OWD State Office Semi-annual Certification Name(Required) First Last Employee ID(Required)Employee Email(Required) Start Date(Required) MM slash DD slash YYYY End Date(Required) MM slash DD slash YYYY Manager Name(Required)Choose Your ManagerAdam HawkAlice JacksonAlicia CrowderAna GonzalezApril HenneckeAtoya RhodesAundrea SimmonsBrandon OnaBriana FlaniganCarla Calderon-BonillaCarolyn McGriff-AndersonCharlene BrinsonChayla KendrickCheryl MyersClifton Marvel, Jr.Colesha MaddoxDamon WellerDanny MitchellDarrien MooreDavid PinckneyDenine WoodsonDiana BillupsDiane AllenElizabeth ScottEmily BrinsonGabe MathisGabriela MunozGail LongGerald SydnorHanoy SuggsJames ThomasJamon WilliamsJoel DomineckJohn IrvineJohn ShawJohnathon LeslieJosh McKoonKaren KirchlerKathryn LookofskyKimberly AbubakarKristin LaarhovenLaura GomezLevi KoebelMaurice MarshallMellie NapolitanoMichael O'Neal IIIMichael SullivanNicole McQueenPaul WorkmanRenee JanuszkiRenee PullinRhonda WaiteRobin ConeRosalyn DennisRossany RiosSally BadgerSharon WarrenShelleva OrrSimone RichardsSteven WilsonSusan WoodardTammy RauchThomas SimpsonWanda RoeSection IIndicate the Cost ObjectiveCost Objective(Required) Federal WIOA Title I Program Federal WIOA Title I Administration State JVSG 7a WP 7b WP 7a: Agricultural Outreach General Employment Services General Business 7b: JGG Section IIIf WIOA Title I, select one of the followingWIOA Title I(Required) Youth Dislocated Worker Adult Time Allocated according to CAP Employee AuthorizationBy signing below, I certify that I worked on the cost objectives as indicated on this form, and in accordance with the time/ percentage of direct charges in accordance with the OWD Cost Allocation Plan.Employee's Signature(Required)By typing in your full name, you are signing this document.Employee's Position(Required)Date of Employee Signature(Required) MM slash DD slash YYYY
