Workforce Investment Act (WIA) Tuition Assistance

Participant but Participant include limited Requirementsare not to: period of six will toperiod of reapply months.need after You if that are time interested.you still One-Stop thecontinue Center. Please to utilize apply.restrictions benefitsyou Certainrequest toreceivemay trainingintraining. unemployment whilebenefits the 599 application fundscannot tuition WIA usedpaidfor. to reimburse alreadyofbe WIA Regardless you if Funding, are receiving currentthetraining and tous occupations in list provideddemand our through BoardWorkforce (WIB). Investment for funding be basedyour on will eligibility determined the information provide, youyour demonstrated need for training, the Applicants must meeteligibility Workforce requirements of the Investment Act. required to produce: NOTE:meeting with ofUpon PLEASE our CountyEmploymentCounselors, one be Niagara & will youTraining Program include: Requirements Niagara County Employment Training currently isCounty and Niagarafor Employment Several accepting assistance. applications tuition factors may ** Please ** note Please that only                 sections sections this theon attestation, SIGNING application, as attachedas well completing the paperwork).

Program must completed Program be ORYEARLESS in ONE completion ofschool/program be at training NOT the considered will must toFULL-TIMEEMPLOYMENT Training lead MUST abe Application WIA submitted 6 athave a Must jobworkedminimum months of one be into Must program accepted the training of PRIOR choice to approval Education) and skillsrequiredknowledge possess Must academic ( have Must experience(paid related work or unpaid) a show Must marketable lead need which skills to obtain can to FULL-TIME EMPLOYMENT defaultstatusnot onstudentMust be loan in a NIAGARAbe Must a residentCOUNTY be Must oldyearsat least 18 Other paperwork deemed Other paperwork necessary Eligibility Purposes for WIA Funding search Job (if worksheet arenothrs currentlyyouperfull 32week) time= employed (see attached) Career Completed Worksheet Exploration attached)(see startand letter Acceptanceeligible costs end listing and from school dates ALL and experience)rate averageinanticipated career of your areapay field withincommuting Labor want(0-2market research of ads)showing level full (5 entryemployment availability time years PLEASE DIRECTQUESTIONSPLEASE &RETURNYOUR COMPLETED APPLICATION TO:  attendance attendance rate, 2.0 GPA, passingand all a grade on corecourses). Requestsfor year made aNOTE: can multi-yearprogram be the last of (you need least at will a 90%  with plantocontinue forfurtherwith no on education. Participant COMPLETE Workforce Investment Act (WIA) Tuition Assistance Investment (WIA) Act Workforce Karen Bolam Karen Phone: 278-8179 Niagara Falls, NY Falls,Niagara 14301 Eleventh 1001 Street [email protected] Center Falls Niagara One-Stop Fax: 278-8585 MUST affect includingfunding affect approval availability. WIA Funding Applications will accepted Applications be answering WIA Fundingincludesall will (this have an immediate program haveemployment completion an goal of uponof full-time immediate WIA FundingApplication Your application for WIA Training Funds will remain fora Yourapplicationforwill TrainingFundsWIAactive minimumof THREE BEFOREweeks Please Print Clearly Clearly Please Print

( those planning a to into transfer different Applicants may be be Applicantsmay required AdultBasic to a take Test of ) Applications will reviewed; Applications be the startdatetheyour program.of Revised 2014 Revised December

Page8 If yes, were you discharged or released under were orreleased If yes, you discharged service orair naval, Did youactive military, servein the younot, handletraining?If will how toseektraining? Are of members your supportive of family your decision inyour household)? isWhatfamily (number sizeyour of members family Are cashreceivingPublic you Assistance? Are a you personwitha disability? resources that can in work.assist your you return to Thisquestion will usedis voluntary foraffirmative and be record action, and you tohelp keeping, additional identify Did exhaustUnemploymentyou ? your Insurance Ifyes, received?how many weeks Are currentlyyouinsurance? receiving unemployment Ifunemployed, your why leavedid last you job? Rateof recentpay for job most Current employer, unemployed):(or employer last if isWhatcurrent (ormost your recent)job title? Are currentlyyou Employed? After of your full-time the completion is desired immediateemployment? goal training, Are in you Default a Loan?Status on Student youHave by funded ever been in WIA the past? *Required* Email Address Phone: City/Zip: Street: Name:

If"Yes" numberthe please of state hours per week:

**********MILITARY VETERANPRIORITY OF**********MILITARY SERVICE********** **********EMPLOYMENT INFORMATION********************EMPLOYMENT $ **********PERSONAL **********PERSONAL INVENTORY**********

per hour per weeks

Date of Birth: Date:

hours week per

Yes Yes

Yes Yes Yes Yes Yes Yes Yes Yes Yes

Yes Yes Yes

No No No

No Revised 2014 Revised December No No No

No No

Page8 Name and location of school selected: location ofschool selected: Name and way) to aday? job youHow to willing (one each travel far are training? doyou wantIf this not, why onthis wage?Can you be self-sufficient istheWhat average youhave? already skills and experience onthe How this trainingbuild will forthis trainingarea: orunpaid) experience(paid List your related forthis oftraining: type you abelieve make goodcandidate type that yousuitedanyskillsWhy SPECIFIC doyouare think ofwork?List have you well forthis training? Why you doyouneed believethat in? SPECIFICyou that are the interested Please trainingprogram list was existence? in disabilityresulting from aservice connected whileDid your spouseatotal die disability connected disability? did spouseIf yes, aservice? die of your ? youAre thespouseVeteran? surviving of a missing solisted orcapturedduty, than action, andhasbeen theof atotal in line in for more of 90days? interned by orpower, government aforeign Is listed your spouse asforciblydetained or disability?resulting from aservice connected doeshavedisabilityIf yes, your spouse atotal youtoAre married a Veteran? conditions dishonorable? other than Note: This section must beCOMPLETED IN section This must theschool and/orto Note: school'sbookstore FULL.Contact obtain specific information on tuition,obtain specific on books, information fees,etc. supplies, uniform, starting wage **********TRAINING INFORMATION********** **********CAREER PLANNING**********

for this type ofwork? forthis

miles

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

per hour per

Yes Yes

Revised 2014 Revised December

No No No No No No

Page8 (ex. diploma/GED, entrance exam score, college degree, etc) etc) college degree, exam score, (ex. diploma/GED, entrance to this program? admitted to requirements be are the What you that havefortraining? listed Have youthe visited school (Please be specific) inHow you training? pay will foryourwhile expenses living specific) (Please be ofanyfunding WIA award? amount ofyourHow youcosts trainingover coverthe will the amount: If please so, list aid? Have you forfinancial applied aid? forfinancial Does qualify your program SUMMARY:COST this website schoolinformation)** to orvisitschool's find the **(Contact the graduates istheWhat school'sjob rate for placement oftraining:Total hours ofTraining:Start Date person: Phone number ofcontact at person Contact school: in you thetypeforseekingtraining? ofwork which are Other: Uniforms, tools, software, license fees, etc Uniforms, tools,fees, software,license Other: *****IMPORTANT: ThemaximumWIA person*****IMPORTANT: Funding Award is$3,000per TOTAL COST: Transportation

Child care Supplies Tuition Books

TAP $ TAP

**********PLANNING FOR TRAINING********** End Date ofTraining: Date End

Pell $

$ $ $ perNumber week: ofhours $ $ $ $

Other $ Other

Yes Yes Yes

Yes

Revised 2014 Revised December

.*****

No No No

Page8 Duties: Company: Job Title: childcare provider? Who isyour backup training? you care are child while in who provide will If applicable, isyour backupWhat plan? isit? How reliable youto oftransportationusetoschool? will get method What If yes, please explain: issues ofMotorVehicle orDepartment anyorlegal health there Are you start can workinginjob? graduation that How after quickly list:If yes,please job,aexam? as licensing that such startbefore workingin you can requirements there any training,are After you complete Basic TestEducation take ofAdult may a to be** Applicants required now or in the past that could affect your ability to do that job? tojob? coulddothat your that affect ability now the past orin

**********WORKHISTORY**********

From:

Yes Yes Yes Yes To:

Revised 2014 Revised December

No No

Page8 Program: School: Program: School: forReasonLeaving: Duties: Company: Job Title: forReasonLeaving: Duties: Company: Job Title: forReasonLeaving:

Your Desired Job Title: Title: DesiredJob Your Name: Your Signature tothe best ofmyknowledge. correct signature belowindicatesthe that information haveprovidedthis on I istrue**My and application ** Please note that completing this CareerWorksheettoEligibility the WIA isMANDATORY completing Exploration this note that ** Please Choose the job your training will prepare you for and answer the questions below based on that job. below basedonthat you the forand job answer prepare questions your the training will Choose Process; therefore, this sheet must be filled in COMPLETELY in order for us must for forward. be into filled inorder COMPLETELY move therefore,this sheet Process;

WIA EXPLORATION CAREER WORKSHEET

**********EDUCATION**********

From: From: From: From:

Rate of Pay: Rate of Pay: Degree Earned: Degree Earned: Rate of Pay:

Date To: To: To: To:

Revised 2014 Revised December

Page8 SPECIFIC occupations desired find to occupation)...Examples: Heading tosimilarOccupation (Youmay have search Go to:Go Your Name: Your order move us sheet for must to bein forward. filledin COMPLETELY therefore, this JobSearch Process; isMANDATORY WIA completing Worksheet this note to Eligibility that the ** Please Skills That Would HelpSkills Would in That this You Job Entry Level SalaryEntry in Range New Level York If you are What Interests You About Interests What Job? This Job Description (What do they Descriptiondo Job (What do?)       Outlook for WesternNewOutlook York for www.labor.ny.gov/ Educational Requirements Vocational Nurses Vocational (LVN) Nurses Practical Licensed and (LPN) Licensed Coders= Medical Health Technicians Information Medical and Records Tractor Trailer = Drivers + Heavy Truck MedicalMedical Biller = Assistant CNA = Aide Nurse Z Index) or include: sources possible Exploration Worksheet. completeOther to the Career Use If you are employed full time, please put "working full time" in the boxforthename. in time" employer's put the "workingfull please time, employed full If you are NOT www.labor.ny.gov/ Employer's Name,

employed http://www.labor.ny.gov/stats/lsproj.shtm (within the past applied. 30days)positions the forwhich you(within have to help youinformation to obtain full time (32 hours per week) (32hoursfull per time www.bls.gov/ooh Method (search A- (search

JOB SEARCH If usingIf  

Name of www.labor.ny.gov To obtain neededinformationTo additional obtainTo Outlookthe and Code Net for future O currently, please provide information for provide information currently,please              Click desired job desired Click title SearchClick occupationKeyword: desired boxunder in Type under Occupations Click onJobZoneClick onindividualClick tab title job downfindScroll desired to Click Locate onEmployment gray) side in Click Projections(left onOverviewClick Statistics Labor Under onIndividuals tab Click Regional dataRegional Employment ProspectsEmployment Position : : Career Exploration Was Revised 2014 Revised December