Job Corps Forms

 

To be signed by applicants during the intake process authorizing the disclosure and usage of their medical information.

To be signed by applicants during the intake process stipulating the disclosure and usage of their medical information.

Used by OA agencies to request a geographic assignment plan waiver from a Regional Office.

Used to request access to GSAXcess, the General Services Administration’s (GSA) system managing for excess property.

To be read by OA counselors to applicants during the intake process regarding the disclosure and usage of their medical information.

Notice to be signed by applicants during the intake process which describes the disclosure and usage of their medical information.

Used to document that a Job Corps graduate meets the criteria to be considered for enlistment in the U.S. Armed Forces.

Used to document the health history of a student.

Provides instructions about filling out the Job Corps Health History Form

Used to document the cumulative immunization status of a student.

Used to record of a student's oral health status and treatment needs at the time of the oral examination.

Provides instructions about filling out the Job Corps Oral Examination Record.

Used to record the findings of a student's physical examination.

Used document a student's orthodontic care upon entering the Job Corps program.

Used by centers to obtain the permission of the parent or guardian before granting a weekend pass to a student under the age of 18.

Outlines the process for reviewing an applicant's income eligibility. A worksheet is included which is to be used in verifying the applicant's income.

Used to review all source documentation in active student folders to determine OA contractor compliance with all eligibility verification/documentation requirements.

Used to summarize and report, by region, the number of applicants processed by OA contractors during a four month period.

Used to summarize and report, by region, the number of applicants processed by OA contractors during a four month period.

Establishes the terms of a student's obilgations when entering the Single Parent Program.

Used to by a Regional Office to monitor the number of student folders with errors, the types of errors, and the percentage of errors for the non-sample student population.

Used to document a center's operating budget.

Used to detail a center's operating budget with regard to staff compensation.

Used to document a Career Transition Services operating budget.

Used to document an Outreach/Admissions operating budget.

Used to report the number of alcohol tests administered, number of tests on suspicion, the number tested, and the number of alcohol tests that are positive.

Used to conduct a safety and health review of Job Corps centers by the Project Manager at least on an annual basis.

Used to ascertain the health condition of new students.

Used to document a Performance Improvement Plan (PIP) for a center's career technical training (CTT) program.

Used to record health service statistics for internal management purposes.

Used for the proposal of new information technology projects for Job Corps.

Used to document a student's clothing.

Used to evaluate a center's Wellness Center Program on an annual basis.

Used to assess a center's Oral Health and Wellness Program.

Used to record a center's dental productivity of their Oral Health and Wellness program.

Used as a checklist to screen a student's health records to ensure all items are in order or corrected.

Used by Regional Offices to monitor the number of student folders with errors, the types of errors, and the percentage of errors for the non-sample student population.

Used as a safety checklist to inspect a center's vocational programs.

Used as an evaluation tool for newly enrolled students during their first two weeks of enrollment.

Used to assess students performance and goals, and establish recommendations.

Used by a Regional Office to monitor the number of student folders with errors, the types of errors, and the percentage of errors for the sample student population.

Used by a center director to request approval to change the vocational offerings at his/her center.

Used to provide information for the notification of the next of kin in the event of death, illness, or injury of a critical or serious nature.

Used to notify the student's parent(s) or legal guardian of the student's safe arrival at a Job Corps center, and to provide the parent(s) or legal guardian with the student's mailing address.

Provides Job Corps with a quarterly record of the performance and health evaluation of Job Corps centers’ food services facilities.

Provides Job Corps with a quarterly record of the performance and formal health evaluation of Job Corps centers’ residential, training, educational, recreational, and child care facilities.

Provides Job Corps with a quarterly record of the performance and health evaluation of Job Corps centers’ water supply facilities.

Provides Job Corps with a quarterly record of the performance and health evaluation of Job Corps centers’ wastewater treatment facilities.

Used to report the number of alcohol tests administered, number of tests on suspicion, the number tested, and the number of alcohol tests that are positive.

Used to conduct a safety and health review of Job Corps centers by the Project Manager at least on an annual basis.

Used to ascertain the health condition of new students.

Used to document a Performance Improvement Plan (PIP) for a center's career technical training (CTT) program.

Used to record health service statistics for internal management purposes.

Used for the proposal of new information technology projects for Job Corps.

Used to document a student's clothing.

Used to evaluate a center's Wellness Center Program on an annual basis.

Used to assess a center's Oral Health and Wellness Program.

Used to record a center's dental productivity of their Oral Health and Wellness program.

Used as a checklist to screen a student's health records to ensure all items are in order or corrected.

Used by Regional Offices to monitor the number of student folders with errors, the types of errors, and the percentage of errors for the non-sample student population.

Used as a safety checklist to inspect a center's vocational programs.

Used as an evaluation tool for newly enrolled students during their first two weeks of enrollment.

Used to assess students performance and goals, and establish recommendations.

Used by a Regional Office to monitor the number of student folders with errors, the types of errors, and the percentage of errors for the sample student population.

Used by a center director to request approval to change the vocational offerings at his/her center.

Used to provide information for the notification of the next of kin in the event of death, illness, or injury of a critical or serious nature.

Used to notify the student's parent(s) or legal guardian of the student's safe arrival at a Job Corps center, and to provide the parent(s) or legal guardian with the student's mailing address.

Provides Job Corps with a quarterly record of the performance and health evaluation of Job Corps centers’ food services facilities.

Provides Job Corps with a quarterly record of the performance and formal health evaluation of Job Corps centers’ residential, training, educational, recreational, and child care facilities.

Provides Job Corps with a quarterly record of the performance and health evaluation of Job Corps centers’ water supply facilities.

Provides Job Corps with a quarterly record of the performance and health evaluation of Job Corps centers’ wastewater treatment facilities.