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WIOA Employment and Training Services

This program covers a broad range of services related to adult employment and training.

11 of 11 Review and submit

  1. Level 1 Screener Edit

    • What is your date of birth (mm/dd/yyyy)?
      1. -

    • Did you ever serve in the military or are you a veteran/retiree, active duty service member, member of the National Guard or Reserves, or their spouse?
      1. -

    • Are you an American Indian, Alaskan Native, Native Hawaiian, or Other Pacific Islander?
      1. -

    • Do you have a disability that impacts any of your major life activities? (Work, School, Activities of Daily Living, etc.)
      1. -

    • Do you have a job?
      1. -

    • Are you currently enrolled in school?
      1. -

    • What was the last grade you finished in school?
      1. -

    • Do you need help with your English, reading, writing, math, or other academic skills?
      1. -

    • Are you or your family low-income?
      1. -

    • Do you or your family move around for farm work or seasonal work?
      1. -

    • Are you currently or have you in the past been involved with the criminal justice system? (Arrested, convicted, in prison or jail, on parole or probation, etc.)
      1. -
  2. Level 2 Screener Edit

    • Do you currently live in Arkansas?
      1. -

    • Are you registered for Selective Services, or are you exempt because of your gender or age?
      1. -

    • Can you legally work in the United States?
      1. -
  3. Contact Information Edit

    • Please enter your name
      1. -

    • Suffix:
      1. -

    • What is your email address?
      1. -

    • What is your Physical/Street Address?
      1. -

    • What county in Arkansas do you live in?
      1. -

    • Is your mailing address the same as your physical address?
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    • Home phone number, area code first:
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    • Cell phone number, area code first:
      1. -
  4. Demographics Edit

    • What is your Social Security Number (SSN)?
      1. -

    • What is your sex?
      1. -

    • Are you Hispanic/Latino?
      1. -

    • What is your race?
      1. -
  5. Education Information Edit

    • Do you currently have, or in the past had, an Individual Education Plan (IEP)?
      1. -

    • Are you an English Language Learner (ELL)?
      1. -

    • What is the highest level of education you have completed?
      1. -

    • Do you need help getting into or completing an education or training program, or getting or keeping a job?
      1. -
  6. Apprenticeship Edit

    • Are you currently or have you previously participated in a Pre-Apprenticeship Program?
       
      1. -

    • Are you in an apprenticeship program?
       
      1. -
  7. Household and Background Information Edit

    • What is your marital status?
      1. -

    • How many family members are in your household?
      1. -

    • How many dependents under 18 years old live with you?
       
      1. -

    • How many dependents other than children under 18 do you have living with you?
      1. -

    • Do you have dependable transportation?
      1. -

    • Do you have a valid driver's license?
      1. -

    • Have you ever participated in the Temporary Assistance for Needy Families (TANF) program?
       
      1. -

    • Are you receiving Supplemental Nutrition Assistance Program (SNAP) benefits (Food Stamps/EBT)?
       
      1. -
  8. Employment Information Edit

    • What best describes your current employment status?
      1. -

    • Are you employed part-time, or employed at at job that is below the skills you have received training for and are not earning an acceptable wage for those skills?
       
      1. -

    • Are you a Displaced Homemaker?
      1. -
  9. Low Income Edit

    • If you/your family is or may be low-income, please select all of the items below that relate to your family.
      1. -
  10. Barriers Edit

    • Have you currently been unemployed for 27 or more weeks in a row?
       
      1. -

    • Are you 55 years old or older?
      1. -

    • Are you currently or have you previously been involved with the criminal justice system?
      1. -

    • Are you currently incarcerated?
      1. -

    • Are you homeless or a runaway?
      1. -

    • Are you 24 years old or younger and currently or previously involved with the foster care system?
      1. -

    • Are you pregnant or a single parent with custody of a child under 18 years old?
      1. -

    • Do your cultural attitudes, customs, beliefs, or practices make it hard for you to get or keep a job?
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    • Are you within 2 years of exhausting your TANF benefits?
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    • Are you a migrant or seasonal farmworker?
       
      1. -

    • Are you the spouse or child under 18 years old of a migrant or seasonal farmworker?
      1. -

    • Are you a participant in ARHOME, the state's Medicaid expansion program?
       
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