Application

INSTRUCTIONS: Career Link administers programs and services with funds from the Workforce
Innovation and Opportunity Act (WIOA). Priority is given to residents of Fulton, Marshall, Mason,
McLean, Peoria, Stark, Tazewell and Woodford counties. To be eligible for training funds, an applicant
must be one of the following: (1) member of low income family - below the poverty guideline OR (2)
someone who lost a job in the last four years due to a business closure/substantial lay-off OR (3) a
spouse whose family income has recently changed due to divorce, death of spouse or the significant job
loss of a spouse. If you think you might qualify, here is how to apply:
1. Read through the General Policies below and then complete the attached pre-application;
2. Submit your pre-application;
3. Wait for a telephone call from a Career Link employee within two (2) weeks from the date on
which your application is received.
GENERAL POLICIES FOR TUITION ASSISTANCE
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WIOA funds are to be used to help individuals/families become financially self-sufficient by
earning in-demand employable skills. Therefore, not all training goals are fundable.
This pre-application is valid for six (6) months and must ideally be submitted at least thirty (30)
days before the date you wish to begin school.
Persons covered under the Jobs for Veterans are, by law, considered first.
If approved for tuition assistance, you will be required to exhaust any other available means of
tuition assistance first. You may be required to submit a Free Application for Federal Student
Assistance (FAFSA) application. We strongly recommend filing online at www.fafsa.ed.gov as
soon as possible. A Career Link staff member can help you.
If you are approved for tuition assistance through Career Link, you may be allowed to keep your
PELL grant money for expenses and you may also be eligible to receive financial assistance for
books, supplies, transportation, and child care.
Send or drop off your pre-application to the CAREER LINK office nearest to you.
Peoria Office
P.O. Box 5021, 406 Elm Street
Peoria, IL 61601
(309) 321-0260
Normal Office
705 E. Lincoln Street, Suite 110
Normal, IL 61761
(309) 807-1386
Havana Office
230 W. Main Street
Havana, IL 62644
(309) 543-1035 or (309) 543-1023
Wyoming Office
106 E. Williams Street
Wyoming, IL 61491
(309) 606-9060
Pekin Office
P.O. Box 67, 2956 Court St., Sunset Plaza
Pekin, IL 61555-0067
(309) 347-8492
Canton Office
111 N. Main Street
Canton, IL 61520
(309) 647-2946 or (309) 647-7017
Eureka Office
1950 S. Main Street
Eureka, IL 61530
(309) 467-4445
Henry Office
509 Front Street
Henry, IL 61537
(309) 364-4120
KEEP THIS PAGE FOR YOURSELF
Pre-Application for Career Link (WIOA) Funds for Training
(Print) First Name _____________________Middle Initial _____ Last Name _______________________
Address _______________________________ City _____________________________ Zip ___________
Phone Number __________________ Email ____________________ Are you a veteran? □ Yes
Age ____ Birth date _____/_____/_____
□ No
Social Security # _______ - ______ - __________
Where do you plan to attend training? _________________ To study to be: _______________________
The training starts _______________ and I would be done ___________________.
Have you already applied for Federal Financial Aid (FAFSA)? □ Yes □ No
How might you be WIOA eligible?
□ My family income may be below the poverty line. (Receive Food Stamps/SNAP? □ Yes □ No)
If, No, how many people live in your household _____ and how much approximate income have
all the working members of your family earned in the last six months? $__________
□ I may be a dislocated worker. (I am laid off from _____________________, date ____/____/_____)
Are you receiving Unemployment Insurance Benefits? □ Yes □ No - Exhausted Benefits
□ Not Eligible/Not Determined □ Eligible for but not Receiving Benefits
Have you been Unemployed for at least six months prior to application?
□ Yes □ No
Have you completed at least one month of Job Search?
□ Yes □ No
□ I may be a displaced homemaker because my household income has dropped in the last two years
because of a divorce, death of my spouse or a significant job loss of working spouse.
Labor Force Status:
□ Employed □ Unemployed
(List current and previous jobs held.)
Company___________________ Job Title ______________________ Location __________________
Dates ___/___ to ___/___
Wage ____ Avg. Weekly Hours ______
Reason for Leaving __________
Company___________________ Job Title ______________________ Location __________________
Dates ___/___ to ___/___
Wage ____ Avg. Weekly Hours ______
Reason for Leaving __________
Company___________________ Job Title ______________________ Location __________________
Dates ___/___ to ___/___
Wage ____ Avg. Weekly Hours ______
Reason for Leaving __________
I confirm that I have read the General Policies for Tuition Assistance and I understand this is only
an abbreviated application and that I will be asked for additional information.
________________________________________
Signature
______________________
Date