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The Workforce Innovation and Opportunity Act (WIOA) allows Local Workforce Development <br />Boards (Local Boards) to be an Adult and Dislocated Worker Career Services Provider with the <br />agreement of the Chief Elected Official (CEO) and the Governor. <br />This application will serve as the Local Board's or administrative entity's request for Governor <br />Approval to be an Adult and Dislocated Worker Career Services Provider within a Local <br />Workforce Development Area (Local Area) under WIOA. The application must be submitted to <br />the California Workforce Development Board (State Board) by March 1, 2017, through one of <br />the following methods: <br />Mail California Workforce Development Board <br />P.O. Box 826880 <br />Sacramento, CA 94280-0001 <br />Overnight Mail/ California Workforce Development Board <br />Hand Deliver 800 Capitol Mall, Suite 1022 <br />Sacramento, CA 95814 <br />If the State Board determines the request is incomplete, it will either be returned or held until <br />the necessary documentation is submitted. Please contact your 8e�ional Advisor for technical <br />assistance or questions related to completing and submitting this request. <br />Santa Ana Workforce Development Board <br />Name of Local Board <br />1000 E. Santa Ana Blvd. Suite 200 <br />Mailing Address <br />Santa Ana, CA 92701 <br />City, State Zip <br />Deborah Sanchez <br />Contact Person <br />714-565-2621 <br />Contact Person's Phone Number <br />March 1, 2017 <br />Date of Submission <br />Page 2 of 8 <br />21A-6 <br />