2 YEAR JOB INCENTIVE / GENERAL WELFARE STIMULUS PROGRAM
The Tribe wishes to strengthen its membership by encouraging and advocating for selfsufficiency through education and job acquisition. The 2 Year Job Incentive/General Welfare
Stimulus seeks to reward and provide motivation for those tribal members in the work force by
disbursing quarterly payments to offset the rising cost of living for food, shelter, clothing and
transportation. These costs can become very complicated for tribal members who may be
transitioning into the work force as well as those who have been gainfully employed for any
number of years. The program further seeks to provide limited quarterly financial assistance to
those adult Tribal Members (18 years of age and up) who are legally disabled, full time students
who cannot take on a job as well as those who are unemployed, but can demonstrate that they
are consistently looking for employment.
This program is designed to qualify as a Tribal General Welfare Program pursuant to the
Tribal General Welfare Ordinance (TGW Ordinance) and is specifically established to provide
Benefits under all categories of the Ordinance. The Job Incentive/General Welfare Stimulus
Program will be distributed on a non-discriminatory basis to all persons who qualify on the
terms set forth herein, in compliance with Section 4.4 of the TGW Ordinance.
Disbursement Categories:
A.
B.
C.
D.
Employed Tribal Members (full time, part time, self-employed)
Unemployed Tribal Members (legally disabled)
Unemployed Tribal Members (full time student)
Unemployed Tribal Members (seeking employment)
Disbursement Category A. Employed Tribal Members:
Adult Tribal Members who are employed either full time or part time must submit one (1)
paystub for each month of the quarter that they are applying for the incentive regardless if they
get paid weekly, bi-weekly or monthly. Paystubs must be printed with employers name and
contact information clearly identified on them. Working for individuals or companies “under
the table” is not encouraged therefore; hand written paystubs will not be accepted. Tribal
Members who are self-employed must provide business license, tax ID number and proof of
business activity for each month of the quarter that they are applying for the incentive.
Examples would be receipts, invoices or bank statements. Tribal Members may apply for the
incentive in the third month of each quarter upon receipt of their first paystub for that month.
The quarterly disbursement for category (A) will be one thousand dollars ($1,000.00). The Job
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 1 of 8
Incentive/General Welfare Stimulus is an all or nothing program meaning applicants must have
worked all three (3) months of a quarter to qualify for the incentive. Employed Tribal Members
who become un-employed in the same quarter may apply for the incentive under category (D)
if they immediately begin seeking new employment and can provide necessary documentation
of such.
Disbursement Category B. Unemployed Tribal Members:
Adult Tribal Members, who cannot enter or maintain a position in the work force due to being
legally disabled, may apply for the Job Incentive/General Welfare Stimulus under category (B)
by providing documentation from a qualified physician and/or state agency establishing the
existence of a qualifying disability. The quarterly disbursement for category (B) will be five
hundred dollars ($500.00). Tribal Members applying for the incentive under category (B) must
provide physician and/or state agency verification each quarter that they are applying
indicating that there has been no change in their disability status. Tribal Members may apply
for the incentive in the third month of each quarter upon their receipt of the required
documentation.
Disbursement Category C. Unemployed Tribal Members:
Adult Tribal Members who cannot enter or maintain a position in the work force due to
furthering their education through being a full time college student may apply for the Job
Incentive/General Welfare Stimulus by providing proof of enrollment as a full time college
student in a 2 or 4 year school of higher education or vocational school / junior/community
colleges. Proof of enrollment in a school of higher education is required with each application
for the incentive. The quarterly disbursement for category (C) will be five hundred dollars
($500.00). Tribal Members may apply for the incentive in the third month of each quarter upon
receipt of the required documentation.
Disbursement Category D. Unemployed Tribal Members:
Adult Tribal Members who are unemployed may apply for the Job Incentive/General Welfare
Stimulus if they are currently and consistently searching for realistic job opportunities. Tribal
Members applying for the incentive will provide a minimum of 2 attempts to acquire
employment per month of the quarter that they are applying for. An attempt will include
acquiring and submitting a job application and at least 1 follow up call to the employer. Dates
of the application submissions follow up call, and result must be documented on the
application as well as the name of the employer, address, contact information and person you
spoke with to qualify. The quarterly disbursement for category (D) will be five hundred dollars
($500.00). Tribal Members may apply for the incentive in the third month of each quarter upon
completion of their 2nd attempt to acquire a job.
Adult Tribal Members who apply for the Job Incentive/General Welfare Stimulus are subject to
the Tribe’s anti-drug policy and will be subject to random drug testing. If a test returns with a
positive result or the Tribal Member fails to take a random drug test they will no longer be
allowed to participate in the program.
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 2 of 8
If a Tribal Member remains in category (D) unemployed entering into the second year of the
program, the Tribal Member must attend one of the free Tribally sponsored job fairs and/or job
seeking seminar or a similar program for Tribal Members who do not live in an area feasible to
attend. If there are any costs or fees associated with an outside program, they will be the
responsibility of the Tribal Member. All program disputes will be decided by the Tribal
Administrator. All decisions are final and cannot be appealed.
The Job Incentive/General Welfare Stimulus program is a 2 year program, created to incent
Tribal Members to take a step toward self-sufficiency by rewarding those who have attained
active status in the work force, while providing limited financial relief to those who are actively
seeking to become employed. The program will be evaluated at the end of the 2 year period to
determine if the program produced a positive impact on the number of adult Tribal Members
active in the work force and reduced the complications involved in the transition from being
unemployed. As with any Tribal program, policies, procedures and requirements may be
modified at any time during the 2 year period if necessary as determined by Tribal
Administration and approved by the Executive Council.
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 3 of 8
APPLICATION FOR JOB INCENTIVE / GENERAL WELFARE STIMULUS
Name: __________________________________
Date: _________
Address: ____________________________________________________
Phone: _________________________
Email: ____________________________
Tribal Identification Number: _________________________
I am applying for disbursement under the Job Incentive/General Welfare Stimulus
under Category:
Circle all that apply
A. Employed Full-Time
Part-Time
Self-Employed How Long? ______
(Please attach paystubs covering 3 months in the current quarter applying for)
B. Legally Disabled
(Please attach physician or state agency verification)
C. Full Time Student
(Please attach proof of enrollment in school of higher learning)
D. Unemployed
(Please attach unemployment worksheet)
(By signing below, I certify under penalty of perjury that all information submitted by me is true
and correct to the best of my knowledge. I understand if any information is found to have been
falsified, I will be removed from participating in the program and I may be subject to repayment
of any disbursements I have already received. Further I understand all information is subject to
verification and any discrepancies or difficulty in doing so may hold up my disbursement.)
Tribal Member Signature: _____________________________ Date: __________
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 4 of 8
JOB SEARCH VERIFICATION WORKSHEET
Tribal Member Name: _________________________________
Monthly Job Attempts
Month 1:
First Attempt
Potential Employer Name: _____________________________
Address: ___________________________________________
Phone: __________________________
Date of Job Application Submission: __________________
Date of Follow Up: _________________________ (Phone/In Person)
Name of Person Spoke With: ________________________________
Result: _____________________________________________________________
___________________________________________________________________
______________________________________________________________________________
Month 1:
Second Attempt
Potential Employer Name: _____________________________
Address: ___________________________________________
Phone: __________________________
Date of Job Application Submission: __________________
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 5 of 8
Date of Follow Up: _________________________ (Phone/In Person)
Name of Person Spoke With: _________________________________
Result: _____________________________________________________________
___________________________________________________________________
______________________________________________________________________________
Month 2:
First Attempt
Potential Employer Name: _____________________________
Address: ___________________________________________
Phone: __________________________
Date of Job Application Submission: __________________
Date of Follow Up: _________________________ (Phone/In Person)
Name of Person Spoke With: __________________________________
Result: _____________________________________________________________
___________________________________________________________________
______________________________________________________________________________
Month 2:
Second Attempt
Potential Employer Name: _____________________________
Address: ___________________________________________
Phone: __________________________
Date of Job Application Submission: __________________
Date of Follow Up: _________________________ (Phone/In Person)
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 6 of 8
Name of Person Spoke With: __________________________________
Result: _____________________________________________________________
___________________________________________________________________
______________________________________________________________________________
Month 3:
First Attempt
Potential Employer Name: _____________________________
Address: ___________________________________________
Phone: __________________________
Date of Job Application Submission: __________________
Date of Follow Up: _________________________ (Phone/In Person)
Name of Person Spoke With: __________________________________
Result: _____________________________________________________________
___________________________________________________________________
______________________________________________________________________________
Month 3:
Second Attempt
Potential Employer Name: _____________________________
Address: ___________________________________________
Phone: __________________________
Date of Job Application Submission: __________________
Date of Follow Up: _________________________ (Phone/In Person)
Name of Person Spoke With: __________________________________
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 7 of 8
Result: _____________________________________________________________
___________________________________________________________________
______________________________________________________________________________
(By signing below, I declare under penalty of perjury all information submitted is true and
accurate to the best of my ability. If any information is found to be falsified, I understand I will
be removed from participating in the program and may be subject to repayment of any
disbursements I have already received. Further, I understand that all information submitted is
subject to verification and any discrepancies or difficulty in doing so may hold up my
distribution.)
Tribal Member Signature: _____________________________ Date: __________
Est. 5/8/15
Effective Date: 6/1/15
Revision Date(s):
Page: 8 of 8