Save

Participant application

Enter your SSN Your date of birth
(in mm/dd/yyyy format) Your first name ... last name and phone number Which organization, agency, or company referred you? Home address City State ZIP code

What is your gender? Female Male Other / did not identify

Are you disabled? Yes No Did not identify

Select all identified demographic categories to which you belong Click to view or upload eligibility documentation

Are you a US armed forces veteran? Select a response I have under 180 days left in service I am an eligible veteran No I am another eligible person (spouse, etc)

What is your employment status? Select a response I am employed I am employed but have received a layoff notice I am not employed

Have you been unemployed for more than twenty-six weeks? Select a response Yes No

Duration in months at current employer? What is the highest grade you have completed? What is the highest grade you have completed? How many members are in your family? What is your total family income in US dollars?
_{(Last six
months
only)}

Can you speak and read english fluently? Yes No

If you have been laid off or have received a layoff notice, click here to select the reason

Are you currently employed and not subject to a layoff notice? Yes No

Are you currently in secondary school or working toward an equivalent diploma? Yes No

Are you under-employed?
Yes No What is this?

Are you an ex-offender?
Yes No

Career connection Click for explanations Signature of apprentice Date Signature of parent or guardian (if minor) Date

The following fields apply to incumbent workers (those who retained their current position) In the first quarter after completion, did you... Retain your position? Advance to a new position? In the second quarter after completion, did you... Retain your position? Advance to a new position? In the third quarter after completion, did you... Retain your position? Advance to a new position?

Credentials

Skills

Select file type None Match tracking Budget & expenses Other

Description

Delete file

SSN confirmation

Cancel

The SSN you entered already exists in the database. To verify that the H1B database is returning the correct user, please enter your birthdate and then select an address that matches one where you currently live or have previously lived from the list.

All documents must be UNEXPIRED
You must present either one selection from List A
or a combination of one selection from List B and one selection from List C.

Click the document type that corresponds with
               the file you're uploading to identify it for the database.

LIST A: Documents that Establish Both Identity and Employment Authorization

AND

LIST B: Documents that Establish Identity LIST C: Documents that Establish Employment Authorization Remove image Remove image Remove image

N/A
1: U.S. Passport or U.S. Passport Card
2. Permanent Resident Card or Alien Registration Receipt Card (Form I-551)
3. Foreign passport that contains a temporary I-551 stamp or temporary I-551 printed notation on a machine-readable immigrant visa
4. Employment Authorization Document that contains a photograph (Form I-766)
5. For a nonimmigrant alien authorized to work for a specific employer because of his or her status:
- a. Foreign passport; and
- b. Form I-94 or Form I-94A that has the following:
  - (1) The same name as the passport; and
  - (2) An endorsement of the alien's nonimmigrant status as long as that period of endorsement has not yet expired and the proposed employment is not in conflict with any restrictions or limitations identified on the form.
6. Passport from the Federated States of Micronesia (FSM) or the Republic of the Marshall Islands (RMI) with Form I-94 or Form I-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI

N/A
1. Driver's license or ID card issued by a State or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
2. ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
3. School ID card with a photograph
4. Voter's registration card
5. U.S. Military card or draft record
6. Military dependent's ID card
7. U.S. Coast Guard Merchant Mariner Card
8. Native American tribal document
9. Driver's license issued by a Canadian government authority
For persons under age 18 who are unable to present a document listed above:
10. School record or report card
11. Clinic, doctor, or hospital record
12. Day-care or nursery school record

N/A
1. A Social Security Account Number card, unless the card includes one of the following restrictions:
- (1) NOT VALID FOR EMPLOYMENT
- (2) VALID FOR WORK ONLY WITH INS AUTHORIZATION
- (3) VALID FOR WORK ONLY WITH DHS AUTHORIZATION
2. Certification of report of birth issued by the Department of State (Forms DS-1350, FS-545, FS-240)
3. Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal
4. Native American tribal document
5. U.S. Citizen ID Card (Form I-197)
6. Identification Card for Use of Resident Citizen in the United States (Form I-179)
7. Employment authorization document issued by the Department of Homeland Security

Career connection explanations

Pre-Apprenticeship A program or set of strategies designed to prepare individuals to enter and succeed in a Registered Apprenticeship program which has or have a documented partnership(s) with a Registerd Apprenticeship program(s).
Technical Training School Graduates trained in an occupation from a technical training school related to an occupation registered by the program sponsor and who meet the minimum qualifications for Registered Apprenticeship.
Military Veterans Veterans that completed a military technical training school and/or elect to participate in the Building and Construction Trades Helmets to Hardhats Program or trained in an occupation while in the military related to an occupation registered by the program sponsor and who meet the minimum qualifications for Registered Apprenticeship.
Job Corps Graduates trained in an occupation from a federally funded Job Corps center related to an occupation registered by the program sponsor and who meet the minimum qualifications for Registered Apprenticeship.
YouthBuild Graduates trained in an occupation from a federally funded YouthBuild program related to an occupation registered by the sponsor and who meet the minimum qualifications for Registered Apprenticeship.
HUD/STEP-UP Applicants who successfully participated in the U.S. Department of Housing and Urban Development Step-Up program and received an apprenticeship experience which meets the minimum qualifications for Registered Apprenticeship.
Career Center Referral Includes career center participants referred to the Registered Apprenticeship Program and/or apprentice(s) that receive workforce system funded services that support their participation in a Registered Apprenticeship program. This may Include the use of individual training accounts and/or on-the-job training reimbursements.
School-to-Registered Apprenticeship Program designed to allow high school youth ages 16 - 17 to enter a Registered Apprenticeship program and continue after graduation with full credit given for the high school portion.

N/A: I do not meet any of the following conditions.

1: I have been terminated or laid off, or have received notice of layoff, and am eligible or I have exhausted entitlements to UC, and is am unlikely to return to my previous industry or occupation.

2: I have been terminated or laid off, or have received notice of termination of layoff, and have been employed for sufficient duration (based on state policy) to demonstrate workforce attachment, but am not eligible for unemployment compensation due to insufficient earnings, or my employer is not covered under the state unemployment compensation law, and am unlikely to return to my previous industry or occupation.

3: I have been terminated or laid off, or have received notice of termination or layoff from employment as a result of the permanent closure of or substantial layoff at a plant, facility or enterprise.

4: I am employed at a facility at which the employer has made a general announcement that the facility will close.

5: I was previously self-employed (including farmers, rancers and fishermen), but am unemployed due to general economic conditions in my community of residence or because of natural disaster.

6: I am a displaced homemaker; an individual who has been providing unpaid services to family members in the home and has been dependent on the income of another family member but is no longer supported by that income; or is the dependent spouse of a member of the Armed Forces on active duty and whose family income is significantly reduced because of a deployment, or a call or order to active duty, or a permanent change of station, or the service-connected death or disability of the member; and is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment.

7: I am the spouse of a member of the Armed Forces on active duty and have experienced a loss of employment as a direct result of relocation to accommodate a permanent change in duty station of my spouse.

8: I am the spouse of a member of the Armed Forces on active duty and am unemployed or underemployed and am otherwise experiencing difficulty in obtaining or upgrading employment.

9: I do not meet the criteria outlined for Dislocated Workers in the categories, but I meet DWG eligibility outlined under WIOA Title ID National Programs, Sec. 170 National dislocated worker grants, relating to Sec. 170(b)(1)(A) workers affected by major economic dislocations OR Sec. 170(b)(1)(B) workers affected by an emergency or major disaster.