Form 3.1 "Individual Employment Plan for Adult and Dislocated Worker Programs - Workforce Innovation and Opportunity Act (Wioa)" - Arkansas

What Is Form 3.1?

This is a legal form that was released by the Arkansas Department of Commerce - 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 Commerce - 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 3.1 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Commerce - Division of Workforce Services.

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Download Form 3.1 "Individual Employment Plan for Adult and Dislocated Worker Programs - Workforce Innovation and Opportunity Act (Wioa)" - Arkansas

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Individual Employment Plan
Workforce Innovation and Opportunity Act (WIOA)
FORM WIOA I-B – 3.1 (6/24/21)
For Adult and Dislocated Worker Programs
Note: This is a living document that may be modified or updated at any time
Name:
Participant No.:
Date:
Assessment
Summarize prior work experience:
Summarize academic and occupational skills
levels:
Is participant currently employed?
[ ] Yes [ ] No
If yes, do the wages lead to economic self-sufficiency? [ ] Yes [ ] No
If no, can the participant probably find employment leading to economic self-sufficiency with
current academic and occupational skills?
[ ] Yes [ ] No
Explain reasoning for answers (why or why not?)
List strengths:
List interests:
List potential pathways or occupations:
Summarize steps to employment in occupation:
1.
1.
2.
2.
3.
3.
4.
4.
Form 3.1 (6/24/21)
Individual Employment Plan
Page 1
A proud partner of the American Job Center network
Individual Employment Plan
Workforce Innovation and Opportunity Act (WIOA)
FORM WIOA I-B – 3.1 (6/24/21)
For Adult and Dislocated Worker Programs
Note: This is a living document that may be modified or updated at any time
Name:
Participant No.:
Date:
Assessment
Summarize prior work experience:
Summarize academic and occupational skills
levels:
Is participant currently employed?
[ ] Yes [ ] No
If yes, do the wages lead to economic self-sufficiency? [ ] Yes [ ] No
If no, can the participant probably find employment leading to economic self-sufficiency with
current academic and occupational skills?
[ ] Yes [ ] No
Explain reasoning for answers (why or why not?)
List strengths:
List interests:
List potential pathways or occupations:
Summarize steps to employment in occupation:
1.
1.
2.
2.
3.
3.
4.
4.
Form 3.1 (6/24/21)
Individual Employment Plan
Page 1
A proud partner of the American Job Center network
Is participant currently enrolled in
Is participant currently enrolled in any type of
[ ] Yes [ ]
[ ] Yes [ ] No
postsecondary education?
workplace training?
No
If yes, give details:
If yes, give details:
Long term goal(s)
Short-term goal(s)
What are barriers to meeting these goals?
How will these barriers be overcome?
1.
1.
2.
2.
3.
3.
4.
4.
[ ] Yes [ ] No
Explain your answer:
Are these goals probably realistic?
Will these goals probably lead to employment that leads to self-sufficiency? [ ] Yes [ ] No
Explain your answer:
Career Services
What Career Services are appropriate for the participant to reach his/her goals?
Form 3.1 (6/24/21)
Individual Employment Plan
Page 2
A proud partner of the American Job Center network
Training
Must explain how participant meets the 4 requirements before training services may be funded:
Unlikely to obtain or retain self-sufficient (or comparable to past) employment with present
skills
Explain:
Training will lead to self-sufficiency (or comparable to past wages)
Explain:
Have skills and abilities to successfully participate in and complete training
Explain:
Desired program of study is on ETPL or is a work-based training
Explain:
STOP is not all 4 eligibility requirements are not met. Participant is not eligible for training.
PROCEED if all 4 eligibility requirements are met.
Training Plan:___________________________________________________________________
Begin Expected Start Date: ___________________Expected Completion Date: _______________
Supportive Services
What supportive services are needed to meet the goal?
Other Plans:
Summarize the steps to meeting the primary
To which partners or other entities should
goal:
participant be referred (or co-enrolled) to meet the
goal?
Form 3.1 (6/24/21)
Individual Employment Plan
Page 3
A proud partner of the American Job Center network
What are the participant responsibilities in
What are the program provider’s responsibilities in
meeting the goal?
meeting the goal?
Signatures:
This IEP was jointly prepared by (participant)_______________________________________ and
(case manager) ______________________________________________ on (date)____________.
It may be modified and/or updated at any time.
Form 3.1 (6/24/21)
Individual Employment Plan
Page 4
A proud partner of the American Job Center network
Modified/Updated
Individual Employment Plan
Name:
Participant No.:
Date:
The following modifications/updates are made to Individual Employment Plan:
Signatures:
This IEP was jointly prepared by (participant)_______________________________________ and
(case manager) ______________________________________________ on (date)____________.
Form 3.1 (6/24/21)
Individual Employment Plan
Page 5
A proud partner of the American Job Center network
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