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WIOA POLICY 15-WIOA-1.2 DECEMBER 3, 2015 PAGE 1

December 3, 2015

WIOA POLICY 15-WIOA-1.2 LOCAL WORKFORCE INNOVATION BOARD MEMBERSHIP REQUIREMENTS I. POLICY

This policy provides guidelines by which membership of all Local Workforce Innovation Boards (LWIBs) shall be configured and established.

A. General

1. The authority to appoint members to the LWIB lies solely with the chief elected

official(s) (CEOs). Appointments should be made in accordance with the CEO Agreement as outlined in WIOA Policy 1.6 – Chief Elected Official Delegation of Authority and Acknowledgment of Financial Liability.

2. The chief elected official (CEO) should give special consideration to assuring an appropriate ethnic and gender balance and other representation as reflective of the local area.

3. Representatives of organizations, agencies or other entities serving on the local board

shall be individuals with optimum policy making authority within the organizations, agencies or entities they represent and represent diverse geographic areas within the local area. (Sec. 107(b)(5))

a. A representative with optimum policy making authority is an individual who can

reasonably be expected to speak affirmatively on behalf of the entity he or she represents and to commit that entity to a chosen course of action. (20 CFR 679.340(a))

B. Membership of each LWIB shall be comprised of or meet the following requirements:

1. Business representatives that:

a. Reflect a majority of all board members. (This is defined as greater than 50% of all

board membership);

b. Are owners of businesses, chief executives, operating officers, or other business executives or employers with optimum policy making or hiring authority;


c. Include at least two (2) representatives of small businesses as defined by the U.S. Small Business Administration. (20 CFR 679.320(b)) Refer to the Small Business Administration Table of Small Business Size Standards available at: https://www.sba.gov/sites/default/files/files/Size_Standards_Table.pdf;

d. Represent businesses that provide employment opportunities that, at a minimum, include high-quality and work-relevant training and development in in-demand industry sectors or occupations in the local area; Sec. 107 (b)(2)(A)(ii) as defined by: 1) Key industry sectors;

2) Labor Market Information (LMI) provided by the state to each area that reflects

current employment and future projections by industry sector and tallies of establishments by employment size by major industry sectors; and

3) Additional sources of labor market information to help demonstrate the appropriate business composition of the board as indicated by the CEOs; and

e. Are appointed from among individuals nominated by local business organizations

and business trade associations.

2. Not less than twenty percent (20%) of the members of the local board shall be representatives of the workforce within the local area which: (Sec. 107(b)(2)(B)) a. Shall include two (2) or more representatives of labor organizations where such

organizations exist in the local area and, whom have been nominated by local labor federations. Where labor organizations do not exist in the local area, representatives must be selected from other employee representatives. (20 CFR 679.320(c)(1))

b. Shall include a representative of a joint labor-management or union affiliated,

registered apprenticeship program within the area who must be a training director or a member of a labor organization. If no union affiliated registered apprenticeship program exists in an area, then a representative of a registered apprenticeship program with no union affiliation must be appointed, if such program exists. (20 CFR 679.320(c)(2))

c. May include representatives of community-based organizations (private, nonprofit

organizations) that have demonstrated experience and expertise in addressing the employment needs of individuals with barriers to employment as defined in WIOA Sec. 3(24), including organizations that serve veterans or provide or support competitive integrated employment for individuals with disabilities (20 CFR 679.320(c)(3)); and

d. May include representatives of organizations that have demonstrated experience and

expertise in addressing the employment, training, or education needs of eligible youth, including out-of-school youth. (20 CFR 679.320(c)(4))


e. A representative with “demonstrated experience and expertise” means an individual who:

1) Is a workplace learning advisor as defined in WIOA Sec. 3(70);

2) Contributes to the field of workforce development, human resources, training and

development, or a core program function; or

3) The local board recognizes for valuable contributions in education or workforce development related fields. (20 CFR 679.340(b))

3. Entities administering education and training activities in the local area which: a. Shall include an eligible provider administering adult education and literacy activities

under Title II of WIOA (20 CFR 679.320(d)(1)); and

b. Shall include a representative of institutions of higher education providing workforce investment activities (including community colleges). (20 CFR 679.320(d)(2))

c. If the local area includes multiple providers of adult education and literacy programs

and multiple institutions of higher education, each representative described in a) and b) above shall be appointed from among individuals nominated by each respective group. (Sec. 107(b)(6))

d. May also include representatives of local education agencies and community-based

organizations (private, non-profit organizations) with demonstrated expertise addressing the education or training needs of individuals with barriers to employment as defined in WIOA Sec. 3(24). (20 CFR 679.320(e)(1))

4. Each local board shall have representatives of governmental and economic and community development entities serving the local area which: a. Shall include a representative of economic and community development entities

defined in Sec. 3(17);

b. Shall include an appropriate representative of the state employment service office under Wagner-Peyser serving the local area;

c. Shall include an appropriate representative of programs in the area providing services

under Title I of the Rehabilitation Services Act of 1973, other than Sec. 112 or Part C of the Title, serving the local area; (20 CFR 679.320(d)(3)(iii))

d. May include representatives of agencies that administer programs providing transportation, housing, or public assistance in the local area; and

e. May include representatives of philanthropic organizations serving the local area.


5. Each local board may also have representatives of agencies or entities the chief elected official(s) in the local area may deem appropriate.

6. An LWIB member may represent multiple programs under WIOA in certain circumstances:

a. With the exception noted in c. below, an individual may be appointed as a

representative of more than one (1) program if that individual meets all criteria for representation, including the criteria described in paragraphs (c) through (g) of 20 CFR 679.320.

1) A labor representative could also serve as the required apprenticeship

representative if the individual meets the criteria for representing both membership categories.

b. Individuals representing more than one (1) program must have optimum policy

making authority within each of the programs they are representing.

c. A representative of higher education may not simultaneously represent adult education and literacy activities under Title II of WIOA. The ICCB-approved Adult Education and Family Literacy representative, preferably the Project Director or the Project Coordinator, must have direct oversight of the adult education program.

7. All required board members must have voting privileges. The CEO may convey voting

privileges to non-required members.

C. Membership Terms

1. The CEO shall set the term limits for board members. 2. LWIB bylaws shall include provisions that set fixed-length terms and include how the

board will treat vacancies. 3. Membership terms shall also be staggered so that only a portion of membership terms

expire in a given year. All appointments will end on 9/30 in a given year.

D. LWIB Chairperson

A Chairperson for the local board must be elected from among the business representatives of the board.


E. Standing Committees (Sec. 107(b)(4))

1. The local board may designate and direct the activities of standing committees to assist

the board in carrying out its activities as long as the following requirements are met: a. The standing committee must be chaired by a member of the local board; and b. The standing committee must include individuals appointed by the local board who

are not members of the local board and who the local board has determined have demonstrated experience and expertise in accordance with the definition stated in Section B.2.e of this policy. (20 CFR 679.360(a))

2. The local board may designate standing committees as it determines appropriate,

including the following standing committees:

a. A standing committee to assist with operational and other issues related to the one-stop delivery system, which may include as members representatives of one-stop partners;

b. A standing committee to assist with planning, operational and other issues related to

services to youth, which shall include community-based organizations with a demonstrated record of success in serving eligible youth; and

c. A standing committee to provide information and to assist with operational and other

issues relating to the provision of services to individuals with disabilities, including issues relating to compliance with WIOA Section 188, if applicable, and applicable provisions of the Americans with Disabilities Act of 1990 regarding providing programmatic and physical access to the services, programs and activities of the one-stop delivery system, as well as appropriate staff training on providing supports for or accommodations to, and finding employment opportunities for individuals with disabilities. (20 CFR 679.360(a)(3))

3. Members of the local board may also serve as members of a standing committee.

4. A local board may designate a standing or other committee that existed under the Workforce Investment Act of 1998 as a standing committee pursuant to this policy as long as the requirements in item 1.a. above are met. (Sec. 107(b)(4)(C))

5. All standing committees with the exception of an Executive Committee shall be advisory and will make recommendations to the full local board.

F. Multiple Units of Local Government in an Area

In a case in which a local area includes more than one (1) unit of general local government, the chief elected officials of such units shall execute an agreement as described in WIOA


Policy 1.6 – Chief Elected Official Delegation of Authority and Acknowledgment of Financial Liability. (Sec. 107(c)(1))

G. Nomination of Board Members

1. These nomination requirements apply to all business and labor appointments to the local

board as well as adult education and higher education entities when multiple providers are in the area.

2. The CEO must contact appropriate businesses, workforce or educational entities, including chambers of commerce, labor representatives and local educational entities serving the local area, to request nominations for local workforce board membership.

3. Business representatives are to be nominated by local business organizations and

business trade associations. Such organizations may consist of local chambers of commerce or business councils.

4. Labor representatives are to be nominated by local labor federations such as labor

councils or building and trades councils or (for an LWIA in which no employees are represented by such organizations) by other representatives of employees, such as employee organizations and/or the State AFL-CIO. A labor representative cannot be nominated from a local union.

5. Local providers administering adult education and family literacy activities are to be

nominated by other providers identified by the Illinois Community College Board when multiple providers are in the local area.

6. Local institutions of higher education are to be nominated by other institutions identified

by the Illinois State Board of Education when multiple institutions are in the local area.

7. Individuals may nominate themselves if they meet the criteria to nominate and represent the particular business, organization, or program for which they are being nominated.

8. All nominations must be made using the LWIB Nomination Form (OET/LWIB Form #

001).

9. All Nomination Forms must be fully completed, signed, and dated to be accepted.

10. The Nominated individual must sign and date the Appointment/Reappointment Form within one (1) year of the Nominator’s signature and date.

11. The Nomination Form must accompany the Appointment/Reappointment Form

(OET/LWIB Form # 002) and is required for initial appointments only. A nomination form is not required for reappointments.

12. Form # 001 in an Excel format is provided as an attachment to this policy.


13. Form # 001 is only required for an initial appointment.

H. Resignation or Removal of Board Members

1. Members serving on Local Workforce Innovation Boards who subsequently retire or no longer hold the board position or status that made them eligible board members must resign or be removed by the CEO immediately as a board member. To retain their knowledge and experience, the CEO may appoint them to an LWIB standing committee as outlined in Section I.E. (These individuals would be a member of the committee, but not a member of the LWIB.)

2. LWIBs may, under circumstances indicated in their local bylaws, remove board members

at their discretion for justifiable cause. 3. LWIB vacancies must be filled within ninety (90) days of the vacancy.

I. Appointment/Reappointment of Board Members

1. The CEO(s) in a LWIA are authorized to make all reappointments of members of the

local board for that designated area in accordance with the CEO Agreement. LWIB reappointments must be made within 90 days of the term expiration.

2. Appointment or reappointment of an individual as a member of the LWIB must be made using the Appointment/Reappointment Form (OET/LWIB Form # 002).

3. If an appointee is representing multiple entities filling multiple seats on the board, then two separate appointment forms are required.

4. The Appointment/Reappointment Form must be fully completed, signed, and dated to be accepted. An updated and fully completed electronic copy of the Composition Summary Form (OET/LWIB Form # 003) must accompany any Appointment/Reappointment Form.

5. The CEO must sign and date the Composition Summary Form following these

guidelines: a. The CEO’s signature and date may be an original signature, a stamp or an electronic

signature;

b. The CEO’s signature and date must be made within 90 days of the Appointed individual’s signature and date on the Appointment/Reappointment Form(s);

c. In LWIAs where there are multiple chief elected officials, the Composition Summary Form must be signed by ALL chief elected officials using the Additional Signature Form (OET/LWIB Form # 004), unless they have designated one or more of the chief elected officials to act on behalf of all of the chief elected officials through the CEO Agreement; and


d. Where an LWIA has designated one or more CEOs to act on behalf of multiple CEOs, a CEO Agreement must be on file with the Office of Employment and Training.

6. An electronic copy of the Nomination Form, if applicable, Appointment/Reappointment

Form and Composition Summary Form must be sent to OET within 30 days of the CEOs’ signature and date of the Composition Summary Form.

7. Forms # 002, # 003, and # 004 in an Excel format are provided as attachments to this policy.

8. The completed packet must be emailed to [email protected] with an electronic carbon copy to [email protected].

The composition of each LWIB will be reviewed periodically by the state to ensure compliance. The state will notify the LWIB in writing if conditions exist that are not in compliance with WIOA or the requirements of this policy.

J. Designation and Change of Chairperson

1. Any change to the Chairperson designation should be forwarded in writing to the

Department of Commerce and Economic Opportunity Office of Employment and Training (OET) within thirty (30) calendar days.

2. A copy of the approved minutes indicating a change to the Chairperson should be forwarded to OET within ten (10) business days of their approval.

K. Conflict of Interest

A member of a local board or a member of a standing committee:

1. Must publicly disclose to the LWIB if he/she has a real or perceived conflict of interest prior to discussion;

2. May not vote on any matter under consideration by the local board:

a. Regarding the provision of services by such member (or by a program that such

member represents); or

b. That would provide direct financial benefit to such member or the immediate family of such member, or the organization the member represents;

3. May not engage in any other activity determined by the Governor to constitute a conflict

of interest as specified in the state plan; and


4. The minutes of LWIB meetings shall document compliance with these conflict of interest

requirements.

II. INQUIRIES

Inquiries related to the requirements of this policy may be directed to: Lora Dhom

Illinois Department of Commerce and Economic Opportunity Office of Employment and Training (217) 558-2429 [email protected]

III. ATTACHMENTS

A. OET/LWIB Form # 001 – Nomination Form B. OET/LWIB Form # 001 – Nomination Form Instructions C. OET/LWIB Form # 002 – Appointment/Reappointment Form D. OET/LWIB Form # 002 – Appointment/Reappointment Form Instructions E. OET/LWIB Form # 003 – Composition Summary Form F. OET/LWIB Form # 003 – Composition Summary Form Instructions G. OET/LWIB Form # 004 – Composition Summary Form Additional CEO Signature Page

Sincerely, Julio Rodriguez, Deputy Director Office of Employment and Training JR:mb

/ /

( ) -

/ /

9-Signature of Contact Person 10-Date

11-Title of Contact Person

4-Contact Person 5-Contact Person Phone

NOMINATION FORMLOCAL WORKFORCE INNOVATION BOARD

6-Nominated Individual's Name (Last, First)

7-Nominated Individual's Organization 8-City/County Representing(Enter N/A, if not applicable)

1-Date

Nominee Information

2-LWIA #

Nomination Forms must be submitted to the state and kept on file at the local level

Nominating Entity Information

3-Nominating Entity Name

Signature

December 2015 v 1.0 OET/LWIB Form # 001

Nomination Form Instructions

December 2015 v 1.0 Page 1 of 1 Instructions: OET/LWIB Form # 001

1. Date Enter the date of nomination in the MM/DD/YY format.

2. LWIA # Enter the number assigned to the Local Workforce Innovation Board by the state.

3. Nominating Entity Name Enter the name of the nominating organization.

4. Contact Person

Enter the name of the contact person for the nominating organization.

5. Contact Person Phone Enter the phone number of the nominating organization, including area code.

6. Nominated Individual's Name

Enter the first and last name of the person being nominated.

7. Nominated Individual's Organization

Enter the name of the organization the nominated individual is representing.

8. City/County Representing Enter the city or county the nominated individual is representing as directed in the LWIB Bylaws. Enter N/A if neither the city nor county are required information.

9. Signature of Contact Person

The contact person nominating the member must sign the form.

10. Date Enter the date of the contact person’s signature in the MM/DD/YY format.

11. Title of Contact Person

Enter the title of the contact person.


2-Name 3-Representing Entity

4-Street Address 5-City 6-County Representing

12-Reason for Submission (Check all that apply)Appointment Name of member being replaced:

9-Phone ( ) - ext. 10-Fax ( ) -

Reappointment RecertificationEmployer change/new contact information

14-Nominee Characteristics (Optional) Waived

Gender: Male Female

Race: White Black

Hispanic American Indian

Native American Asian

Pacific Islander Other15-Nominee Signature

/ /Signature

Fill out appropriate Entity Representative(s) below

16-Business Representative (nomination form required for initial appointment)

Number of employees of the entity: NAICS Code:Career Cluster of Employment Opportunities (Check ONLY One):

Agriculture, Food & Natural Resources Architecture & Construction Arts, A/V Technology & Communication

Business, Management, & Administration Education & Training Finance

Governmental & Public Administration Health Science Hospitality & Tourism

Human Services Information Technology Law, Public Safety, Corrections & Security

Manufacturing Marketing, Sales, and Service Science, Technology, Engineering & Math

Transportation, Distribution & Logistics

17-Workforce Representative (nomination form required for initial appointment - labor organization only)

Labor Organization Labor-Mgmt Apprenticeship Program/Apprenticeship ProgramCommunity-Based OrganizationServices Provided (must demonstrate expertise and effectiveness in the field of addressing the employment needs of individuals with barriers to employment):

Youth OrganizationsServices Provided (must demonstrate expertise and effectiveness in the field of addressing employment, training, or education needs of youth):

18-Education & Training Representative

Eligible Provider of Adult Education and Literacy Activities Institution of Higher EducationCommunity-Based Organization Local Education AgencyServices Provided (must demonstrate expertise and effectiveness in the field of addressing education or training needs of individuals

with barriers to employment):

19-Gov't and Econ/Comm Develop. RepresentativeEconomic and Community Development Transportation, Housing, and Public AssistanceWagner-Peyser Act (Employment Service) Philanthropic OrganizationVocational Rehabilitation

20-Other Representative

21-Term of Appointment (FROM date should be the original appointment date, if known)

From: / / To: / /

I certify that the above information is accurate and complete. I further acknowledge that my role as a Local Workforce Innovation Board member requires that I publicly disclose any conflict of interest, whether real or apparent, prior to discussion on a matter regarding provision of services by myself or an entity that I represent or that would provide direct financial benefit to myself or a member of my immediate family and shall abstain from voting on such matters. (Conflict of interest is a situation in which a person, such as a public official, an employee, or a professional, has a private or personal interest sufficient to appear to influence the objective exercise of his or her official duties.)

https://www.sba.gov/sites/default/files/files/Size_Standards_Table.pdf

(nomination form may be required for eligible providers administering adult education and literacy activities under Title II or multiple institutions of higher education providing workforce investment activities serving the local area)

Date

Is a small business in accordance with:

7-State 8-Zip-

APPOINTMENT/REAPPOINTMENT FORMLOCAL WORKFORCE INNOVATION BOARD

1-LWIA#

11-Email

13- Title and/or job duties demonstrating optimum policy making authority (Attach additional pages, if necessary)

Residence County (if required)



Appointment/Reappointment Form Instructions


1. LWIA # Enter the number assigned to the Local Workforce Innovation Board by the state.

2. Name Enter the first and last name of the person being appointed/reappointed.

3. Representing Entity Enter the name of the entity the person being appointed/reappointed is representing.

4. Street Address Enter the street address where the representing entity is located.

5. City Enter the city where the representing entity is located.

6. County Representing Enter the county where the representing entity is located. If the person being appointed/reappointed is representing the county they live in (if this provision is in the bylaws), enter that county and check the residence county box. If no such provision is in the bylaws, leave residence county blank.

7. State Enter the state where the representing entity is located.

8. ZIP Enter the zip code where the representing entity is located.

9. Phone Enter the phone number where the person being appointed/reappointed can be reached, including the area code.

10. Fax Enter the fax number where the person being appointed/reappointed can be reached, including the area code. If no fax number is available, leave blank.

11. Email Enter the email address of the person being appointed/reappointed. If no email is available, leave blank.

12. Reason for Submission Check the box(es) indicating the reason for submitting the form. If Appointment is checked, please indicate the name of the person being replaced. If this is an additional member, please indicate so on this line.

13. Title and/or Job Duties Enter the job title of the person being appointed/reappointed. If no job title is available or if the job title does not indicate optimum policy making authority, please list the job duties. Attach additional pages if necessary. Optimum policy making is defined as an individual who can reasonably be expected to speak affirmatively on behalf of the entity he or she represents and to commit that entity to a chosen course of action. Business members may also have hiring authority.

14. Appointee Characteristics Fill in the gender and race for the person being appointed/reappointed. If the person being appointed/reappointed chooses to leave this item blank, please check the waived box. Only one gender and race should be checked.

15. Appointee Signature The person being appointed/reappointed must sign the form and enter the current date in the MM/DD/YY format.

16. Business Representative Check the box if the person being appointed/reappointed is representing a business. A nomination form is required for an initial appointment. A business representative must be a representative in the local area who: • is an owner of a business, chief executive or operating officer or other



business executive or employer with optimum policy making or hiring authority;

• represents businesses with employment opportunities that, at a minimum, include high-quality and work-relevant training and development in in-demand industry sectors or occupations in the local area; and

• is appointed from among individuals nominated by a local business organization or business trade association.

Indicate the number of employees in the local area for the representing entity. Check the box if the person being appointed/reappointed is representing a small business as defined by the U.S. Small Business Administration. Refer to the Small Business Administration Table of Small Business Size Standards available at: https://www.sba.gov/sites/default/files/files/Size_Standards_Table.pdf. When determining if the business is a small business, the total number of employees of all affiliates and not just the location must be utilized. If the determination is based on size standards in millions of dollars, calculate the “average annual receipts” for the most recent three completed fiscal years divided by three. Fill in the 6-digit 2012 NAICS code. Check one career cluster that most closely represents the type of business performed by the representing entity matching the NAICS code subsector description (on pages 5 and 6 of these instructions) with the career cluster using http://www.iseek.org/careers/clusters.html. Select a career cluster and then check to see if the industry description is listed under the Industries in this cluster link.

For example, a business representative has a NAICS code of 111150. The subsector is 111 – Crop Production. Crop Production is listed as an industry under the Agriculture, Food, and Natural Resources cluster.

17. Workforce Representative Check the box if the person being appointed/reappointed is representing workforce. Check the box for Labor Organization if the person being appointed/reappointed represents a labor organization (for a local area in which employees are represented by labor organizations), who have been nominated by local labor federations, or (for a local area in which no employees are represented by such organizations) other representatives of employees.

Labor Federation means an alliance of two or more organized labor unions for the purpose of mutual support and action. Examples are labor councils and building and trades councils. A nomination form is required for an initial labor organization appointment.

Check the box for Labor-Mgmt. Apprenticeship Program/Apprenticeship Program if the person being appointed/reappointed represents a member of a labor organization or a training director, from a joint labor-management apprenticeship program, or if no such joint program exists in the area, such a representative of an apprenticeship program in the area, if such a program exists. Department of Labor registered apprenticeship and training programs can be found at the following website - http://oa.doleta.gov/bat.cfm. Check the box for Community-Based Organization (CBO) if the person being appointed/reappointed represents a CBO that has demonstrated experience and expertise in addressing the employment needs of individuals with barriers


http://www.iseek.org/careers/clusters.html

http://oa.doleta.gov/bat.cfm



to employment, including organizations that serve veterans or that provide or support competitive integrated employment for individuals with disabilities.

A community-based organization means a private nonprofit organization (which may include a faith-based organization), that is representative of a community or a significant segment of a community and that has demonstrated expertise and effectiveness in the field of workforce development. If this box is checked, a description of the experience and expertise of the CBO in addressing the employment needs of individuals with barriers to employment must be provided. In addition, the population with barriers to employment as defined in WIOA Section 3(24) must be included in the description.

Check the box for Youth Organizations if the person being appointed/reappointed represents an organization that has demonstrated experience and expertise in addressing the employment, training, or education needs of eligible youth, including representatives of organizations that serve out-of-school youth.

If this box is checked, a description of the experience and expertise of the Youth Organization in addressing the employment needs of individuals with barriers to employment must be provided.

18. Education and Training

Representative Check the box if the person being appointed/reappointed is representing education and training. Check the box for Adult Education and Family Literacy Activities if the person being appointed/reappointed represents an eligible provider administering adult education and family literacy activities (AEFL) under Title II. The directory of eligible providers can be found on the Illinois Community College Boards’ website.

A nomination form is required for an initial appointment of a representative from providers of Adult Education when more than one provider is located in the local area.

Check the box for Institution of Higher Education if the person being appointed/reappointed represents an institution of higher education providing workforce investment activities (including community colleges). The directory of institutions of higher education can be found on the Illinois Board of Higher Education’s website.

A nomination form is required for an initial appointment of a representative from an institution of higher education when more than one institution is located in the local area.

Check the box for Community-Based Organization (CBO) if the person being appointed/reappointed represents a CBO that has demonstrated experience and expertise in addressing the education or training needs of individuals with barriers to employment.

A community-based organization means a private nonprofit organization (which may include a faith-based organization), that is representative of a community or a significant segment of a community and that has demonstrated expertise and effectiveness in the field of workforce development. If this box is checked, a description of the experience and expertise of the CBO in addressing the education or training needs of individuals with



barriers to employment must be provided. In addition, the population with barriers to employment as defined in WIOA Section 3(24) must be included in the description.

Check the box for Local Educational Agency if the person being appointed/reappointed represents a local educational agency that has demonstrated experience and expertise in addressing the education or training needs of individuals with barriers to employment.

19. Governmental and Economic and Community Development Representative

Check the box for Economic and Community Development if the person being appointed/reappointed is representing an economic and community development entity.

An Economic Development agency includes local planning or zoning commission or board, a community development agency, or another local agency or institution responsible for regulating, promoting, or assisting in local economic development.

Check the box for Wagner-Peyser Act (Employment Service) if the person begin appointed/reappointed is representing an appropriate representative from the State employment service office under the Wagner-Peyser Act (29 U.S.C. 49 et seq.) serving the local area.

The Illinois Department of Employment Security will provide the name of the representative that has optimum policy making authority and should represent Wagner-Peyser on the local board.

Check the box for Vocational Rehabilitation if the person begin appointed/ reappointed is representing an appropriate representative of the programs carried out under Title I of the Rehabilitation Act of 1973 (29 U.S.C. 720 et seq.), other than section 112 or Part C of that title (26 U.S.C. 732, 741), serving the local area.

The Illinois Department of Human Services/Division of Rehabilitation Services will provide the name of the representative that has optimum policy making authority and should represent Vocational Rehabilitation on the local board.

Check the box for Transportation, Housing, and Public Assistance if the person begin appointed/reappointed is representing an agency or entity that administers programs serving the local area relating to transportation, housing, and public assistance.

Representatives of the Department of Human Services/Division of Family & Community Services (TANF) or Housing Authorities would fall under this category.

Check the box for Philanthropic Organization if the person being appointed/ reappointed is representing a philanthropic organization serving the local area.

20. Other Representative Check the box if the person being appointed/reappointed is representing any other entity not listed above.

21. Term of Appointment Enter the term of appointment of the person being appointed/reappointed. The FROM date will always be the initial appointment date, even for a reappointment. The date should be 10/01/XX. The TO date:



• For an appointment, will be 09/30/XX and should be in accordance with local bylaws.

• For a reappointment, should be updated from what is currently on file at the Office of Employment and Training (OET) and should be in accordance with local bylaws.

• For a recertification: ♦ if the term has not expired or is not going to expire soon, the TO

date may stay the same as what is currently on file at OET. ♦ if the term date has expired or will expire soon, the TO date

should be different than what is currently on file at OET. • For an employer change or contact information change, the TO date

should remain the same as what is currently on file at OET unless the member is being reappointed at this time.



2012 U.S. NAICS Description

To determine the career cluster for a business representative, match the NAICS industry description with the career cluster that most closely represents the type of business performed by the entity using http://www.iseek.org/careers/clusters.html. Select a career cluster and then check to see if the industry description is listed under the Industries in this Cluster link. For example, a business representative has a NAICS code in the subsector 111 – Crop Production. Crop Production is listed as an industry under the Agriculture, Food, and Natural Resources cluster.

Transportation and Warehousing 481 Air Transportation 482 Rail Transportation 483 Water Transportation 484 Truck Transportation 485 Transit and Ground Passenger Transportation 486 Pipeline Transportation 487 Scenic and Sightseeing Transportation

488 Support Activities for Transportation 491 Postal Service Agriculture, Forestry, Fishing, and Hunting 492 Couriers and Messengers 111 Crop Production 493 Warehousing and Storage 112 Animal Production Information 113 Forestry and Logging 511 Publishing Industries (except Internet) 114 Fishing, Hunting and Trapping 512 Motion Picture and Sound Recording Industries 115 Support Activities for Agriculture and Forestry 515 Broadcasting (except Internet) Mining 516 Internet Publishing and Broadcasting 211 Oil and Gas Extraction 517 Telecommunications

212 Mining (except Oil and Gas) 518 Internet Service Providers, Web Search Portals, and Data Processing Services

213 Support Activities for Mining 519 Other Information Services Utilities Finance and Insurance 221 Utilities 521 Monetary Authorities - Central Bank Construction 522 Credit Intermediation and Related Activities

236 Construction of Buildings 523 Securities, Commodity Contracts, and Other Financial Investments and Related Activities

237 Heavy and Civil Engineering Construction 524 Insurance Carriers and Related Activities 238 Specialty Trade Contractors 525 Funds, Trusts, and Other Financial Vehicles Manufacturing Real Estate and Rental and Leasing 311 Food Manufacturing 531 Real Estate 312 Beverage and Tobacco Product Manufacturing 532 Rental and Leasing Services 313 Textile Mills 533 Lessors of Nonfinancial Intangible Assets (except Copyrighted Works) 314 Textile Product Mills Professional, Scientific and Technical Services 315 Apparel Manufacturing 541 Professional, Scientific, and Technical Services 316 Leather and Allied Product Manufacturing Management of Companies and Enterprises 321 Wood Product Manufacturing 551 Management of Companies and Enterprises

322 Paper Manufacturing Administrative and Support and Waste Management and Remediation Services

323 Printing and Related Support Activities 561 Administrative and Support Services 324 Petroleum and Coal Products Manufacturing 562 Waste Management and Remediation Services 325 Chemical Manufacturing Educational Services 326 Plastics and Rubber Products Manufacturing 611 Educational Services 327 Nonmetallic Mineral Product Manufacturing Health Care and Social Assistance 331 Primary Metal Manufacturing 621 Ambulatory Health Care Services 332 Fabricated Metal Product Manufacturing 622 Hospitals 333 Machinery Manufacturing 623 Nursing and Residential Care Facilities 334 Computer and Electronic Product Manufacturing 624 Social Assistance

335 Electrical Equipment, Appliance, and Component Manufacturing Arts, Entertainment and Recreation

336 Transportation Equipment Manufacturing 711 Performing Arts, Spectator Sports, and Related Industries 337 Furniture and Related Product Manufacturing 712 Museums, Historical Sites, and Similar Institutions 339 Miscellaneous Manufacturing 713 Amusement, Gambling, and Recreation Industries Wholesale Trade Accommodation and Food Services 423 Merchant Wholesalers, Durable Goods 721 Accommodation 424 Merchant Wholesalers, Nondurable Goods 722 Food Services and Drinking Places 425 Wholesale Electronic Markets and Agents and Brokers Other Services (except Public Administration) Retail Trade 811 Repair and Maintenance 441 Motor Vehicle and Parts Dealers 812 Personal and Laundry Services 442 Furniture and Home Furnishings Stores 813 Religious, Grantmaking, Civic, Professional, and Similar Organizations 443 Electronics and Appliance Stores 814 Private Households

444 Building Material and Garden Equipment and Supplies Dealers Public Administration

445 Food and Beverage Stores 921 Executive, Legislative, and Other General Government Support 446 Health and Personal Care Stores 922 Justice, Public Order, and Safety Activities 447 Gasoline Stations 923 Administration of Human Resource Programs 448 Clothing and Clothing Accessories Stores 924 Administration of Environmental Quality Programs

451 Sporting Goods, Hobby, Book, and Music Stores 925 Administration of Housing Programs, Urban Planning, and Community Development

452 General Merchandise Stores 926 Administration of Economic Programs 453 Miscellaneous Store Retailers 927 Space Research and Technology 454 Nonstore Retailers 928 National Security and International Affairs

http://www.iseek.org/careers/clusters.html

/ /

8‐Entity Representing

(Check Appropriate Column(s))

7‐Reason for Submission

Business

(>50% of Board

membership)

Workforce

(≥ 20% of Board

membership)

Education & TrainingGovernmental & Economic/

Community DevelopmentOther

LOCAL WORKFORCE INNOVATION BOARD COMPOSITION SUMMARY FORM1‐LWIB Name 2‐Date 3‐LWIA #


Business

(>50% of Board

membership)

Workforce

(≥ 20% of Board

membership)



5‐Term Expiration

Date (mm/dd/yyyy)

6‐Name(Last, First)

Current Member

Appointm

ent

Filling Vacan

cy

Business & Employers

(NOT a sm

all business)

Program

s under Title I of the

Rehab

ilitation Act (≥ 1)

Tran

sportation, H

ousing an

d

Public Assistance

Philanthropic Organ

izations

Other as Deemed Appropriate

by the CEO

Employm

ent, Training or

Education for Yo

uth

Eligible Providers of Adult Education

and Literacy (≥

1)

Institutions of Higher Ed

ucation (≥ 1)

Local Educational Agencies an

d CBOs

Economic and Community

Development (≥ 1)

State Employm

ent Services under

Wagner‐Peyser (≥ 1)

Re‐Appointm

ent


(A Small business as dfined by SBA)

Chairperson

(One selected from Business)

Labor Organ

izations

(At least 2 representatives)

Labor/Apprenticeship

(At least 1 rep., if available)

CBO for Em

ploym

ent,

Training or Ed

ucation

4‐Appointment Date (mm/dd/yyyy)

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

0 0 0 0 0Total for Category: 0 0 0 0

0 0 0 0 0 0 0 0

5‐Term Expiration

Date (mm/dd/yyyy)


Current Member

Appointm

ent

Filling Vacan

cy


(NOT a sm

all business)

00 0 0 0 0 0 09‐TOTALS: Members = 0 Entities Represented = 0

Program


Rehab


Tran

sportation, H

ousing an

d

Public Assistance

Philanthropic Organ

izations


by the CEO

Employm

ent, Training or

Education for Yo

uth


and Literacy (≥

1)


ucation (≥ 1)


d CBOs


Development (≥ 1)

State Employm

ent Services under


Re‐Appointm

ent



Chairperson


Labor Organ

izations




CBO for Em

ploym

ent,

Training or Ed

ucation


###

### ###### ### ### ###### ### ###

######

December 2015, v 1.0 OET/LWIB Form # 003

/ /




Business

(>50% of Board

membership)

Workforce

(≥ 20% of Board

membership)





Business

(>50% of Board

membership)

Workforce

(≥ 20% of Board

membership)



5‐Term Expiration

Date (mm/dd/yyyy)


Current Member

Appointm

ent

Filling Vacan

cy


(NOT a sm

all business)

Program


Rehab


Tran

sportation, H

ousing an

d

Public Assistance

Philanthropic Organ

izations


by the CEO

Employm

ent, Training or

Education for Yo

uth


and Literacy (≥

1)


ucation (≥ 1)


d CBOs


Development (≥ 1)

State Employm

ent Services under


Re‐Appointm

ent



Chairperson


Labor Organ

izations




CBO for Em

ploym

ent,

Training or Ed

ucation


5‐Term Expiration

Date (mm/dd/yyyy)


Current Member

Appointm

ent

Filling Vacan

cy


(NOT a sm

all business)

Program


Rehab


Tran

sportation, H

ousing an

d

Public Assistance

Philanthropic Organ

izations


by the CEO

Employm

ent, Training or

Education for Yo

uth


and Literacy (≥

1)


ucation (≥ 1)


d CBOs


Development (≥ 1)

State Employm

ent Services under


Re‐Appointm

ent



Chairperson


Labor Organ

izations




CBO for Em

ploym

ent,

Training or Ed

ucation


/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /


/ /




Business

(>50% of Board

membership)

Workforce

(≥ 20% of Board

membership)





Business

(>50% of Board

membership)

Workforce

(≥ 20% of Board

membership)



5‐Term Expiration

Date (mm/dd/yyyy)


Current Member

Appointm

ent

Filling Vacan

cy


(NOT a sm

all business)

Program


Rehab


Tran

sportation, H

ousing an

d

Public Assistance

Philanthropic Organ

izations


by the CEO

Employm

ent, Training or

Education for Yo

uth


and Literacy (≥

1)


ucation (≥ 1)


d CBOs


Development (≥ 1)

State Employm

ent Services under


Re‐Appointm

ent



Chairperson


Labor Organ

izations




CBO for Em

ploym

ent,

Training or Ed

ucation


5‐Term Expiration

Date (mm/dd/yyyy)


Current Member

Appointm

ent

Filling Vacan

cy


(NOT a sm

all business)

Program


Rehab


Tran

sportation, H

ousing an

d

Public Assistance

Philanthropic Organ

izations


by the CEO

Employm

ent, Training or

Education for Yo

uth


and Literacy (≥

1)


ucation (≥ 1)


d CBOs


Development (≥ 1)

State Employm

ent Services under


Re‐Appointm

ent



Chairperson


Labor Organ

izations




CBO for Em

ploym

ent,

Training or Ed

ucation


/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ /

0 0 00Total for Category: 0 0 0 0

###

###

###

###

###

00

###

09‐TOTALS: Members = 0 Entities Represented = 0

Signature of Local Chief Elected Official (Attach additional signature page, if necessary.) Date

Subject to certification required by Section 107 of the Workforce Innovation and Opportunity Act and WIOA Policy 1.2 and 1.3, the persons nominated herein have been duly appointed to the Local Workforce Innovation

Board by the Chief Elected Officials of this Local Workforce Innovation Area. This appointment is consistent with the local CEO agreement and bylaws.

0 0

0

Cells highlighted in RED indicate a lack of sufficient representation of that entity.

10‐Signature of Local Chief Elected Official

0 0 0 0 0 00 0 0 0 0


00

0

0

0

0

0

0

0

00

0

0

00

0

0

0

0

0 0

No entries are required on this form. It automatically fills as the Composition Summary form is completed.

Red Highlighted Boxes indicate there is not enough representation appointed to meet the requirements of the Workforce Innovation and Opportunity Act.

As members are appointed, the limits of other representation may change to meet the minimum requirements.

Instructional and Error messages will appear when a limit for a particular representative appointment cell has not been met.

# of Board Members 00# of Entities Represented

0

At a minimum, two members must represent small business as defined by the U.S. Small Business Administration.

Information on small business size standards matched to North American Industry Classifcation Codes (NAICS) may be found at:


Are Owners of businesses, CEOs or operating officers of businesses as described above, but do NOT represent small business.

Chairperson elected by members of the board from among the approved business representatives

Local Workforce Innovation Board Membership

>50% majority shall be representatives of businesses in the local area, to include the Chairperson, who

Shall include a representative of economic and community development entities

Are Owners of businesses, chief executives or operating officers of businesses, or other business executives or employers with optimum

policy making or hiring authority; and who, represent businesses (including small businesses), or organizations representing businesses,

that provide employment opportunities that, at a minimum, include high‐quality, work‐relevant training and development in in‐demand

industry sectors or occupations in the local area.

Are appointed from among individuals nominated by local business organizations and business trade associations .

≥ 20% Shall be representatives of the workforce within the local area, who

Shall include representatives of labor organizations (for a local area in which employees are represented by labor organizations), who

have been nominated by local labor federations, or (for a local area in which no employees are represented by such organizations) other

representatives of employees

Shall include a representative, who shall be a member of a labor organization or a training director, from a joint labor‐management

apprenticeship program, or if no such joint program exists in the area, such a representative of an apprenticeship program in the area, if

such program exists

May include representatives of community‐based organizations that have demonstrated experience and expertise in addressing the

employment needs of individuals with barriers to employment, including organizations that serve veterans or that provide or support

competitive, integrated employment for individuals with disabilities

May include representatives of organizations that have demonstrated experience and expertise in addressing the employment, training,

or education needs of eligible youth, including representatives of organizations that serve out‐of‐school youth

Representatives of entities administering education and training activities in the local area, whoShall include a representative of eligible providers administering adult education and literacy activities under Title II

Shall include a representative of institutions of higher education providing workforce development activities (including community

colleges)

May include representatives of local educational agencies, and of community‐based organizations with demonstrated experience and

expertise in addressing the education or training needs of individuals with barriers to employment

Representatives of governmental and economic and community development entities serving the local area, who

SPECIAL RULE.—If there are multiple eligible providers serving the local area by administering adult education and literacy activities

under Title II, or multiple institutions of higher education serving the local area by providing workforce investment activities, each

representative on the local board, respectively, shall be appointed from among individuals nominated by local providers representing such providers or institutions, respectively.

Members of the board that represent organizations, agencies, or other entities shall be individuals with optimum policymaking authority within the organizations, agencies, or entities.

The members of the board shall represent diverse geographic areas within the local area.

Shall include an appropriate representative from the State employment service office under the Wagner‐Peyser Act (29 U.S.C. 49 et seq.)

serving the local areaShall include an appropriate representative of the programs carried out under Title I of the Rehabilitation Act of 1973 (29 U.S.C. 720 et

seq.), other than Section 112 or Part C of that title (26 U.S.C. 732, 741), serving the local areaMay include representatives of agencies or entities administering programs serving the local area relating to transportation, housing, and

public assistance

May include representatives of philanthropic organizations serving the local area

Such other individuals or representatives of entities as the chief elected official in the local area may determine to be appropriate

December 2015, v 1.0

LWIB Composition Summary Form Instructions


1. LWIB Name Enter the name of your Local Workforce Innovation Board.

2. Date Enter the current date in the MM/DD/YY format.

3. LWIA # Enter the number assigned to your Local Workforce Innovation Area by the state.

4. Appointment Date

Enter the member’s appointment date in the MM/DD/YYYY format. For a reappointment, this will be the initial appointment date and should match the date on the member’s OET/LWIB Form # 002.

5. Term Expires Enter the member’s term expiration date in the MM/DD/YYYY format. This will be 10/30/YYYY and should match the date on the member’s OET/LWIB Form # 002.

6. Name Enter the name of the member in the Last, First format.

7. Reason for Submission Check the reason(s) for submission of each member. (Note: At least one column should be checked for each member.) Current member would be used for a member that is currently on the board and not being re-appointed at this time. An appointment may also be filling a vacancy. In that instance, check both columns. If this is an additional member appointment, check only the appointment column.

8. Entity Representing Check the appropriate column(s) the member is representing. It should match the member’s OET/LWIB Form # 002.

9. Totals

The total number of members and entities represented on the board will automatically calculate. Double check totals to ensure the form is calculating properly or a checkbox hasn’t been checked inadvertently. If totals under the columns appear in red, then the minimum requirements of the board composition have not been met. Refer to the second tab in OET/LWIB Form # 002 titled WIOA LWIB Membership Profile to determine the shortfall.

10. CEO Signature The Local Chief Elected Official (CEO) must sign the form and enter the current date in the MM/DD/YYYY format. Date must be within 90 days of appointee’s signature on the member’s OET/LWIB Form # 002 and within 30 days of submission date. In LWIAs where there are multiple chief elected officials, if the Chief Local Elected Officials have given one CEO the authority to sign on behalf of all CEOs through a CEO Agreement, then only the signature of that CEO is required on OET/LWIB Form # 003.

OET/LWIB Form # 004 Additional CEO Signature Page

Use this page if the multiple chief elected officials in a local workforce area have not given one CEO the authority to sign on behalf of all CEOs through a CEO Agreement. ALL CEOs must sign form OET/LWIB Form # 004 and enter the current date in the MM/DD/YYYY format. Dates must be within 90 days of appointee’s signature on the member’s (OET/LWIB Form # 002) and within 30 days of submission date.

Signature of Chief Elected Official(s)

/ / / /

Signature Signature

/ / / /

Signature Signature

/ / / /

Signature Signature

/ / / /

Signature Signature

/ / / /

Signature SignatureDate Date

Date Date

Subject to certification required by Section 107 of the Workforce

Innovation and Opportunity Act and policies 1.2 and 1.3, the persons

nominated herein have been duly appointed to the Local Workforce

Innovation Board by the Chief Elected Officials of this Local Workforce

Area. This appointment is consistent with the local CEO agreement and

bylaws.






bylaws.

Date Date


Innovation and Opportunity Act and WIOA Policy 1.2 and 1.3, the

persons nominated herein have been duly appointed to the Local

Workforce Innovation Board by the Chief Elected Officials of this Local

Workforce Area. This appointment is consistent with the local CEO

agreement and bylaws.


Innovation and Opportunity Act and WIOA Policy 1.2 and 1.3, the

persons nominated herein have been duly appointed to the Local

Workforce Innovation Board by the Chief Elected Officials of this Local

Workforce Area. This appointment is consistent with the local CEO

agreement and bylaws.

Date Date






bylaws.






bylaws.

Date Date






bylaws.






bylaws.

LWIB COMPOSITION SUMMARY FORMADDITIONAL CEO SIGNATURE PAGE

LWIA #:






bylaws.






bylaws.

This form is to be used when more than one Chief Elected Officials in the local workforce area must sign. All CEOs should sign the form and enter

the current date in the MM/DD/YYYY format. Dates must be within 90 days of appointee signature and within 30 days of submission date.


wioa policy 15-wioa-1.2 l workforce innovation board ...€¦ · a. a representative with optimum...

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