Wichita Alliance : Acceptable Eligibility Documents

Documentation for Eligibility

All customers of SYEP must meet the following requirements:

1. 16 – 24 years of age

2. U.S. citizen/work authorized

3. Compliant with Selective Service registration (if applicable)

4. Low income

5. Have a barrier to employment

6. Be a resident of Sedgwick, Butler, Cowley, Sumner, Harper or Kingman counties

You must take documentation of each requirement with you to the meeting scheduled with the Workforce Professional if you are selected to participate in the SYEP. You may select one of the types of documentation under each of the five requirements. Eligibility documentation must be current to be acceptable.

1. 16 – 24 Years of Age Supporting Documentation:

· Baptismal record

· Birth certificate

· Driver’s license

· Federal, State, or Local government identification card

· Hospital record of birth

· Passport

· Public assistance/social service record

· Report of transfer or discharge, DD-214

· School record/identification card indicating birth date

· Work permit

2. U.S. Citizen/Work Authorized Supporting Documentation:

· Alien registration card stamped "Right to Work"

· Baptismal record indicating birth place

· Birth certificate

· Employment eligibility verification form (INS Form I-9)

· Food stamp records

· Foreign passport stamped “Eligible to Work”

· Hospital record of birth

· Naturalization certification

· Public assistance records

· Report of transfer or discharge, DD-214

· United States passport

· Voter registration card

· Native American tribal document

3. Selective Service Registration Supporting Documentation: (for males 18 years and older) Registration is available online at www.sss.gov

· Acknowledgment letter from Selective Service

· Report of transfer or discharge, DD-214

· Registration process

· Selective Service advisory opinion letter

· Selective Service registration record (Form 3A)

· Selective Service registration card

· Selective Service system contact

· Selective Service verification form

· Stamped Post Office receipt of registration

· Registration status information letter

· Local Area determination of unknowing/not willful failure to register

4. Low Income (six options)

A. Cash Public Assistance - Receives, or is a member of a family that receives cash payments under a federal, state or local income-based public assistance program

Supporting Documentation: Authorization to receive cash public assistance from public assistance agency; Public assistance check; Public assistance records/printout; Social service agency letter of confirmation

B. Individual/Family Income - Received an income, or is a member of a family that received a total family income, for the 6-month period prior to application (exclusive of unemployment compensation, child support payments, payments described in option 1, and old-age and survivors insurance benefits received under section 202 of the Social Security Act) that, in relation to family size, does not exceed the higher of the poverty line or 70 percent of the lower living standard income level.

Supporting Documentation (must provide documentation for 6-month period prior to application): Alimony agreement; Award letter from Veterans Administration; Bank statement; Compensation award letter; Court award letter; Employer statement of income earned; Farm or business financial records; Pay stubs for the past 6 months (or YTD including income for past 6 months); Pension statement; Quarterly estimated tax for self employed persons (Schedule C); Public assistance records; Social Security benefits; Unemployment Insurance documents and/or printouts

C. Food Stamps - Be a member of a family that receives food stamps (or has been determined within the 6-month period prior to application to be eligible to receive food stamps)

Supporting Documentation: Letter from food stamp disbursing agency; Postmarked food stamp mailer with applicable name and address; Public assistance records/printout (with all family members listed)

D. Homeless - Qualifies as a homeless individual; Defined as (A) An individual who lacks a fixed, regular, and adequate nighttime residence; (B) An individual who has a primary nighttime residence that is: 1) A supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); OR 2) An institution that provides a temporary residence for individuals intended to be institutionalized; OR 3) A public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.

Supporting Documentation: Written statement from individual providing temporary residence using Residency Verification Form (Form 5-0706); Written statement from homeless shelter; Written statement from social service agency; Client Statement (for B3 ONLY)

E. Foster Care - Is a foster child on behalf of whom state or local government payments are made

Supporting Documentation: Court documents; SRS foster care placement papers; Verification of payments made on behalf of the child; Written statement from State/Local agency/foster care program

F. Disability - Is an individual with a disability whose income meets the requirements described in item 1 or 2 above but who is a member of a family whose income exceeds requirements of items 1 or 2 above; Disability refers to (1) A physical or mental impairment that substantially limits one or more of the major life activities of such individual; (2) A record of such an impairment; or (3) Being regarded as having such an impairment. In this instance, the youth is considered a family of one. Supporting documentation must indicate that the youth has a disability at time of enrollment.

Supporting documentation for Disability: Letter from drug or alcohol rehabilitation agency; Letter from Individual Education Plan (IEP) Team stating specific disability; Medical records; Physician’s statement; Psychiatrist’s/Psychologist’s diagnosis; Rehabilitation evaluation; School record stating specific disability; Social service records/referral; Social Security Administration disability records; Veterans Affairs letter/records; Vocational Rehabilitation letter; Observable condition with Client Statement; Sheltered workshop certification; Workers’ Compensation record

5. Barriers to Employment - All potential SYEP clients must have one of the following barriers to employment:

Basic Skills Deficient – defined as an individual who computes or solves problems, reads, writes or speaks English at or below grade level 8.9

Supporting documentation: CASAS score at or below 235 for Reading; CASAS score at or below 225 for Math; School letter of verification with grade level indicated

Homeless/Runaway/Foster – See Low Income #4 for definition of homeless. See Low Income #5 for definition of foster child.

Supporting documentation for Homeless/Runaway: Written statement from individual providing temporary residence using Residency Verification Form (Form 5-0706); Written statement from shelter; Written statement from social service agency

Supporting documentation for Foster Child: Court documents; SRS foster care placement papers; Verification of payments made on behalf of the child; Written statement from state/local agency/foster care program

School Dropout – defined as an individual who is no longer attending any school and who has not received a secondary school diploma or its recognized equivalent

Supporting documentation: Letter of verification from school or other social service agency; School records

Pregnant or Parenting

Supporting documentation: Birth certificate; Hospital record of birth; Physician’s verification; School records; School program for pregnant/parenting teens; Statement from social service agency

Requires Assistance to Complete Education - defined as an individual who 1) Previously dropped out of an educational program; OR 2) Has poor attendance patterns in an educational program during the last 12 calendar months (defined as missing 20 or more days of middle school or high school; excused or unexcused); OR 3) Has below average grades (defined as having a GPA below a 2.0); OR 4) Has a disability – See Low Income #6 for definition of disability.

Supporting documentation: Letter of verification from school or other social service agency; School records

Requires Assistance to Secure and Hold Employment – defined as an individual who is 16 years or older AND 1) Has no vocational/employment goal; OR 2) Has a poor or no work history (Poor work history is defined as an individual who has not worked for same employer for more than three consecutive months in the two years prior to eligibility); OR 3) Has been fired from a job in the last six months; OR 4) Has a disability – See Low Income #6 for definition of disability.

Supporting documentation: Client statement (verified if youth has a previous employer)

Offender - defined as someone who is or has been subject to any stage of the criminal justice process, for whom services under the Act may be beneficial; or someone who requires assistance in overcoming artificial barriers to employment resulting from a record of arrest or conviction.

Supporting documentation: Court documents; Halfway house verification; Letter of parole; Letter from probation officer; Police records

Family Size

Family means two or more persons related by blood, marriage, or decree of court, who are living in a single residence, and are included in one or more of the following categories: 1) a husband, wife, and dependent children; 2) a parent or guardian and dependent children; 3) a husband and wife.

Family Size Supporting Documentation:

· Birth certificates

· Decree of court

· Divorce decree

· Landlord statement or lease agreement

· Marriage certificate

· Most recent tax return

· Public assistance/social service agency records

· Public Housing Authority records

· Written statement from care facility or institution

· Customer statement (for a family size of one ONLY)

Residency Supporting Documentation:

· Driver's license

· Lease/rent receipt/utility bill

· Public assistance records or letter

· Letter from social service agency or school

· Property tax records

· Medicaid/Medicare card (if address shown)

· Landlord statement

· Mail addressed to applicant postmarked within past 30 days

· Insurance policy

· School ID card

· Selective Service registration card

· Voter registration card

· Client statement (if homeless)

Last updated: 2/11/2010 2:14:37 PM