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 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
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