ICAPS Proposal Form

ICAPS Proposal Form
IMPORTANT NOTE:

Once you begin this form, you cannot save your progress. To plan your responses before filling out this form, click here to download the questions.
AE Provider Name*
Please do NOT use abbreviations
Contact Person*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Name of ICAPS Program*
Required Components
Adult Education Curriculum

Please detail how adult education curriculum is both contextualized and integrated into this program. Include anticipated number of hours per week spread over X number of days.
Workforce Preparation

Please detail how workforce preparation skills are included in the program – when, how, by whom, what employability skills, etc.
Workforce Training
Please identify this program as Model 1 ICAPS or Model 2 ICAPS.*

Model 1Model 2
Identify which of the following formats are used in your program. Select as many as apply.*

Occupational Skills TrainingOn-the-job Training = internships, pre-apprenticeships, apprenticeshipsIncumbent Worker TrainingCombined Workforce Training/Related InstructionPrivate Sector Training ProgramsSkill Upgrading and RetrainingEntrepreneurial TrainingTransitional JobsJob Readiness TrainingAEL Activities including ESL/ELA and IETCustomized Training
Please describe what the training component looks like – courses, partnerships, etc. If this is a Model 1, how many credit hours are included?*
Other Necessary Components
Transition Services: List specific transition services that will be offered. Who ensures each student is connected to these services? *
Technology Skills: How do students improve or increase their technology skills? This could be general digital literacy or industry specific technology (e.g., in culinary – mixers, stoves, various equipment requires new skills).*
Comprehensive Student Support Services: List specific services that will be offered. How will students learn about these possible services? *
Describe your collaborative teaching format/environment. Include the amount of overlap and describe specific components of the overlap. If you have a document you wish to use to answer this question, upload it in the upload section and write "See attached" in the space below.*
Upload any supporting documents related to Collaborative Teaching here.

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Please give examples of how AE instruction has shared learning outcomes with the workforce training component. For example, as fractions are taught/utilized in welding, fractions are reviewed and practiced in the support course. If you have a document you wish to use to answer this question, upload it in the upload section and write "See attached" in the space below.*
Upload any supporting documents related to shared learning outcomes here.

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Provide Labor Market information supporting the need for this particular program. Does it align with local and regional plans under WIOA? If you have a document you wish to use to answer this question, upload it in the upload section and write "See attached" in the space below.*
See below for a link to the State Demand Occupation Training List.
Upload any supporting documents related to labor market information here.

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Detail your recruitment plan for this program. *
Detail strategies and plan for retention of students.*
Explain your funding and sustainability plan. How are you braiding funding? With whom? Are you building additional partnerships? If so, with whom?*
Describe your partners and what they are doing to support your program.*
An attached letter from each partner is required. See below for more information.
What will this program result in for students? Check all that apply.*

High School EquivalencyIndustry-Recognized CredentialEmployment OpportunitiesTransferable College CreditStackable College Credentials
Upload the following documents.
Scope and Sequence of this course – a syllabus for the support course will suffice. *

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Pathway Flowchart – this should illustrate progression of classes and training with various entry/exit points and how the 3 required components are offered concurrently.*

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Letters of Commitment from ALL proposed partners – At least 1 letter, 2-4 is preferred, and they should include what each partner will be contributing (i.e., placement for training, resume writing training, money for tuition, contributions to curriculum, etc.).*

Please upload the Letters in ONE document.
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Upload any additional documents you feel are necessary or appropriate here.

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Course Approval form -- Has the Support Course that pairs with the training component of this ICAPS been approved?*

YesSubmitted, but no approval received yetNo - Please note, this form is one step of a 2-step process. The other step is to submit the course approval form. For specific instructions regarding community colleges (ICCIS) versus non-community colleges (New Course Submission Jotform), please see the Adult Education Providers' Manual, Section 7: Instruction.
If available, please submit the Course Approval Form for the Support Course.

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When was the Support Course submitted for approval?

MonthDayYear
Date
What was the Course Code used on the Course Approval Form?*
Will you be using State Basic AEFLA Funds to cover student tuition for any ICAPS courses?*

YesNo
If State Basic funds will be used to pay tuition, list the CIP codes of those courses. Separate each CIP code by a comma.*
Please verify that you are human*
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ICAPS Proposal Form

IMPORTANT NOTE:

Required Components

Adult Education Curriculum

Workforce Preparation

Workforce Training

Other Necessary Components

Upload the following documents.