Form 2.6 "Out-Of-School Youth Eligibility Determination for out-Of-School Youth Program - Workforce Innovation and Opportunity Act (Wioa)" - Arkansas

What Is Form 2.6?

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 2.6 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Labor and Licensing - Division of Workforce Services.

ADVERTISEMENT
ADVERTISEMENT

Download Form 2.6 "Out-Of-School Youth Eligibility Determination for out-Of-School Youth Program - Workforce Innovation and Opportunity Act (Wioa)" - Arkansas

Download PDF

Fill PDF online

Rate (4.7 / 5) 15 votes
Out-of-School Youth Eligibility Determination
)
Workforce Innovation and Opportunity Act (WIOA
FORM WIOA I-B – 2.6 (6/24/21)
For Out-of-School Youth Program
Name:
Participant No.:
Out-of-School Youth Eligibility
Documentation
Applicant must meet age, common eligibility,
Check appropriate documentation used
school status requirements, and at least one
(Only one document required per eligibility
barrier
criterion)
In addition, priority is given to veterans and
Must maintain copies of all documents used
populations identified by local area
See Date of Birth on FORM WIOA I-B – 2.1
At least age 16, and not older than 24
(Common Eligibility Documentation)
Use FORM WIOA I-B – 2.1 (Common Eligibility
Meet common eligibility requirements
Documentation)
Cross-Match with Postsecondary Education
Not attending school
Database
PIRL# 409
Educational Institution Enrollment Record
Copy
Attending adult education instruction (no
Applicable Records from Education Institution
secondary diploma or equivalent)
(GED certificate, diploma, attendance records,
not attending school (no secondary school
transcripts, report card, or school
diploma or equivalent)
documentation)
not attending school (has secondary school
Intake Application or Enrollment Form Signed
diploma or equivalent)
Self-Attestation
Note: “in school” includes being between school
terms and is enrolled to return to school
Use FORM WIOA I-B – 2.2 (Veteran Priority
Veteran or eligible spouse
Documentation)
***Must provide documentation for at least one barrier for eligibility.
Additional barriers may be reported using self-attestation. ***
Note: Barriers are at time of eligibility.
Cross-Match with Postsecondary Education
High school dropout (not received a
Database
secondary school diploma or its equivalent)
Educational Institution Enrollment Record
PIRL #409
Copy
Applicable Records from Education Institution
(GED certificate, diploma, attendance records,
transcripts, report card, or school
documentation)
(cont. on next page)
Form 2.6 (Updated 06/24/21)
Out-of-School Youth Eligibility Determination
Page 1
A proud partner of American Job Center
Out-of-School Youth Eligibility Determination
)
Workforce Innovation and Opportunity Act (WIOA
FORM WIOA I-B – 2.6 (6/24/21)
For Out-of-School Youth Program
Name:
Participant No.:
Out-of-School Youth Eligibility
Documentation
Applicant must meet age, common eligibility,
Check appropriate documentation used
school status requirements, and at least one
(Only one document required per eligibility
barrier
criterion)
In addition, priority is given to veterans and
Must maintain copies of all documents used
populations identified by local area
See Date of Birth on FORM WIOA I-B – 2.1
At least age 16, and not older than 24
(Common Eligibility Documentation)
Use FORM WIOA I-B – 2.1 (Common Eligibility
Meet common eligibility requirements
Documentation)
Cross-Match with Postsecondary Education
Not attending school
Database
PIRL# 409
Educational Institution Enrollment Record
Copy
Attending adult education instruction (no
Applicable Records from Education Institution
secondary diploma or equivalent)
(GED certificate, diploma, attendance records,
not attending school (no secondary school
transcripts, report card, or school
diploma or equivalent)
documentation)
not attending school (has secondary school
Intake Application or Enrollment Form Signed
diploma or equivalent)
Self-Attestation
Note: “in school” includes being between school
terms and is enrolled to return to school
Use FORM WIOA I-B – 2.2 (Veteran Priority
Veteran or eligible spouse
Documentation)
***Must provide documentation for at least one barrier for eligibility.
Additional barriers may be reported using self-attestation. ***
Note: Barriers are at time of eligibility.
Cross-Match with Postsecondary Education
High school dropout (not received a
Database
secondary school diploma or its equivalent)
Educational Institution Enrollment Record
PIRL #409
Copy
Applicable Records from Education Institution
(GED certificate, diploma, attendance records,
transcripts, report card, or school
documentation)
(cont. on next page)
Form 2.6 (Updated 06/24/21)
Out-of-School Youth Eligibility Determination
Page 1
A proud partner of American Job Center
Intake Application or Enrollment Form
Signed
Self-Attestation
Age of compulsory school attendance and
Cross-Match with Postsecondary Education
not attending school. Must document all
Database
three criteria: PIRL #409
Educational Institution Enrollment Record
Copy
Under age 17
Applicable Records from Education
Institution (GED certificate, diploma,
Has not attended school for 1
attendance records, transcripts, report
quarter
card, or school documentation)
Is not exempt
Intake Application or Enrollment Form
Signed
Self-Attestation
Low Income: Use FORM WIOA I-B – 1.3 (Low-
Low-income high school graduate (or
Income Documentation)
equivalent) who is also basic skills deficient
(either with low literacy levels or an English
High School graduate:
language learner)
Self-attestation with details concerning place
of graduation
Low-income
Information from high school
High school graduate (or equivalent)
Basic Skills Deficient Categories (choose
Note: if assessment and/or testing reveals that a
Category 1, 2 or 3)
person is basic skills deficient (BSD) for either
category, then the BSD question on the snapshot
Category 1: A youth who has English
must be “yes”.
reading, writing, or computing skills at
th
or below the 8
grade level on a
Documentation for Categories 1 & 2:
generally accepted standardized test.
The State of Arkansas interprets this
Case notes
criterion to mean scoring at or below
Assessment Test Results
Grade Level 8.9.
Applicable Records from Education
PIRL #804
Institution (transcripts, academic
assessments, or other school
Category 2: unable to compute or solve
documentation)
problems, or read, write, or speaking
English at a level necessary to function
on the job, in the individual’s family, or
Category 1 - Record the levels, if desired
in society (choose and document ONE
Document scoring 8.9 or below on an
of the following)
appropriate standardized test administered
PIRL #804
within the last 6 months
Test: ___________________________
Unable to speak English well enough
Given by: ________________________
to conduct a normal conversation
Date: ____________
with or follow the instructions of an
English-speaker
Reading: _________ Math: _________
Form 2.6 (Updated 06/24/21)
Out-of-School Youth Eligibility Determination
Page 2
A proud partner of American Job Center
Unable to read English well enough
Category 1 - Record the levels, if desired
to follow written instructions,
School documents giving current grade-level
including a manual or a recipe
equivalency of youth’s abilities (in last 6
Unable to read and write well
months)
enough to read and appropriately
Document: ________________________
complete an application for services
or an application for employment
Date: ____________
Unable to pass a driver’s license test
Reading: _________ Math: _________
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 (A) and either (B) or (C):
Case notes
PIRL #803
Assessment Test Results
(A) Limited ability to read, write,
Applicable Records from Education
speak or comprehend the English
Institution (transcripts, or other school
language
documentation)
Self-Attestation
(B) Native language is a language
Intake Application or Enrollment Form
other than English
Signed
(C) Lives in a family or community
environment where a language other
than English is the dominant
language
Offender or ex-offender
Documentation from criminal justice system
PIRL #801
Telephone verification with court or
(Is or has been subject to any stage of criminal
probation representatives
justice process for committing a status offense
Self-attestation with sufficient information
or delinquent act OR requires assistance in
to describe situation
overcoming barriers to employment because
of arrest or conviction)
Document Homeless Individual in FORM WIOA
Homeless individual
I-B – 1.3 (Low-Income Documentation)
Document under Homeless Individual in FORM
Runaway
WIOA I-B – 1.3 (Low-Income Documentation)
Note: A runaway is also classified as homeless
.
[TEGL 22-15]
Form 2.6 (Updated 06/24/21)
Out-of-School Youth Eligibility Determination
Page 3
A proud partner of American Job Center
Written Confirmation from Social Services
Foster Care Youth
Agency
PIRL #704
Case Notes
Self-Attestation
Youth is aged 24 or under who is currently in
Foster Care Agency Referral Transmittal
foster care or has aged out of the foster care
Intake Application or Enrollment Form Signed
system
Needs Assessment
IEP/ISS Signed
Self-Attestation
Pregnant or Parenting Youth (male or
Case Notes
female; single or married; custodial or
Needs Assessment
non-custodial)
WIC Eligibility Verification
PIRL #701
TANF Single Parent Eligibility Verification
Intake Application or Enrollment Form Signed
ISS Signed
Self-Attestation
Individual with a disability
School 504 Records Provided by Student
PIRL #202
Assessment Test Results
(Disability documents must be kept confidential)
Low-income youth who requires additional
Document low-income using FORM WIOA I-B
assistance to complete an educational
– 1.3 (Low-Income Documentation)
program or secure or hold employment, as
Documentation identified by LWDB, but
defined in Local Plan
suggested documentation include:
PIRL #702
Self-Attestation
Intake Application or Enrollment Form
Signed
Case Notes
Needs Assessment
ISS Signed
Staff completing form:
Date of eligibility determination:
Form 2.6 (Updated 06/24/21)
Out-of-School Youth Eligibility Determination
Page 4
A proud partner of American Job Center
Page of 4