California Community Colleges CalWORKs Program PLAN 2017-18 Due: TBD California Community Colleges Chancellor’s Office CalWORKs Program Send to: Email to: District:______________________________________ College:_____________________________________ This document functions as a formal agreement between the community college CalWORKs program to the California Community College regarding the implementation of services of the Chancellor’s Office CalWORKs program. CCC CalWORKs Program Information Summary of CalWORKs Minimum Program Standards By checking the boxes in each component below, you are certifying that each component is being met and college CalWORKs funds are being expended for CalWORKs services. □ □ CalWORKs Coordinator Director □ Student Eligibility. Colleges must coordinate with their local County Welfare Department (CWD) to determine and document student eligibility for each academic term. Estimate number of CalWORKs students to be served in 2017-18 List each county separately. County Self Self- List County Name Exempt Referred Initiated Referred Total Students Please describe your process for determining initial and ongoing student eligibility. Do you coordinate/collaborate with CWD(s), EOPS/CARE, CAFYES, DSPS, Financial Aid, Local Workforce Investment Boards, One Stop Centers, and others? □ □ Yes No (Optional Please describe your efforts in coordinating/collaborating with the aforementioned entities) – Do you provide Initial Intake and Case Management services? □ □ Yes No
California Community Colleges CalWORKs Program PLAN 2017-18 Due: TBD California Community Colleges Chancellor’s Office CalWORKs Program Send to: Email to: District:______________________________________ College:_____________________________________ This document functions as a formal agreement between the community college CalWORKs program to the California Community College Chancellor’s Office regarding the implementation of services of the CalWORKs program. CCC CalWORKs Program Information Summary of CalWORKs Minimum Program Standards By checking the boxes in each component below, you are certifying that each component is being met and college CalWORKs funds are being expended for CalWORKs services. □ CalWORKs Coordinator □ Director □ Student Eligibility. Colleges must coordinate with their local County Welfare Department (CWD) to determine and document student eligibility for each academic term. Estimate number of CalWORKs students to be served in 2017-18 List each county separately. List County Name County Referred Exempt Self Initiated Self- Referred Total Students Please describe your process for determining initial and ongoing student eligibility. Do you coordinate/collaborate with CWD(s), EOPS/CARE, CAFYES, DSPS, Financial Aid, Local Workforce Investment Boards, One Stop Centers, and others? □ Yes □ No (Optional – Please describe your efforts in coordinating/collaborating with the aforementioned entities) Do you provide Initial Intake and Case Management services? □ Yes □ No
8_CalWORKs%20Program%20Plan%202017-18%20(002).docx