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
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
Employer follow-up letter.docx Employer Follow-up Letter Microsoft Word • 12.92 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
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
IndividualEmploymentPlan.pdf Individual Employment Plan PDF • 40.64 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
SAExclusionexit.pdf Self-Attestation Exclusion Exit Form PDF • 12.04 KB - May 13, 2016 Senior Services
SALimitedEngligh.pdf Self-Attestation Limited English Form PDF • 11.35 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
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
SPARQCSAFormETA-912132712.pdf Community Service Assignment Form PDF • 116.24 KB - May 13, 2016 Senior Services
SPARQUnsubEmpFormETA-9122_32712.pdf Unsubsidized Employment Form PDF • 93.02 KB - May 13, 2016 Senior Services
TPAexclusionafterexit.pdf Third Party Exclusion After Exit PDF • 14.29 KB - May 13, 2016 Senior Services
TransitionalIEPAssessment.pdf Transitional IEP/Assessment PDF • 48.68 KB - May 13, 2016 Senior Services
