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NCDHHS »   Divisions »   Aging and Adult Services »   Senior Community Service Employment Program »   North Carolina Senior Community Service Employment Program (SCSEP)

North Carolina Senior Community Service Employment Program (SCSEP)

Files

NC SCSEP Providers 2021-22 - March.docx

Microsoft Word • 27.77 KB - March 09, 2022

Employer follow-up letter.docx

Employer Follow-up Letter

Microsoft Word • 12.92 KB - December 07, 2015
Senior Services

HAAgreement.pdf

Host Agency Agreement

PDF • 355.58 KB - December 07, 2015
Senior Services

HASafetyMonitoringReport.pdf

Host Agency Safety Monitoring Report

PDF • 63.5 KB - December 07, 2015
Senior Services

HostAgencyApplication.pdf

Host Agency Application

PDF • 121.56 KB - December 07, 2015
Senior Services

HostAgencyFileChecklist.pdf

Host Agency File Checklist

PDF • 118.41 KB - December 07, 2015
Senior Services

NC Program Operations Manual PY 2015.pdf

N.C. Program Operations Manual PY 2015

PDF • 1.42 MB - December 07, 2015
Senior Services

NC-HostAgencyHandbook.pdf

N.C. Host Agency Handbook

PDF • 310.91 KB - December 07, 2015
Senior Services

NonFederalIn-KindorCashStatement.pdf

Non-Federal In-Kind or Cash Statement

PDF • 368.11 KB - December 07, 2015
Senior Services

ParticipantTrainingData.docx

Participant Training Data

Microsoft Word • 11.95 KB - December 07, 2015
Senior Services

SAMPLE_TERMINATIONLETTER-FORCAUSE-II.pdf

Sample Termination Letter - For Cause

PDF • 60.05 KB - December 07, 2015
Senior Services

Table of Contents II.docx

Table of Contents

Microsoft Word • 14.7 KB - December 07, 2015
Senior Services

TEGL 05-03.pdf

Training and Employment Guidance Letter No. 5-03

PDF • 29.44 KB - December 07, 2015
Senior Services

TEGL_17-13_acc.pdf

Training and Employment Guidance Letter No. 17-13

PDF • 157.11 KB - December 07, 2015
Senior Services

TEGL_26-13.pdf

Training and Employment Guidance Letter No. 26-13

PDF • 3.9 MB - December 07, 2015
Senior Services

TEGL10-09.pdf

Training and Employment Guidance Letter No. 10-09

PDF • 1.35 MB - December 07, 2015
Senior Services

TEGL12-06.pdf

Training and Employment Guidance Letter No. 12-06

PDF • 188.05 KB - December 07, 2015
Senior Services

TEGL12-06_Att1.pdf

Training and Employment Guidance Letter No. 12-06 Attachment 1

PDF • 196.16 KB - December 07, 2015
Senior Services

TEGL12-06_Att2.pdf

Training and Employment Guidance Letter No. 12-06 Attachment 2

PDF • 117.37 KB - December 07, 2015
Senior Services

TERMINATIONLETTER-I.pdf

Termination Letter

PDF • 54.58 KB - December 07, 2015
Senior Services

TrainingPlan.pdf

Training Plan

PDF • 148.73 KB - December 07, 2015
Senior Services

NC Program Operations Manual PY 2015.pdf

Operations Manual

PDF • 1.43 MB - May 13, 2016
Senior Services

Consumer Contributions Schedule for 2016.doc

Consumer Contributions Schedule for 2016

application/msword • 45 KB - May 13, 2016
Senior Services

ApprovedBreakinParticipation.pdf

Approved Break in Particiaption

PDF • 32.91 KB - May 13, 2016
Senior Services

DisclosureofUIBenefits.pdf

Disclosure of UI Benefits

PDF • 33.31 KB - May 13, 2016
Senior Services

HAAssignmentForm.pdf

HA Assignment Form

PDF • 104.11 KB - May 13, 2016
Senior Services

i-9.pdf

I-9 Form

PDF • 461.31 KB - May 13, 2016
Senior Services

IndividualEmploymentPlan.pdf

Individual Employment Plan

PDF • 40.64 KB - May 13, 2016
Senior Services

MonthlyTimesheet.pdf

Monthly Timesheet

PDF • 88.74 KB - May 13, 2016
Senior Services

NC-ParticipantHandbook.pdf

Participant Handbook

PDF • 491.7 KB - May 13, 2016
Senior Services

OrientationRe-OChecklist.pdf

Orientation/Re-Orientation Checklist

PDF • 43.52 KB - May 13, 2016
Senior Services

ParticipantNeedsAssessment.pdf

Participant Needs Assessment

PDF • 58.25 KB - May 13, 2016
Senior Services

PhysicalOffer.pdf

Physical Offer

PDF • 33.49 KB - May 13, 2016
Senior Services

RecertificationForm.pdf

Recertification Form

PDF • 44.88 KB - May 13, 2016
Senior Services

RightofReturn.pdf

Right of Return

PDF • 59.52 KB - May 13, 2016
Senior Services

SAAtRisk.pdf

Self-Attestation At Risk Form

PDF • 85.85 KB - May 13, 2016
Senior Services

SAExclusionexit.pdf

Self-Attestation Exclusion Exit Form

PDF • 12.04 KB - May 13, 2016
Senior Services

SAHomeless.pdf

Self-Attestation Homeless Form

PDF • 11.8 KB - May 13, 2016
Senior Services

SALimitedEngligh.pdf

Self-Attestation Limited English Form

PDF • 11.35 KB - May 13, 2016
Senior Services

SALowEmploy.pdf

Self-Attestation Low Employment Form

PDF • 10.88 KB - May 13, 2016
Senior Services

SALowLiteracy.pdf

Self-Attestation Low Literacy Form

PDF • 11.27 KB - May 13, 2016
Senior Services

SANotemployed.pdf

Self-Attestation Not Employed Form

PDF • 11.8 KB - May 13, 2016
Senior Services

SAOtherexit.pdf

Self-Attestation Other Reason for Exit Form

PDF • 12.07 KB - May 13, 2016
Senior Services

SAPersistentUnemploymen.pdf

Self-Attestation Persistent Unemployment Form

PDF • 11.03 KB - May 13, 2016
Senior Services

SARecertZeroincome.pdf

Self-Attestation Zero Income Recertification Form

PDF • 84.59 KB - May 13, 2016
Senior Services

SAVeteranSpouse.pdf

Self-Attestation Veteran/Spouse of Veteran Form

PDF • 12.61 KB - May 13, 2016
Senior Services

SAWages.pdf

Self-Attestation Wages Form

PDF • 12.9 KB - May 13, 2016
Senior Services

SAWIATitle.pdf

Self-Attestation WIA Title Form

PDF • 11.02 KB - May 13, 2016
Senior Services

SAZeroIncome.pdf

Self-Attestation Zero Income Form

PDF • 84.51 KB - May 13, 2016
Senior Services

SCSEPCaseNotesAndActivities.pdf

Case Notes and Activity Log

PDF • 56.27 KB - May 13, 2016
Senior Services

SCSEPeligibilitcalculatorRecert.xlsx

Eligibility Determination

application/vnd.openxmlformats-officedocument.spreadsheetml.sheet • 22.75 KB - May 13, 2016
Senior Services

SCSEPEnrollmentAgreement.pdf

Enrollment Agreement

PDF • 74.55 KB - May 13, 2016
Senior Services

SPARQCSAFormETA-912132712.pdf

Community Service Assignment Form

PDF • 116.24 KB - May 13, 2016
Senior Services

SPARQExitFormETA-9123_32712.pdf

Exit Form

PDF • 19.51 KB - May 13, 2016
Senior Services

SPARQParticipanFormETA-9120_71712.pdf

Participant Form

PDF • 90.71 KB - May 13, 2016
Senior Services

SPARQUnsubEmpFormETA-9122_32712.pdf

Unsubsidized Employment Form

PDF • 93.02 KB - May 13, 2016
Senior Services

SupportiveServicesForm.pdf

Supportive Services Form

PDF • 114.71 KB - May 13, 2016
Senior Services

TPAatriskhomeless.pdf

At Risk Homeless

PDF • 66.01 KB - May 13, 2016
Senior Services

TPAemploypriorpart.pdf

Third Party Employment

PDF • 12.69 KB - May 13, 2016
Senior Services

TPAexclusionafterexit.pdf

Third Party Exclusion After Exit

PDF • 14.29 KB - May 13, 2016
Senior Services

TPAfamilyincome.pdf

Third Party Family Income

PDF • 85.22 KB - May 13, 2016
Senior Services

TPAfamilyrecert.pdf

Third Party Family Recertification

PDF • 11.69 KB - May 13, 2016
Senior Services

TPAhomeless.pdf

Third Party Homeless

PDF • 12.58 KB - May 13, 2016
Senior Services

TPAincomerecert.pdf

Third Party Income Recertification

PDF • 85.3 KB - May 13, 2016
Senior Services

TPAlimitedenghlish.pdf

Third Party Limited English

PDF • 11.06 KB - May 13, 2016
Senior Services

TPAlowliteracy.pdf

Third Party Low Literacy

PDF • 84.21 KB - May 13, 2016
Senior Services

TPAnumberinfamily.pdf

Third Party Number in Family

PDF • 11.71 KB - May 13, 2016
Senior Services

TPAotherreasonexit.pdf

Third Party Other Reason

PDF • 14.32 KB - May 13, 2016
Senior Services

TPAWages.pdf

Third Party Wages

PDF • 15.24 KB - May 13, 2016
Senior Services

TransitionalIEPAssessment.pdf

Transitional IEP/Assessment

PDF • 48.68 KB - May 13, 2016
Senior Services

WIAReferraLette.pdf

WIA Referral Letter

PDF • 34.86 KB - May 13, 2016
Senior Services

Senior Community Service Employment Program

  • North Carolina Senior Community Service Employment Program (SCSEP)

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NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2000
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https://www.ncdhhs.gov/divisions/aging-and-adult-services/senior-community-service-employment-program/north-carolina-senior-community-service-employment-program-scsep