Workforce Innovative and Opportunity Act (WIOA)

Workforce Innovative and Opportunity Act (WIOA)

In order to be considered for Occupational Training Assistance Funds, the following steps must first be met

1.  WIOA is not an entitlement program, which means that you may be “eligible” for services, but not suitable for the program. Suitability is determined by the county WIOA Case Manager. Case Manager will explore barriers, work history, existing skills, interests, and expectation will be considered when determining suitability.

2.  You must be eligible for our services before training assistance may be awarded. You will be asked to provide documentation. Determining eligibility for training assistance may take up to four weeks.

3.  Only Demand Occupational Fields that will likely lead to Self-Sufficiency will be approved for training services. Check with your training facility for job placement and wage information. Labor market information is also available in the Resource Room at OhioMeansJobs Center. Our staff will gladly assist you.

4.  Meigs County One-Stop Employment and Training Center will fund only those training programs currently on the State of Ohio WIOA Eligible Training Provider List..

5.  You will be asked to verify that you have applied for other sources of student financial aid. If applicable, the OhioMeansJobs Center will require that you complete and submit the FAFSA (Financial Aid Form). Contact the Financial Aid Office at the training facility that you will attend for assistance.

In addition:

1.  Since most training fields, and many occupations, require that you have a high school diploma or GED, OhioMeansJobs-Meigs County may require that you provide this verification. Exceptions will be considered on a case by case basis.

2.  Candidates will be required to take the TABE test, as administered by the OhioMeansJobs Center. Candidates are required to achieve scores, in the Reading, Mathematics and Language sections of the TABE, that demonstrate an academic level consistent with their field of study. Candidates receiving less 9.0 in both reading and math will not be considered for classroom training assistance.

3.  A one page, hand written autobiography will need to be completed and turned in along with the application. Candidates should tell a little about themselves, why they selected the field of study that they are pursuing and what they expect to do once their training is complete.

4.  If applicable, proof of acceptance into the training field.

Please complete WIOA applications and autobiography and return to the OhioMeansJobs-Meigs County

Any questions?

Please call Shelly @ 992-2117, extension 147 or Amanda Eason @ extension 162.

Our Occupational Training Assistance Funds are designed to help you get the training you need to be competitive in today’s job market. Here’s how:

·  We may provide help towards your tuition. Award amounts are determined on an individual basis after actual costs and other financial aid is considered. There is a cap per participant per year for the use of training assistance and/or supportive services, for up to two years. All financial aid and scholarships is applied before WIOA funds are spent.

·  WIOA funds are the funding of last resort. All programs need to be explored first before WIOA funds are authorized.

·  We can help with the cost of textbooks, uniforms and supplies that are required for your training.

·  We assist with end -of-training testing and licensure fees.

·  Additionally, we can assist with your transportation expenses.

And, we will continue to help after you complete your training.

·  Through the OhioMeansJobs Center, our agency can provide you with job leads, access to computers for resume updates and job search, and referrals to other community resources.

·  Our Staff is available to answer your specific job search questions.

·  If needed, you may utilize the OMJ Center for assistance in developing interview skills, completion of applications, resume development and much more.

We won’t forget about you once you are employed.

Our Staff is required to maintain contact with you for a full year once you have been hired. The OhioMeansJobs Center wants to be a continuing resource for you. You will be given opportunities to evaluate the services that you have received and to make suggestions for improvement. You will have to chance to ask questions and discuss your new employment.

Workforce Investment Act (WIOA) Application for Services

www.1stopjobs.net

APPLICANT INFORMATION
Date of Application: ______/ County: ______
Name: ______/ SSN: ______
Mailing Address: ______
Home Phone: ( ) ______/ Cell Phone: ( ) ______
Email: ______
Are you homeless? / ð  Yes / ð  No
Please select a method in which you prefer to receive your notifications:
ð  Home Phone / ð  Cell Phone / ð  Text / ð  Letter Mailed
DEMOGRAPHIC INFORMATION
Date of Birth (mm/dd/yyyy)
Age: / Ethnicity
ð  African American or Black
ð  American Indian/Alaskan Native
ð  Asian American or Asian
ð  Other: ______/ ð  Hispanic Heritage
ð  Pacific Islander
ð  Caucasian or White
Gender
ð  Male / ð  Female
Citizenship: / ð  U.S. Citizen or Naturalized / ð  U.S. Permanent Resident / ð  Alien/Refugee Lawfully Admitted
Are You Registered with Selective Service? (males only born on or after 1/1/1960) / ð  Yes / ð  No / ð  N/A
Selective Service Registration #: ______/ Registration Date: ______
DISABILTY
Do you have a disability? / ð  Yes * / ð  No / ð  Not Specific
* Are you receiving Supplemental Security Income (SSI)? / ð  Yes / ð  No
* Are you receiving Social Security Disability Insurance (SSDI)? / ð  Yes / ð  No
DRIVER’S LICENSE INFORMATION
Do you have a Driver’s License? / ð  Yes / ð  No
What state? ______
Driver’s License Type? / ð  Regular / ð  Commercial (CDL) / ð  CDL Endorsements
Do you have reliable transportation? / ð  Yes / ð  No
CRIMINAL BACKGROUND
Have you convicted of a felony? / ð  Yes / ð  No
If yes, explain? ______
VETERAN INFORMATION
Did you serve in the active duty military, naval, or air service? / ð  Yes / ð  No
Branch / Date Entered / Date Released / Type of Discharge
Did you serve more than one tour of duty? / ð  Yes / ð  No
Are you a disabled veteran? / ð  Yes / ð  No
Are you a campaign veteran? / ð  Yes / ð  No
Are you receiving Veteran training assistance? / ð  Yes / ð  No
INCOME INFORMATION
List family members (including you) and income information. Income is for the last 6 months and may include gross earnings from employment, social security, veteran benefits, alimony or child support, workers compensation, and so forth. You will need to provide verification of the income during your initial visit with the caseworker.
January 26, 2017 – 200% Federal Poverty Level Guidelines (Add $677.00 monthly for each add’l person)
Family Size / Monthly Amount / 6 Month / Yearly Amount
1 / 2,010 / 12,060 / 24,120
2 / 2,707 / 16,242 / 32,484
3 / 3,404 / 20,424 / 40,848
4 / 4,100 / 24,600 / 49,200
5 / 4,797 / 28,792 / 57,564
6 / 5,494 / 32.964 / 65,928
What is your family size? (Include only those living with you) ______
Do you receive? / ð  Food Assistance / ð  Cash Assistance / ð  SSI/SSDI
Name of Family Member / Relationship / Source of Income / Last 6-months total
Applicant / Self
Attach Additional Sheets if needed
TERMINATION/LAYOFF INFORMATION
DISLOCATED WORKER: A job seeker who is unemployed through no fault of his or her own or who has received an official layoff notice. A Dislocated worker
I. (a) has been terminated, laid off, or received a notice of termination or layoff from employment; and
(b) (1) is eligible for or has exhausted entitlement to unemployment compensation; or
(2) has been employed for a sufficient time to demonstrate attachment to the workforce but is not eligible for UI due to
insufficient earnings or having performed services for an employer not covered by UI, and
(c) is unlikely to return to a previous industry or occupation;
II. (a) has been terminated, laid off, or has received a notice of termination or layoff from employment as a result of any permanent closure of, or any substantial layoff at, a plant, facility, or enterprise; or
(b) is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days; or
(c) for purposes of eligibility to receive services other than training services described in WIOA §134(d)(4), intensive services described in WIOA §134(d)(3), or support services, is employed at a facility at which the employer has made a general announcement that such facility will close;
III. was self-employed (including employment as a farmer, a rancher, or a fisherman)
but is unemployed as a result of general economic conditions in the community in which the individual resides or because of natural disasters; or
IV. is a displaced homemaker.
- Displaced homemaker” means an individual who has been providing unpaid services to family members in the home and who:
-has been dependent on the income of another family member but is no longer supported by that income; AND
-is unemployed or underemployed and is experiencing difficulty upgrading or obtaining employment.
Do you believe one of these four categories apply to you?
If so, which category (I, II, III, IV)? ______/ ð  Yes / ð  No
f yes, answer the following:
Actual Layoff Date: ______Projected Layoff Date: ______
What is the reason for the Layoff? ______
Who is the dislocation Employer? ______
Dislocated Employer Address: ______
Dislocated Hourly Rate: $______
Is this a permanent layoff? / ð  Yes / ð  No
Do you need retraining to re-enter the workforce / ð  Yes / ð  No
Are you unlikely to return to your previous industry or occupation
If answered yes,
I am unlikely to return to my previous industry to occupation because: / ð  Yes / ð  No
ð  / Demand for workers in previous occupation is in decline or the job has become obsolete.
ð  / Barriers such as physical limitations prevent continuation in past employment
ð  / Lack of skills to complete successfully without further training
ð  / The job market in this field is very competitive
ð  / Jobs in this industry are limited in this area so re-employment is unlikely
ð  / Uncertain about prospects in this field because the job market is changing
ð  / Current occupational skills are no longer in demand or outdated
EPLOYMENT
List current and previous employers, beginning with your current or most recent job
Employer: ______Type of Business: ______
Address: ______Phone: ______
Job Title: ______Hourly Wage: $ ______
Hours per Week: ______Shift: ______
Start Date (Month/Year): ______End Date (Month/Year): ______
Main Duties: ______
Reason for Leaving / ð  Laid off / ð  Quit / ð  Terminated / ð  Other Employment / ð  Other
Explain Reason: ______
Employer: ______Type of Business: ______
Address: ______Phone: ______
Job Title: ______Hourly Wage: $ ______
Hours per Week: ______Shift: ______
Start Date (Month/Year): ______End Date (Month/Year): ______
Main Duties: ______
Reason for Leaving / ð  Laid off / ð  Quit / ð  Terminated / ð  Other Employment / ð  Other
Explain Reason: ______
Employer: ______Type of Business: ______
Address: ______Phone: ______
Job Title: ______Hourly Wage: $ ______
Hours per Week: ______Shift: ______
Start Date (Month/Year): ______End Date (Month/Year): ______
Main Duties: ______
Reason for Leaving / ð  Laid off / ð  Quit / ð  Terminated / ð  Other Employment / ð  Other
Explain Reason: ______
EDUCATION INFORMATION
Are you currently in school? / ð  Yes / ð  No
If yes, Name of School ______
Program of Study ______
Completion Date ______
Current grades/GPA______
List the names of schools you have attended, including high schools.
School / Course of Study / Did You Graduate/Complete? / Date of Completion
ð  Yes / ð  No
ð  Yes / ð  No
ð  Yes / ð  No
List any professional license and/or certificates you hold:
TRAINING GOALS
What brings you to the WIOA program? What assistance are you requesting? ______
______
What is your desired job title? ______

Is training required for you to meet your goals?
Have you selected a school/program?
If yes, school name? ______
Have you been accepted in the school?
If yes, when you start? ______

Is your choice of study a demanding occupational skill?
Have you applied for financial aid, scholarships, or grants which will help your training cost?
PELL / ð  Yes / ð  No / Amount:
Ohio College Opportunity Grant / ð  Yes / ð  No / Amount:
GI Bill / ð  Yes / ð  No / Amount:
Other: ______/ ð  Yes / ð  No / Amount:
Other: ______/ ð  Yes / ð  No / Amount:
Other: ______/ ð  Yes / ð  No / Amount:
Approximately, how much are you needing after financial aid/scholarship are applied? ______
Are you on financial aid hold with any educational institute? / ð  Yes / ð  No
Have you been on financial aid hold in the past? / ð  Yes / ð  No
STATEMENT OF UNDERSTANDING

The Workforce Innovation and Opportunity Act (WIOA) is designed to assist you in gaining suitable employment. WIOA is administrated in three services. The three gateways services are: Core Services, Intensive Services, and Training Services. I understand that completing this application does not entitle me to continued services.