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COMMONWEALTH OF VIRGINIA

SNAP E&T ☐ VIEW ☐ TET ☐ VTP ☐ DEPARTMENT OF SOCIAL SERVICES EMPLOYMENT SERVICES PROGRAM

ACTIVITY AND SERVICE PLAN

CURRENT PROGRAM ACTIVITY ASSIGNMENT

Core Activities

Currently employed full-time __________ __________ __________________________________________

Currently employed part-time __________ __________ __________________________________________

Job Search (VIEW) __________ __________ __________________________________________

Supervised Job Search (SNAP E&T) __________ __________ # of Job Contacts ___________________________

Job Readiness (VIEW) / Job Search Training (SNAP E&T) __________ __________ __________________________________________

Full Employment Program (FEP) __________ __________ __________________________________________

On-the-Job Training (OJT) __________ __________ __________________________________________

Community Work Experience (CWEP) __________ __________ __________________________________________

Public Service Program (PSP) __________ __________ __________________________________________

Vocational Education & Training __________ __________ __________________________________________

Work Experience (WE) __________ __________ __________________________________________

Non-Core Activities – countable only after minimum 20 hrs/week completed in Core Activities (VIEW Only)

☐ Job Skills Training

__________ __________ __________________________________________ (Includes education above post-secondary when it is directly related to employment)

☐ Education below post-secondary ________ _________ ______________________________________

Other Work Activities – these hours are not counted toward the participation requirement

☐ Other Locally Developed

_________ __________ _________________________________________

☐ Pending (Assign for a maximum of 60 days)

☐ Inactive (Assign up to 3x - 30 days per assignment) List reasons for assignment to Pending or Inactive and the steps necessary to resolve problem: ________________________________________________________________________________________________ ________________________________________________________________________________________________

SUPPORTIVE /TRANSITIONAL SERVICES ☐ Child Care ☐ Transportation ☐ TET ☐ VTP ☐ Other (please describe) ____________________________________________________________________________________________________________ VTP Period From ____________________ to ____________________

032-02-1000-13-eng

Participant's Name:

Case ID#:

ESW:

ESW Phone #:

# of Months Accrued on VIEW Clock

N/A ☐ Date:

Planned Begin Date Planned End Date Planned Weekly Hrs/Pay & Location