By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
The following form may request personally identifiable or protected health information. Please see our Privacy Policy for details. This form is encrypted. SSL is on to ensure a higher level of security. A recaptcha must be completed before submission, you cannot save progress, and you cannot receive an email copy of the form.

Participation Agreement B

  1. The Workforce Solutions of West Central Texas Center (WFS) is pleased to work with you to help you find and retain meaningful career employment. Due to the nature of this assistance, we ask you to follow certain guidelines, which are designed to maximize your experience while ensuring that we maintain the integrity of the services. Please keep this document for a reference.
  2. I ACKNOWLEDGE AND AGREE TO THE FOLLOWING:
    (1) The services I am to receive are considered an investment in my future. I have an obligation to myself to use this opportunity wisely and efficiently. I will devote my time and energy toward successfully working with WFS staff to obtaining employment. (2) Continued assistance is dependent upon (a) compliance with WFS requirements; (b) continued availability of funds; (c) and compliance with the Career Development Plan (CDP) created by WFS staff and myself, which may include any changes while Iam receiving assistance from WFS. (3) The goal of WFS and my goal is to seek and accept full-time employment.
  3. BY ACCEPTING WFS ASSISTANCE, I AM OBLIGATED TO MEET THE FOLLOWING REQUIREMENTS TO ENSURE CONTINUED SERVICES:
  4. #1
    My CDP outlines the activities in which I will participate. I will complete my CDP activities in a positive manner, including: • Following through with job referrals and accepting suitable offers of employment, • Not disrupting service activities or having behavior that poses a threat, • Attending and reporting my workforce activities as scheduled and providing information requested of me, and • Notifying staff if I cannot attend appointments or activities as scheduled.
  5. #2
    I will meet with WFS staff as directed, to work on obtaining employment through attendance of Workforce Solutions Center workshops or other activities as deemed necessary.
  6. #3
    I will inform WFS staff of address, phone number, or back-up contact changes as soon as they occur.
  7. #4
    I understand that a violation of Workforce Solutions guidelines may result in termination of services.
  8. #5
    I agree to maintain contact with WFS staff and look for work. I will provide WFS staff information concerning my employment (including changes or new employment obtained), current address and phone number for the determined length of follow-up (up to 12 months).
  9. #6
    I understand that the Workforce Solutions Center may maintain contact with me for up to 12 months after completion of workforce activities. I agree to quickly respond to any Workforce Solution staff requests for information concerning my participation in this program.
  10. I have read this document and agree to comply with the agreement described above.
    You may request an informal local review to discuss any decisions by contacting WFS staff. You may also request a hearing to appeal a decision within 14 days from the mailing date of the decision. An authorized representative, or legal counsel may represent you. To request a hearing, contact the Program Supervisor or their designee at 500 Chestnut Suite 1100, Abilene TX 79602 325/795-4200, 800/457-5633, by telephone, in person, or in writing.
  11. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that: your application will not be signed in the sense of a traditional paper document, by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, you may still be required to provide a traditional signature at a later date.
  12. Equal Opportunity Employer/Program
    Auxiliary aids and services are available upon request to individuals with disabilities. Relay: 1-800-735-2989 (TTY) / 711 (Voice).
  13. Leave This Blank: