Agency for Workforce Innovation (AWI) and the Department of Children and Families (DCF)	Collaborating to Serve	
Please complete the following questions. When you’re done, please send the completed document to Erica Mott at Erica.mott@awi.state.fl.us .
RWB Information
Name		E-mail 		
RWB		Phone		
Counties Served		
		
Describe the relationship between the RWB or TANF program provider and the DCF’s RAP provider: 

	
Referral Process
1. Does the RWB receive refugee cases (open or reopen) through the OSST system? 
□	Yes
□	No
Describe:

	2. If yes to 1, how does the RWB refer the refugee to the refugee service provider?
□	Paper referral
□	E-mail referral
□	Other ___________________________________	
3. If no to 1, who receives the referral in OSST?
□	The refugee provider receives it directly
□	Other: __________________________

Explain:	4. If yes to 2, how does the RWB refer the refugee to the refugee provider?
□	Paper referral 
□	Email
□	Phone Call
□	Other: __________________________________	
5. If the RWB is collaborating with the refugee provider to provide services, what does the refugee provider offer to the participants in your area?
□	Referral to classes or classes
□	Help getting work papers
□	Help navigating in the community
□	Help getting a job
□	Work activities
□	Emergency Assistance
□	Other: ______________________________

Comments:
	6.	If the RWB is collaborating with the refugee provider to provide services, what services are offered by the RWB provider to participants?

□	Child care 
□	Transportation
□	Training, books, fees
□	Fee for services, such as data entry
□	Emergency assistance
□	Other: __________________________________

Comments: 	
Access to OSST
1. Has DCF’s RAP provider been given access to OSST?
□	Yes
□	No	2. If yes to 1, who provided the RAP provider with access? 
□	The RWB
□	Other: _________________________________

Comments: 

3. If yes to 1, is there an agreement or MOU in place? 
□	Yes
□	No	4. If yes, to 1, what does the RAP provider enter in OSST?
	
Communication
1. Does the RWB or TANF provider meet with the RAP provider on a regular basis to work out communication and service issues?
□	Yes
□	No

Describe: 

	2. What do you think the role of the RAP provider is in regards to serving refugees?

3. What do you think the role of the RWB is in regards to serving the TANF refugee population?	4. Are there issues that need to be resolved in your region that impact participation of refugees receiving cash assistance?	
5. Do you feel the RWB has a good relationship with the RAP (refugee program) providers (i.e. participants are referred between program providers, participants have access to and are provided support services, participants are engaged in work activities, etc.)? 

□	Yes
□	No

Comments:  

		
7.	What percentage of refugees served by the refugee employment provider are receiving TANF TCA? 

       ________%

       ________ Unknown	8.  What percentage of refugees who are in the WT program (out of all those served by RWB) 
a.	Are referred to the refugee employment provider?  _____%

b.	Are served only by the RWB? ______%

c.	Are served by both the RWB and are referred to the refugee employment provider? _____%

Additional Comments (please include any process/contract issues that you feel may be impacting the RWB’s and/or RAP’s provider’s ability to provide needed services to participants): 

	
	
Thank you!

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