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Job Training Services (WIOA) Application

Fill out the following form to apply for job training or work-related items assistance.

Step 1 of 11

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  • Please check to be sure you have selected the correct WIOA Service. To participate in the service you selected, you are required to watch an orientation. Please click the link below to begin the orientation.

    Click here to begin the Orientation

  • Please check to be sure you have selected the correct WIOA Service. To participate in the service you selected, you are required to watch an orientation. Please click the link below to begin the orientation.

    Click here to begin the Orientation

  • Contact Information

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  • Contacts

  • Please list at least three people with whom you're frequently in contact.
    Name Phone Relationship  
         
    • Edit
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    There are no Alternate Contacts.

    Maximum number of alternate contacts reached.

  • Qualifying Questions

    Please tell us more about your background so that we can best determine your eligibility for services.
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  • Please select all that apply.
  • Education

  • Please describe any other specialized training that you have completed (military, vocational, etc.).
  • Military

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  • Public Assistance

  • Please complete this section if you receive any of the following: TANF, SNAP, SSI, SNAP E&T ABAWD, SSDI, or any other public assistance currently or in the last 6 months.
    Type of Public Assistance HHSC Case Number HHSC Client Number Amount Received Start Date Certification Date Named or Grant? Currently Receiving? Last Payment Date  
                     
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

  • Family

  • Select all that apply.
  • Click the plus mark (+) to add additional rows. Add one row (and fill it in) for each family member in your household. Be sure to account for each member - the number of people listed should match the number of people selected in the dropdown above.
    NameRelationship to You 
  • Employment

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  • Please select any that apply to your current reason for being unemployed:
  • Disability/Medical

  • Please check all that apply.
  • Review Application

    Please review the information you have submitted below for accuracy. If you need to make a change, you may go back by clicking the "Previous" button, below.
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  • Create Your Account

    Fill out the following fields to create your user account on the Workforce Solutions Panhandle Customer Portal.
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  • Certification

    I certify there is no intent to commit fraud. I am also aware that the information provided is true to the best of my knowledge and will be used to determine eligibility and that I am required to document the accuracy of the information and that the information is subject to external verification and may be released for such purposes. I am also aware that I am subject to immediate termination if I am found ineligible after enrollment as a result of falsifying information on the application and may be prosecuted for fraud and / or perjury.
  • This field is for validation purposes and should be left unchanged.
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  • Named or Grant?
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  • This field is for validation purposes and should be left unchanged.