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N <br />Employment Transportation Assistance Program <br />The Employment Transportation Assistance Program (EMPL) is intended to help DSS clients that transitioned <br />from Work First or TANF in the last 12 months, Workforce Development Program participants and/or the <br />general public to travel to work, employment training and/or other employment related destinations. <br />Organizations or Departments <br />Receiving EMPL Funds <br />How will the transportation <br />services be provided <br />Name of Transportation <br />Provider <br />EMPL <br />Suballocation <br />Estimated One <br />Way Trips <br />Avg. Cost of <br />Trip <br />Orange Public <br />Public Transportation <br />Orange Public <br />$30,946 <br />$ <br />W. Has the county transferred any EMPL funds to EDTAP or RGP in the last two years? <br />YES <br />$ <br />$ <br />following programs? (Matching funds for operating assistance orpurchase of service only.) <br />5310 — Elderly Individuals and Individuals with Disabilities Program <br />NO <br />5311 - Non - urbanized Area Formula Program <br />5316 — Job Access and Reverse Commute Program (JARC) <br />5317 — New Freedom Program <br />Y. EMPL funded trips are expected to be provided throughout the entire year. If the EDTAP funds are <br />expended in less than a year, will the county provide county funds to prevent the discontinuation of <br />YES <br />transportation trips? <br />TOTAL <br />$ <br />Employment Transportation Program Questions <br />S. What will be the purposes of the transportation services provided with EMPL funds? (Check all that apply) <br />® Job interviews, job fair attendance, job readiness activities or training <br />® Transportation to workplace (Scheduled by the individual only. No agency scheduled trips.) <br />® Child(ren) of working parent transported to Child Care <br />T. Describe the eligibility criteria to be used in this county to determine who will be provided EMPL funded trips. <br />Orange County Department of Social Services determine eligibility <br />Employment Transportation Assistance Program Questions (con't) <br />Yes <br />No <br />U. Does the federally funded Community Transit System operating in your county receive a sub- <br />YES <br />allocation of EMPL funds? <br />V. Will any of the subrecipients of EMPL funds charge a fare for an EMPL funded trip? <br />NO <br />W. Has the county transferred any EMPL funds to EDTAP or RGP in the last two years? <br />YES <br />X. Will any of the subrecipients use their EMPL sub - allocation as matching funds for any of the <br />following programs? (Matching funds for operating assistance orpurchase of service only.) <br />5310 — Elderly Individuals and Individuals with Disabilities Program <br />NO <br />5311 - Non - urbanized Area Formula Program <br />5316 — Job Access and Reverse Commute Program (JARC) <br />5317 — New Freedom Program <br />Y. EMPL funded trips are expected to be provided throughout the entire year. If the EDTAP funds are <br />expended in less than a year, will the county provide county funds to prevent the discontinuation of <br />YES <br />transportation trips? <br />Revised 08 -03 -18 <br />