Form 2.3 "Adult Eligibility Determination for Adult Program - Workforce Innovation and Opportunity Act (Wioa)" - Arkansas

What Is Form 2.3?

This is a legal form that was released by the Arkansas Department of Labor and Licensing - Division of Workforce Services - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 24, 2021;
  • The latest edition provided by the Arkansas Department of Labor and Licensing - Division of Workforce Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 2.3 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Labor and Licensing - Division of Workforce Services.

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Download Form 2.3 "Adult Eligibility Determination for Adult Program - Workforce Innovation and Opportunity Act (Wioa)" - Arkansas

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Adult Eligibility Determination
)
Workforce Innovation and Opportunity Act (WIOA
FORM WIOA I-B – 2.3 (6/24/21)
For Adult Program
Name:
Participant No.:
Adult Eligibility
Documentation
Applicant must meet age and common eligibility
Check appropriate documentation used
requirements PLUS priority as determined by
(Only one document required per eligibility or
Federal guidelines and local process
priority criterion)
Must maintain copies of all documents used
See Date of Birth on FORM WIOA I-B – 2.1
At least 18 years old
(Common Eligibility Documentation)
Use FORM WIOA I-B – 2.1 (Common Eligibility
Meet common eligibility requirements
Documentation)
The above 2 criteria are the only criteria for eligibility for Adult Individualized Career Services. (There
are additional requirements for Training Services and Supportive Services.)
The following criteria determine an Adult’s priority for services:
Priority must be given to veterans, low-income individuals, individuals who are basic skills deficient, and
individuals with barriers to employment in the following order:
1. First priority of services is given to veterans and eligible spouses who are also recipients of
public assistance, other low-income individuals, or individuals who are basic skills deficient.
2. Second priority of service is individuals who are not veterans or eligible spouses, but who are
recipients of public assistance, other low-income individuals, or individuals who are basic skills
deficient.
3. Third priority of service is given to veterans and eligible spouses who are not recipients of public
assistance, low-income individuals, or basic skills deficient.
4. Fourth priority of service is given to individuals who are not veterans, eligible spouses, recipients
of public assistance, low-income individuals, or basic skills deficient, but are individuals with
other barriers to employment.
Fifth priority of service is given to individuals who are not veterans, eligible spouses, low-income
5.
individuals, basic-skills deficient, or individuals with other barriers to employment.
Use checklist below to document priority for services, as appropriate
Use FORM WIOA I-B – 2.2 (Veteran Priority
Veteran or eligible spouse
Documentation)
Form 2.3 (Updated 6/24/21)
Adult Eligibility Determination
Page 1
A proud partner of American Job Center
Adult Eligibility Determination
)
Workforce Innovation and Opportunity Act (WIOA
FORM WIOA I-B – 2.3 (6/24/21)
For Adult Program
Name:
Participant No.:
Adult Eligibility
Documentation
Applicant must meet age and common eligibility
Check appropriate documentation used
requirements PLUS priority as determined by
(Only one document required per eligibility or
Federal guidelines and local process
priority criterion)
Must maintain copies of all documents used
See Date of Birth on FORM WIOA I-B – 2.1
At least 18 years old
(Common Eligibility Documentation)
Use FORM WIOA I-B – 2.1 (Common Eligibility
Meet common eligibility requirements
Documentation)
The above 2 criteria are the only criteria for eligibility for Adult Individualized Career Services. (There
are additional requirements for Training Services and Supportive Services.)
The following criteria determine an Adult’s priority for services:
Priority must be given to veterans, low-income individuals, individuals who are basic skills deficient, and
individuals with barriers to employment in the following order:
1. First priority of services is given to veterans and eligible spouses who are also recipients of
public assistance, other low-income individuals, or individuals who are basic skills deficient.
2. Second priority of service is individuals who are not veterans or eligible spouses, but who are
recipients of public assistance, other low-income individuals, or individuals who are basic skills
deficient.
3. Third priority of service is given to veterans and eligible spouses who are not recipients of public
assistance, low-income individuals, or basic skills deficient.
4. Fourth priority of service is given to individuals who are not veterans, eligible spouses, recipients
of public assistance, low-income individuals, or basic skills deficient, but are individuals with
other barriers to employment.
Fifth priority of service is given to individuals who are not veterans, eligible spouses, low-income
5.
individuals, basic-skills deficient, or individuals with other barriers to employment.
Use checklist below to document priority for services, as appropriate
Use FORM WIOA I-B – 2.2 (Veteran Priority
Veteran or eligible spouse
Documentation)
Form 2.3 (Updated 6/24/21)
Adult Eligibility Determination
Page 1
A proud partner of American Job Center
Use FORM WIOA I-B – 1.3 (Low-Income
Low-income individual
Documentation)
Basic Skills Deficient Categories (choose
Note: if assessment and/or testing reveals that a
Category 2 or 3) (Category 1 is for Youth only):
person is basic skills deficient (BSD) for either
Category 2: Low Level of Literacy - unable to
category, then the BSD question on the snapshot
compute or solve problems, or read, write,
must be “yes”.
or speaking English at a level necessary to
function on the job, in the individual’s
Documentation for Category 2
:
family, or in society (choose and document
ONE of the following)
Case notes
PIRL #804
Assessment Test Results
Applicable Records from Education Institution
Unable to speak English well enough to
(transcripts, academic assessments, or other
conduct a normal conversation with or
school documentation)
follow the instructions of an English-
speaker
For WIOA Adult, required only if participant receives
Unable to read English well enough to
Individualized Career Services or Training
follow written instructions, including a
manual or a recipe
Unable to read and write well enough to
read and appropriately complete an
application for services or an application
for employment
Unable to pass a driver’s license test
written in English
Unable to make change or determine if
correct change was given from a clerk
An adult who lacks the basic academic
skills needed to obtain a job at above
minimum wage, as evidenced by the
adult’s employment history
A high-school dropout who had no
education past the eighth grade
Documentation for Category 3
:
Category 3: English Language Learner - Document
Case notes
(A) and either (B) or (C): PIRL #803
Assessment Test Results
(A) Limited ability to read, write, speak, or
Applicable Records from Education
comprehend the English language
Institution (transcripts, or other school
documentation)
(B) Native language is a language other
Self-Attestation
than English
Intake Application or Enrollment Form
(C) Lives in a family or community
Signed
environment where a language other
than English is the dominant language
Form 2.3 (Updated 6/24/21)
Adult Eligibility Determination
Page 2
A proud partner of American Job Center
Use FORM WIOA I-B – 2.8 (Individual with
Individual with Barriers to Employment, as
Barriers to Employment Checklist)
identified in ADWS Policy No. 2.8 (Priority for
Individuals with Barriers to Employment) or
by LWDB
1
2
3
4
5
Priority Level of Applicant (Circle One):
Is applicant in either Priority 1 or 2?
If No:
Use the local adult priority procedure to
Yes
determine if individualized career services (and
No
perhaps training services after other eligibility
criteria) may be provided. Document the process
and the decision.
For Information only – not for eligibility:
School Status at Program Entry
PIRL# 409 Programs: A/D/Y/DWG
Documentation
in-school, secondary school or less (no
Cross-Match with Postsecondary Education
secondary diploma or equivalent)
Database
in-school, alternative school / GED® (no
Educational Institution Enrollment Record
secondary diploma or equivalent)
Copy
in school, postsecondary school (has high
Applicable Records from Education
school diploma or equivalent)
Institution (GED certificate, diploma,
not attending school (no secondary school
attendance records, transcripts, report
diploma or equivalent)
card, or school documentation)
not attending school (has secondary school
Intake Application or Enrollment Form
diploma or equivalent)
Signed
Self-Attestation
Note: “in school” includes being between school
terms and is enrolled to return to school
Unemployment Claim Status (for information only)
PIRL #401 - Programs: A/D/DWG
Documentation
Note: if claim is active, see DLW eligibility form
Cross-Match to State UI Database
Filed a claim, determined eligible, and
Cross-Match to State MIS Database
eligibility exhausted.
Self-Attestation
Neither a claimant nor an Exhaustee
Does not apply
Staff completing form:
Date of eligibility determination:
Form 2.3 (Updated 6/24/21)
Adult Eligibility Determination
Page 3
A proud partner of American Job Center
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