Workforce Development Gulf Coast

Workforce Solutions is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities.

(Please request reasonable accommodations a minimum of two business days in advance.) Relay Texas Numbers:1-800-***-**** (TDD) 1-800-***-**** (Voice) or 711 October 2021

GULF COAST WORKFORCE DEVELOPMENT BOARD

ORIENTATION TO DISCRIMINATION COMPLAINT PROCEDURES FORM

(29 CFR Part 38)

This Orientation to Discrimination Complaint Procedures form addresses discrimination complaint procedures for the listed programs and services administered in the local workforce development area by the Workforce Development Board and its Contractors: Workforce Innovation and Opportunity Act (WIOA)

Temporary Assistance for Needy Families (TANF) / CHOICES Supplemental Nutrition Assistance Program Employment & Training (SNAP E&T) Child Care Services (CC)

Trade Adjustment Assistance (TAA) and Trade Readjustment Allowances (TRA) THE RECIPIENT OF THE FEDERAL FINANCIAL ASSISTANCE IS: Gulf Coast Workforce Development Board Equal Opportunity (EO) Officer: Sabrina Parras 3555 Timmons Lane Telephone Number: 713-***-**** Houston, TX 77027 Relay Texas: 1-800-***-****/ TTY 1-800-***-**** (Voice) The Gulf Coast Workforce Development Board (the Board) shall resolve equal opportunity complaints in a fair and prompt manner. Acts of restraint, interference, coercion, discrimination, or reprisal towards complainants exercising their rights to file a complaint under this procedure are prohibited. This procedure applies to all applicants and participants who have cause to file a discrimination complaint related to activities or programs administered by the Board. If you have an equal opportunity complaint concerning any of these programs, you may submit your written complaint to the Board or Contractor EO Officer, as appropriate.

After your equal opportunity complaint has been received, the EO Officer will notify you of the next step in the complaint process. As long as you wish to pursue your complaint, the Board or Contractor will follow the steps described below. You should study the Discrimination Complaint Procedure carefully, and if you feel that the required steps are not being followed, contact the EO Officer. Remember, if you feel you are not being provided enough help at any stage of the complaint process, you should contact: Texas Workforce Commission (TWC) Telephone Numbers: Equal Opportunity Monitoring 512-***-****

101 E. 15th St., Room 504 Relay Texas: 1-800-***-**** Austin, TX 78778-0001 TTY 1-800-***-**** (Voice)

EQUAL OPPORTUNITY IS THE LAW

It is against the law for this recipient of Federal financial assistance to discriminate on the following bases: against any individual in the United States, on the basis of race, color, religion, sex (including pregnancy, childbirth, and related medical conditions, sex stereotyping, transgender status, and gender identity), national origin (including limited English proficiency), age, disability, or political affiliation or belief, or, against any beneficiary of, applicant to, or participant in programs financially assisted under Title I of the Workforce Innovation and Opportunity Act, on the basis of the individual’s citizenship status or participation in any WIOA Title I–financially assisted program or activity. The recipient must not discriminate in any of the following areas: deciding who will be admitted, or have access, to any WIOA Title I–financially assisted program or activity; providing opportunities in, or treating any person with regard to, such a program or activity; or making employment decisions in the administration of, or in connection with, such a program or activity. Recipients of federal financial assistance must take reasonable steps to ensure that communications with individuals with disabilities are as effective as communications with others. This means that, upon request and at no cost to the individual, recipients are required to provide appropriate auxiliary aids and services to qualified individuals with disabilities. What to do if you believe you have experienced discrimination. If you think that you have been subjected to discrimination under a WIOA Title I-financially assisted program or activity, you may file a complaint within 180 days from the date of the alleged violation with either: the recipient’s Equal Opportunity Officer (or the person whom the recipient has designated for this purpose); or the Director, Civil Rights Center (CRC), U.S. Department of Labor, 200 Constitution Avenue NW, Room N-4123, Washington, DC 20210. If you file your complaint with the recipient, you must wait either until the recipient issues a written Notice of Final Action, or until 90 days have passed (whichever is sooner), before filing with the Civil Rights Center (see address above). If the recipient does not give you a written Notice of Final Action within 90 days of the day on which you filed your complaint, you may file a complaint with CRC before receiving that Notice. However, you must file your CRC complaint within 30 days of the 90-day deadline (in other words, within 120 days after the day on which you filed your complaint with the recipient). If the recipient does give you a written Notice of Final Action on your complaint, but you are dissatisfied with the decision or resolution, you may file a complaint with CRC. You must file your CRC complaint within 30 days of the date on which you received the Notice of Final Action. PROCEDURES ON HOW TO FILE A COMPLAINT

• WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) / TRADE ADJUSTMENT ASSISTANCE (TAA) and TRADE READJUSTMENT ALLOWANCES (TRA):

If you think you have been subjected to equal opportunity discrimination under a WIOA Title I or a TAA/TRA financially assisted program or activity, you may file a discrimination complaint within 180 days from the date of the alleged violation with either the Board/Contractor Equal Opportunity Officer (or designee) or Director, Civil Rights Center (CRC), U.S. Dept. of Labor, 200 Constitution Avenue NW, Room N-4123 Washington, DC 20210. If you file your complaint with the Board or Contractor, you must wait until you receive a written Notice of Final Action or 90 days have passed (whichever is sooner) before you can file with the CRC. If the written Notice of Final Action is not issued within 90 days of the day you filed your complaint, you have 30 days following the 90-day deadline to file a complaint with CRC (that is, within 120 days of the day you first filed your complaint). If you receive a written Notice of Final Action on your complaint but are dissatisfied with the decision, you may file a complaint with CRC. However, you must file your CRC complaint within 30 days of receiving the Notice of Final Action.

• TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) / CHOICES and/or CHILD CARE SERVICES (CC): If you think you have been subjected to equal opportunity discrimination under a TANF/Choices and/or Child Care (CC) program or activity receiving federal financial assistance, you may file a complaint within 180 days from the date of the alleged violation with either the Board/Contractor Equal Opportunity Officer (or designee) or U.S Department of Health and Human Services (HHS), the Office for Civil Rights, 1301 Young Street, Suite 1169, Dallas, TX 75202, 800-***-****. Those filing complaints against child care program services receiving USDA federal financial assistance may choose to contact the U.S. Department of Agriculture (USDA), Office of Adjudication, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410. If you file your complaint with the Board or Contractor, you must wait until a written Notice of Final Action is issued or until 90 days have passed (whichever is sooner) before you can file with the U.S. Department of Health and Human Services.

• SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E&T): If you think you have been subjected to discrimination under a SNAP E&T financially assisted program or activity, you may file a complaint within 180 days from the date of the alleged violation with either the Board/Contractor Equal Opportunity Officer (or designee) or the U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, SW, Washington, DC 20250-9410, 202-***-****. If you file your complaint with the Board or Contractor, you must wait either until a written Notice of Final Action is issued or until 90 days have passed (whichever is sooner) before filing with the U.S. Department of Agriculture. Please do not sign this notice until you have read it and understand its contents. By my signature below, I acknowledge this orientation to the discrimination complaint procedure and the statement regarding Equal Opportunity Is the Law. I affirm that I have read the Orientation to Discrimination Complaint Procedures Form and that I have been given the opportunity to ask questions about its contents. I understand that the One-Stop application form is not a job application; rather, this form is used to determine my eligibility to receive program services and to meet federal reporting requirements. I further understand that failure to provide the requested information may prevent me from receiving services.

Applicant Signature Printed Name Date

Dorothy Jones

09 / 25 / 2024

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Goals and Objectives Established:

Goal 1/2

Goal # Goal Term of

Goal

Date

Established

Estimated

Date for

Completion

Actual

Completion

Date

Last

Edit Date

Program Staff Status

349377

9

Employment - To

obtain employment in

Sales and Related

Occupation

Long Term 09/25/2024 09/25/2025 09/25/2024 WP Nufio, Violeta Open Comments:

Objectives to Goal 1/2: To obtain employment in Sales and Related Occupation Objective Date

Established

Actual

Completion

Date

Last Edit

Date

Review

Date

Program(s) Staff Status

Follow-up within 2 weeks 09/25/2024 09/25/2024 10/09/2024 WP Nufio, Violeta Open Comments: *Customer will apply to a minimum of three jobs per week and will keep a paper record. Notify WFS and TWC once

employment is gained.

09/25/2024 09/25/2024 09/25/2025 WP Nufio, Violeta Open Comments: *Customer will notify WFS and TWC once employment is obtained. Goal 2/2

Goal # Goal Term of

Goal

Date

Established

Estimated

Date for

Completion

Actual

Completion

Date

Last

Edit Date

Program Staff Status

349378

1

Work Readiness -

Complete RESEA

Orientation

Short Term 09/25/2024 09/25/2024 09/25/2024 09/25/2024 WP Nufio, Violeta Closed Comments:

Objectives to Goal 2/2: Complete RESEA Orientation Individual Employment Plan

General Information

Plan ID: 479011

State ID: 169467855

User Name: WRCUTJHMN+7797

User ID: 22924528

Name: Jones, Dorothy

Preferred Name:

Created By: Violeta Nufio (19314622)

Created On: 09/25/2024

Last Edited By: Violeta Nufio (19314622)

Edited On: 09/25/2024

Plan Information

Plan Start Date: 09/25/2024

LWDB/Region: Gulf Coast WF Board

Plan started in office location: 677 WF Solutions Missouri City Plan closed on:

Jones, Dorothy (User ID: 22924528). Printed on 9/25/2024 by Violeta, Nufio Page 1 of 2

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Applicant Signature Date

Staff Signature Date

Objective Date

Established

Actual

Completion

Date

Last Edit

Date

Review

Date

Program(s) Staff Status

Customer has signed and

completed all required

documents for RESEA

Orientation

09/25/2024 09/25/2024 09/25/2024 09/25/2024 WP Nufio, Violeta Closed Comments: *Customer will be provided a weekly UI newsletter that will have upcoming hiring events. Signatures

Jones, Dorothy (User ID: 22924528). Printed on 9/25/2024 by Violeta, Nufio Page 2 of 2 09 / 25 / 2024

09 / 25 / 2024

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Babel Notice

IMPORTANT! This letter contains information about your rights and responsibilities regarding your required participation in reemployment services, which could affect your unemployment benefits. It is critical that you understand the information in this document. We will provide the information in your preferred language at no cost to you. To request an interpreter, please contact your local Workforce Solutions Office at the number listed in this notification letter.

IMPORTANTE. Esta carta contiene información sobre sus derechos y responsabilidades relacionados con su participación necesaria en los servicios de reempleo, que podría afectar sus beneficios por desempleo. Es importante que comprenda la información que está en este documento. Le daremos la información en el idioma que prefiera sin costo alguno para usted. Para pedir un intérprete, comuníquese con la oficina local de Workforce Solutions al número que se indica en esta carta de aviso.

QUAN TRỌNG! Thư này chứa thông tin về các quyền cũng như trách nhiệm của quý vị, liên quan đến việc quý vị được yêu cầu tham gia vào dịch vụ tìm việc mới có thểảnh hưởng đến trợ cấp thất nghiệp. Quan trọng là quý vị phải hiểu rõ thông tin trong tài liệu này. Chúng tôi sẽ cung cấp miễn phí thông tin bằng ngôn ngữưu tiên của quý vị cho quý vị. Để yêu cầu thông dịch viên, vui lòng liên hệ Workforce Solutions Office tại địa phương theo số điện thoại ghi trong thư thông báo này. 䟽㾱ᨀ䟂ʽ ؑ࠭ ѝⲴ䜘 ؑ ᱟޣҾᛘ ᗵ享 Ⲵ ቡъȢ ᯩ 䶒Ⲵᵳ઼࡙

䍓ԫˈ㘼䘉ਟ㜭Պᖡ ᛘⲴཡъᮁ 䠁DŽ䈧 ᗵ䰵䈫ᒦ 䀓ᴥ᮷ẓѝⲴؑ DŽᡁ

ԜՊ䍩ݽᨀ ԕᛘⲴ俆䘹䈝䀰Җ߉Ⲵؑ DŽྲ 䴰ਓ䈁Ȣ ˈ䈧ᤘᢃ 䙊 ࠭ ѝࡇ

ࠪⲴਧ ˈ㚄パーセントᛘᖃൠⲴࣣ 䀓ᯩߣṸ ޜᇔ (Workforce Solutions Office) ࠋ مھم! تحتوي ھذه الرسالة على معلومات تخص حقوقك ومسؤولیاتك فیما یتعلق بمشاركتك الإلزامیة في خدمات إعادة التوظیف التي قد یؤثر عدم استیفائھا في إعانات البطالة التي تتلقاھا. ومن الضروري أن تفھم المعلومات المذكورة في ھذه الوثیقة. سنوفر المعلومات لك باللغة التي تفضلھا مجانًا. ولطلب مترجم فوري یرجى التواصل مع مكتب حلول القوى العاملة المحلي على الرقم المدرج في رسالة الإخطار ھذه . IMPORTANT ! Cette lettre contient des informations sur vos droits et responsabilités concernant votre participation obligatoire aux services de réemploi, qui pourrait avoir

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une incidence sur vos allocations chômage. Il est essentiel que vous compreniez les informations contenues dans ce document. Nous vous fournirons gratuitement les informations dans la langue de votre choix. Pour demander un(e) interprète, veuillez contacter votre bureau local Workforce Solutions au numéro indiqué dans cette lettre de notification.

MUHIMU! Barua hii ina maelezo kuhusu haki na wajibu wako kuhusiana na hali yako ya kutakiwa kushiriki katika huduma za kuajiriwa upya, ambazo zinaweza kuathiri manufaa yako ya kutokuwa na ajira. Ni muhimu uelewe maelezo yaliyo kwenye barua hii. Tutatoa maelezo kwa lugha unayopendelea bila kukutoza gharama yoyote. Ili uombe huduma ya mkalimani, tafadhali wasiliana na ofisi ya Workforce Solutions Office iliyo karibu nawe kwa nambari iliyowekwa kwenye barua hii ya taarifa. MAHALAGA! Naglalaman ang liham na ito ng impormasyon tungkol sa iyong mga karapatan at responsibilidad tungkol sa iyong kinakailangang pakikilahok sa mga serbisyo sa muling pagtatrabaho, na maaaring makaapekto sa iyong mga benepisyo sa kawalan ng trabaho. Mahalagang maunawaan mo ang impormasyon sa dokumentong ito. Ibibigay namin ang impormasyon sa iyong ginustong wika nang wala kang babayaran. Para humiling ng interpreter, mangyaring makipag-ugnayan sa iyong lokal na Tanggapan ng Workforce Solutions sa numerong nakalista sa abisong sulat na ito. 㭧㣪㓝アンペア䟃 㓝㧊17日da㔶㠦017日㔺㠛17日 㡂㠦17日㡗䟻㦚17日 䂶17日㑮17日㧞017日㨂䀾㠛17日da゚ 㓺㠦17日 䞲17日 䞚㑮㩗㧎17日㺎㡂㢖17日ὖ 17日 䞮㦮17日ῢⰂ㢖17日㺛㧚㠦17日ὖ䞲17日㩫木Ṗ17日䙂䞾 㠊17日㧞㔋 17日 㧊17日ⶎda㦮17日㩫木 17日㧊䟊䞮017日ộ㧊17日㭧㣪䞿 17日 䞮Ṗ17日pc䢎䞮017日㠎㠊 17日㩫木 17日 ⶊ 17日㩲Ὃ䟊17日 Ⱃ 17日䐋㡃アンペア 17日㣪㼃䞮 Ⳋ17日㧊17日䐋㰖da㠦17日6㨂 17日 䢎 17日

䞮Ṗ17日㧞017日㰖㡃㦮17日Workforce Solutions Office㠦17日ⶎ㦮䞮㕃㔲㡺 17日 WICHTIG! Dieser Brief enthält Informationen über Ihre Rechte und Pflichten in Bezug auf Ihre erforderliche Teilnahme an Maßnahmen zur Wiederbeschäftigung mit möglichen Auswirkungen auf Ihre Arbeitslosenunterstützung. Es ist wichtig, dass Sie die Informationen in diesem Dokument verstehen. Wir stellen Ihnen die Informationen in Ihrer bevorzugten Sprache kostenlos zur Verfügung. Um einen Dolmetscher anzufordern, kontaktieren Sie bitte Ihr örtliches Arbeitsvermittlungsbüro (Workforce Solutions Office) unter der in diesem Informationsschreiben angegebenen Nummer. महȕपूणŊ! इस पũ मŐ पुनरŖज़ग र सेव ओं मŐ आपक अ नव यŊ भ ग द र के संबंध मŐ आपके अ धक र ं और ज़ʃेद įरय ं के ब रे मŐ ज नक र द गई है, ज आपके

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बेर ज़ग र संबंध ल भ ं क Ůभ वत कर सकत है यह महȕपूणŊ है क आप इस दˑ वेज़ मŐ द गई ज नक र क समझŐ हम आपक मुɞ मŐ आपक पसंद द भ ष मŐ ज नक र Ůद न करŐगे दुभ षए क अनुर ध करने के लए, कृपय इस अ धसूचन पũ मŐ सूच बȠ नंबर पर अपने ̾ थ न य क यŊबल सम ध न क य Ŋलय (Workforce Solutions Office) से संपकŊ करŐ

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Reasonable Accommodations & Modifications

are available at no cost,

to individuals with disabilities.

Talk to a staff member if you need additional information. Workforce Solutions is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. (Please request reasonable accommodations a minimum of two business days in advance) Relay Texas: 1-800-***-**** (TDD) 1-800-***-**** (voice) or 7 1 1

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Assistive Technology & Auxiliary Aids

Workforce Solutions is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. (Please request reasonable accommodations a minimum of two business days in advance) Relay Texas: 1-800-***-**** (TDD) 1-800-***-**** (voice) or 7 1 1

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Signature Certificate

Reference number: 2LHCE-TDQPV-7EEFZ-S5GRP

Document completed by all parties on:

25 Sep 2024 17:43:00 UTC

Page 1 of 1

Signer Timestamp Signature

Violeta Nufio

Email: *******.*****@************.***

Sent: 25 Sep 2024 17:43:00 UTC

Signed: 25 Sep 2024 17:43:00 UTC

IP address: 96.73.125.189

Location: Missouri City, United States

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