Contractual Agreement


California Work Opportunity and Responsibility to Kids (CalWORKs) 
Program Contractual Agreement
All CalWORKs student participants need to understand and adhere to the CalWORKs Contractual Agreement as follows: 
þ  Meet with a CalWORKs Counselor at least once per semester/term.
þ  Meet with a CalWORKs Student Services Specialist at least once per semester/term.
þ  Submit an approved county Welfare-to-Work plan to the COS CalWORKs Office to verify program eligibility.
þ  Be involved in 20 (one parent household, child(ren) under 6), 30 (one parent household, child(ren) over 6) or 35 (two      parent household) hours per week of eligible activities.
þ  Must be in good standing.
þ  Submit a "CalWORKs Certification Form” to the COS CalWORKs Office to verify program eligibility every semester/term.
þ  Adhere to the Student Educational Plan (SEP) and meet with a CalWORKs Counselor to make changes.
þ  Meet with a CalWORKs Counselor if you receive an Early Alert notification indicating that you are receiving a letter grade
of "D" or "F" prior to the end of the semester/term.
þ  Authorize the release of information to and from the COS CalWORKs Office for eligibility, monitoring, and evaluation      purposes.
þ  I understand that I must notify the COS CalWORKs Office of any changes to my name, address or telephone either by stopping by Sequoia Building Room 112 or calling (559) 730-3864.  Official changes must be made through Banner Web.
þ Adhere to the Student Standards of Conduct per COS Board Policy 5500 including, but not limited to, disruptive behavior, willful disobedience, habitual profanity or vulgarity, or the open persistent defiance of the authority of, or persistent abuse of College personnel. Failure to do so will result in the removal from the CalWORKs Program.
Student Responsibility:  Failure to comply with the COS CalWORKs Program Contractual Agreement will result in termination from the CalWORKs Program at the end of the semester/term.  Falsified, fraudulent or misrepresentation of any information in connection with applying for or receiving COS CalWORKs services will result in immediate termination from the COS CalWORKs Program.



College of the Sequoias
CalWORKs Program
915 South Mooney Boulevard
Sequoia Building Room 112
Visalia, CA 93277
TEL: 559.730.3864 Fax: 559.730.3989


Last Updated: 10/24/2014 2:51 PM