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VIRGINIA DEPARTMENT Education and Training OF SOCIAL SERVICES Activities Attendance Sheet

10/24 VOLUME V, PART XXV, APPENDIX II, PAGE 29

EMPLOYMENT SERVICES PROGRAM EDUCATION AND TRAINING ACTIVITIES ATTENDANCE SHEET

FORM NUMBER - 032-03-1020

PURPOSE OF FORM - This form provides a written means for the Employment Services Worker (ESW) to monitor a VIEW or SNAP E&T participant’s attendance in an education or training program on a monthly basis.

USE OF FORM -This form is used by the education or training program instructor to verify the participant’s attendance. The form is also used by the ESW to evaluate any need for intervention to enhance the VIEW or SNAP E&T participant’s progress. A separate form is completed for each course.

NUMBER OF COPIES - One

DISPOSITION OF COPIES - The original is mailed to the agency by the fifth calendar day after the report month and becomes a part of the case record.

INSTRUCTIONS FOR PREPARATION OF FORM:

The ESW will be responsible for informing the participant of their responsibility to ensure that the form has been completed in its entirety and signed by the instructor/ his designee each month. A sufficient supply of copies of the form for the semester/ quarter/ length of the course should be given to the participant at the time the assignment is made.

All sections of the form need to be completed in their entirety to enable the ESW to verify attendance. The ESW will fill in the Participant’s Name, Case #, ESW name, and ESW Phone # at the top of the form. The participant will fill in the Name of Class, Name of Program/Curriculum, Name of Institution, Name of Instructor, and How is Instruction Delivered. The participant will circle the days of the month the class is scheduled to meet. After each scheduled class meeting, the participant will fill in the actual hours of attendance, or the appropriate code if the class was not attended. After the form has been completed, the participant will sign it and then have the instructor or designee answer the homework and attendance questions and sign the form.

TRANSMITTAL #35 Employment Services Program Acronyms CWEP Community Work Experience ESP Employment Services Program ESW Employment Services Worker including FSS, FSW, SSS, SSW FEP Full Employment Program PSP Public Service Program SNAP E&T Supplemental Nutrition Assistance Program Education & Training VIEW Virginia Initiative for Education and Work WE Work Experience (SNAP E&T)