific Americans Asian-Indian Americans PARTICIPANTS:
Work-Based Training--All Other (Includes customized training, paid work experience, paid internships, registered apprenticeships.) Work-based training costs associated with providing assistance to a participant to acquire or upgrade skills to enable the participant to become employed including but not limited to the costs associated with paid work experience and internships, customized training, registered apprenticeships. Costs exclude traditional training and on the job training costs. TOTAL: Provide a detailed calculation for each type of work-based training you will be using. Other—Training-Related Includes all other reasonable, necessary and allowable WIA Training costs not elsewhere classified including but not limited to books, supplies, tools, equipment, testing, licensing, certification, employment tools, etc. TOTAL: Consistent with local policy. Provide a detailed calculation of each of the items you are including in the cost. Supportive Services Includes, but is not limited to, assistance with transportation, child care, dependent care, and housing that are necessary to enable an individual to participate in training and employment activities authorized under WIA Title IB. Consistent with local policy. Provide detailed calculations of various services. Partnership Development Maximum 2.8% of expenditures. associated with partnership development and/or strategic planning in areas related to operating the NEG grant including but not limited to convening groups of employers, meetings, etc. TOTAL: Provide a description and detailed calculation. Administration Maximum 5.7% of expenditures. The costs as defined in the WIA Regulations 667.220, include, but are not limited to, the following functions: accounting; budgeting; financial and TOTAL:
5. Describe IEP development process and strategies, including how it will be determined if a participant will receive training(s) and which type of work-based training(s) a participant will receive. 6. Discuss how project services and the project design will achieve the project goal of increasing the entered employment rate for participants. Occupational Training (from approved training provider list): 1. Provide a list of high-demand occupations and associated training and certification that will be part of this project. Include relevant 4-digit NAICS and SOC codes. Indicate if new service providers will have to be identified to provide any of the training. 2. For the above occupations and credentials, provide information to demonstrate local high demand. 3. Describe plans for class-size training. 4. Describe for accelerated training. 5. Describe plans for adding training providers to the approved training provider list. Work-based training (minimum 40% of expenditures): 1. List work-based training services you will provide (OJT, customized training, registered apprenticeship, work experience and internships when combined with occupational training).