Site logo
    • Provider Login

    SNAP Path to Work

    Program Writeup Template

    Program Writeup Template

    Organization Information

    Address
    Address
    City
    State
    Zip

    Program Information

    REMINDERS:

    If your program includes stipends/wages that participants received, please complete the Basic Participant Pay Questionnaire or Work Based Learning (WBL) Questionnaire & Assurances. If you are adding a dependent care budget, please ensure you complete the Dependent Care Questionnaire.

    Program is offered in
    Please indicate the number of SNAP Path to Work participants you expect to serve in this program during the Federal Fiscal Year. This should match the number of anticipated SNAP clients indicated on the SNAP portion of the program budget.

    Program hours* (weekly)
    *Please include time that the participant is expected to spend on homework/independent study activity.

    weeks
    Rolling admission?

    Sample Schedule: Enter the typical schedule and activity the participant will follow for the program

    Days
    plus1 Add another sample schedule row minus1 Remove

    Location of program

    Is the program offered remotely?

    Please list the full address of all the locations where this program is offered.

    Address
    Address
    City
    State
    Zip
    Please indicate whether site is accessible via public transportation
    plus1 Add location minus1 Remove
    Program requirements
    lbs
    Program CORI-friendly?

    Anticipated Outcomes

    Click all that apply

    Participant Supports

    e.g., Transportation, Child Care, Books/Supplies, Clothing/Uniforms, Test/License Fees, Technology – Laptop, Technology – MiFi, etc.
    Options
    plus1 Add Another Participant Support Category minus1 Remove

    Other Participant Expenses

    Are there any out-of-pocket expenses for the participant?
    Do participants receive any pay?
    Note: This description may match the general program description on your own website or may be tailored to SNAP E&T participants: Note: Job Retention programs are not displayed on the website.

    Enter the name and contact information of the main program contact person for UMASS/DTA. This may or may not be the same person that potential participants will contact regarding interest in the program. The information entered here is not displayed on snappathtowork.org.

    Program Contact

    This is the person (or people) that potential participants should contact for questions about enrollment in your program.
    Display on Website
    plus1 Add Another Program Contact minus1 Remove

    Maximum file size: 25MB

    Are there documents, fliers, etc. that you wish to make available to those who view the program on the website? Please attach and add the link(s) to the document here:

    UMass Chan ONLY

    Institute of Higher Education?
    ABAWD Qualifying