Job Seeker Services

MONTEREY COUNTY WORKFORCE DEVELOPMENT BOARD
WORKFORCE INNOVATION & OPPORTUNITY ACT (WIOA) APPLICATION

  • Date Format: MM slash DD slash YYYY
  • CONTACT INFORMATION

  • DEMOGRAPHIC INFORMATION

  • Date Format: MM slash DD slash YYYY
  • If you are a Veteran you will be required to complete a WIOA Veteran Form at enrollment
  • If “Yes”, you will be required to complete a WIOA Disability Form at enrollment
  • If U.S. Permanent Resident or Alien/Refugee:

  • Date Format: MM slash DD slash YYYY
  • EMPLOYMENT INFORMATION

  • DISLOCATED WORKER ELIGIBILITY

  • Date Format: MM slash DD slash YYYY
  • EDUCATION INFORMATION

  • PUBLIC ASSISTANCE

  • BARRIERS

  • FAMILY INCOME

  • APPLICANT CERTIFICATION STATEMENT

    I certify that the information on this application is accurate to the best of my knowledge. I understand that my willful misstatement of the facts may cause my forfeiture of rights in the WIOA Program and may result in criminal action. I give permission for outside sources to be contacted and for them to disclose any information necessary to verify my eligibility for WIOA. I further understand and agree that my social security number and other information on this application will be provided to other government agencies as required by law.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
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