The following forms are to be used to collect data related to SCSEP Service Delivery Model:

  1. Participant Form 
    1. Participant information, Eligibility information, & Participant Characteristics information
  2. Community Service Assignment Form 
    1. Host Agency information, CS Assignment information , CS Hours, Supportive Services information, and other training information such as OJE
  3. Exit Form 
    1. Program exit information not related to exits to employment and document 30-day termination letter  
  4. Unsubsidized Employment Form 
    1. Employer information, Placement Information, Customer Satisfaction Survey information, and Follow-Up information

    If you have any questions, please email SCSEPtechnicalassistance@dol.gov.