fy 2021 funding notice...fy 2021 funding notice . illinois youth investment program . appendix i ....
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FY 2021 Funding Notice Illinois Youth Investment Program
Appendix I
Program Placement Category Summary
Please complete the Program Placement Category Summary form(s) that correspond to the Program Category(ies) for which you are applying.
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form Category I – Short-Term Summer Employment
Application/Organization Name:
Name of Program:
Service Area (Identify the Communities that will be targeted for services including the county name, or the Chicago Community Area as appropriate):
Total amount of grant funds requested: Total Number of unduplicated youths to be served in the Program:
1. Projected # of unduplicated youth to be enrolled in the program by age group and gender:
2. Projected # of unduplicated youth to be enrolled in the program by Ethnicity and Race:
Projected cost per youth (Total grant divided by total unduplicated youth served):
Age Group Male Female Non- Binary
Totals
#16 up to and including 17
#18 up to and including 20
#21 up to and including 24 Totals
Race Hispanic/Latino Non-Hispanic/Latino Totals White Black/African American Asian American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander
Multi-Racial Totals
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form Category I – Short-Term Summer Employment
Employment Category # of Youths Provider Partners Initial Placement Projections
Category Category Type Targeted/ Career Cluster *
Placement Description Total # youth to be served by Category/ Type
Employer Partner Name (s)
Education Partner Name(s)
# of Youth to be Placed Within 30 Days of Enrollment
# Subsidized Placements
# Unsubsidized Placements
# Placements with Stipends
Work Based Learning
Internships
Service Learning
Paid Work Experience
On-The-Job Training
Transitional Jobs
Other: (Specify)
Career Development
Internship
School-Based Enterprise
Supervised Agriculture Experience
Student-led Enterprise
Youth Apprenticeship
Other (Specify):
Pre- Apprenticeship Program
(Specify):
Total:
* Please list each targeted career cluster by # in the column above. List each career cluster on a separate row. Insert additional rows when needed.
1. Agricultural, Food & Natural Resources 7. Finance 13. Law, Public Safety, Corrections & Security 2. Architecture & Construction 8. Government & Public Administration 14. Manufacturing
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form Category I – Short-Term Summer Employment
3. Arts 9. Health Science 15. Marketing 4. Audio/Video Technology & Communications 10. Hospitality & Tourism 16. Science, Technology, Engineering, & Mathematics 5. Business Management & Administration 11. Human Services 17. Transportation, Distribution, & Logistics 6. Education & Training 12. Information Technology
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form Category II Targeted Long Term Employment
Application/Organization Name:
Name of Program:
Service Area (Identify the Communities that will be targeted for services including the county name, or the Chicago Community Area as appropriate):
Total amount of grant funds requested: Total Number of unduplicated youths to be served in the Program:
1. Projected # of unduplicated youth to be enrolled in the program by age group and gender:
2. Projected # of unduplicated youth to be enrolled in the program by Ethnicity and Race:
Projected cost per youth (Total grant divided by total unduplicated youth served):
Age Group Male Female Non- Binary
Totals
#16 up to and including 17
#18 up to and including 20
#21 up to and including 24 Totals
Race Hispanic/Latino Non- Hispanic/Latino
Totals
White Black/African American Asian American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander
Multi-Racial Totals
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form Category II Targeted Long Term Employment
Employment Category
# of Youths Provider Partners Initial Placement Projections
Category Targeted/ Career Cluster *
Placement Description Total # Youth to be Served by Category/ Cluster
Employer Partner Name (s)
Education Partner Name(s)
# of Youth to be Placed within 90 Days of Enrollment
# Subsidized Placements
# Unsubsidized Placements
# Placements with Stipends
Long-term Employment
Youth Apprenticeship
Total:
Optional Programs:
Indicate the number of youth above that are expected to participate in?
Career Exploration Activity: Career Development Experience:
* Please list each targeted career cluster by # in the column above. List each career cluster on a separate row. Insert additional rows when needed.
1. Agricultural, Food & Natural Resources 7. Finance 13. Law, Public Safety, Corrections & Security 2. Architecture & Construction 8. Government & Public Administration 14. Manufacturing 3. Arts 9. Health Science 15. Marketing 4. Audio/Video Technology & Communications 10. Hospitality & Tourism 16. Science, Technology, Engineering, & Mathematics 5. Business Management & Administration 11. Human Services 17. Transportation, Distribution, & Logistics 6. Education & Training 12. Information Technology
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form
Category III Industry -Linked Long-term Employment
Application/Organization Name:
Name of Program:
Service Area (Identify the Communities that will be targeted for services including the county name, or the Chicago Community Area as appropriate):
Total amount of grant funds requested: Total Number of unduplicated youths to be served in the Program:
1. Projected # of unduplicated youth to be enrolled in the program by age group and gender:
2. Projected # of unduplicated youth to be enrolled in the program by Ethnicity and Race:
Projected cost per youth (Total grant divided by total unduplicated youth served):
Age Group Male Female Non- Binary
Totals
#16 up to and including 17
#18 up to and including 20
#21 up to and including 24 Totals
Race Hispanic/Latino Non- Hispanic/Latino
Totals
White Black/African American Asian American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander
Multi-Racial Totals
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form
Category III Industry -Linked Long-term Employment
Employment Category # of Youths Provider Partners Initial Placement Projections
Category Targeted/ Career Cluster *
Placement Description Total # Youth to be Served by Category/ Cluster
Employer Partner Name (s)
Education Partner Name(s)
# of Youth to be Placed within 90 Days of Enrollment
# Subsidized Placements
# Unsubsidized Placements
# Placements with Stipends
Registered Apprenticeship
Non -Registered Apprenticeship
Industry Linked Credentials
Industry Linked Certifcations
Industry Linked Licenses
Total:
Optional Program:
Indicate the number of youth above that are expected to participate in Pre-ApprenticeshiopProgram?
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form
Category III Industry -Linked Long-term Employment
* Please list each targeted career cluster by # in the column above. List each career cluster on a separate row. Insert additional rows when needed.
1. Agricultural, Food & Natural Resources 7. Finance 13. Law, Public Safety, Corrections & Security 2. Architecture & Construction 8. Government & Public Administration 14. Manufacturing 3. Arts 9. Health Science 15. Marketing 4. Audio/Video Technology & Communications 10. Hospitality & Tourism 16. Science, Technology, Engineering, & Mathematics 5. Business Management & Administration 11. Human Services 17. Transportation, Distribution, & Logistics 6. Education & Training 12. Information Technology
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form
Category IV New Industry -Linked Career Development
Application/Organization Name:
Name of Program:
Service Area (Identify the Communities that will be targeted for services including the county name, or the Chicago Community Area as appropriate):
Total amount of grant funds requested: Total Number of unduplicated youths to be served in the Program:
1. Projected # of unduplicated youth to be enrolled in the program by age group and gender:
2. Projected # of unduplicated youth to be enrolled in the program by Ethnicity and Race:
Projected cost per youth (Total grant divided by total unduplicated youth served):
Age Group Male Female Non- Binary
Totals
#16 up to and including 17
#18 up to and including 20
#21 up to and including 24
Totals
Race Hispanic/Latino Non- Hispanic/Latino
Totals
White Black/African American Asian American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander
Multi-Racial Totals
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form
Category IV New Industry -Linked Career Development
Employment Category # of Youths Provider Partners Initial Placement Projections
Category Targeted/ Career Cluster *
Placement Description Total # Youth to be Served by Category/ Cluster
Employer Partner Name (s)
Education Partner Name(s)
# of Youth to be Placed within 90 Days of Enrollment
# Subsidized Placements
# Unsubsidized Placements
# Placements with Stipends
Registered Apprenticeship
Non -Registered Apprenticeship
Industry Linked Credentials
Industry Linked Certifcations
Industry Linked Licenses
Total:
Optional Program:
Indicate the number of youth above that are expected to participate in Pre-ApprenticeshiopProgram?
FY 2021 IYIP Funding Notice – Appendix I Program Category Placement Summary Form
Category IV New Industry -Linked Career Development
* Please list each targeted career cluster by # in the column above. List each career cluster on a separate row. Insert additional rows when needed.
1. Agricultural, Food & Natural Resources 7. Finance 13. Law, Public Safety, Corrections & Security 2. Architecture & Construction 8. Government & Public Administration 14. Manufacturing 3. Arts 9. Health Science 15. Marketing 4. Audio/Video Technology & Communications 10. Hospitality & Tourism 16. Science, Technology, Engineering, & Mathematics 5. Business Management & Administration 11. Human Services 17. Transportation, Distribution, & Logistics 6. Education & Training 12. Information Technology