Equity Eligible Persons

Do you have this individual's permission to fill out this form on their behalf?*

Yes

No

The individual must sign and complete the downloadable EEP attestation. Once signed and completed, it must be attached to this form.

https://ilgov.sharepoint.com/:b:/t/IPA.Team/Eeojj-ro_bhImvXwY0lfnnUB3xnbb5Mc6nHKuLQs_xgWKg?e=xn8epC

Contact information for person filling out this form

First Name*

Middle Initial

Last name*

Telephone Number*

Phone

Email Address*

Contact Information of the EEP

First Name*

Middle Initial

Last Name*

Telephone*

Phone

Email Address*

City*

State*

Zip*

List Key Skills*

Open ended for skills not listed

Select or enter value

Other Skills*

Basis for Equity Eligible Person Status*

Click here for Map of Equity Investment Eligible Communities.

Primary residence is in an Equity Investment Eligible Community (EIEC)

Formerly Incarcerated

Graduate or enrolled in Foster Care System

Graduate, current or former participant in eligible job training/workforce development program

Basis for Equity Eligible Person Status*

Click here for Map of Equity Investment Eligible Communities.

Primary residence is in an Equity Investment Eligible Community (EIEC)

Formerly Incarcerated

Graduate or enrolled in Foster Care System

Graduate, current or former participant in eligible job training/workforce development program

RESIDENCE ATTESTATION: I have attached one of the following documents to prove the individual's primary residency is located in an equity investment eligible community: driver’s license, state ID, utility bill, mortgage agreement, lease, or a pay stub*

WORKFORCE DEVELPMENT ATTESTATION: I have attached one of the following documents to prove that the individual has participated in or completed an eligible workforce development/job training program: certificate of completion or written communication from the training program administrator confirming participation.*

RESIDENCE ATTESTATION: My primary residence is located in an equity investment eligible community, as defined by Section 1-10 of the Illinois Power Agency Act (20 ILCS 3855/1-10) and amended by Public Act 102-0662.*

I have attached one of the following documents to prove my primary residency is located in an equity investment eligible community: driver’s license, state ID, utility bill, mortgage agreement, lease, or a pay stub*

CONVICTION ATTESTATION: I am an individual who (i) was sentenced to a term of imprisonment, not including juvenile detention, after the disposition of one or more misdemeanor or felony charges; and (ii) has completed their sentence.*

FOSTER CARE ATTESTATION: I am a graduate of or am currently enrolled in the foster care system, specifically, I am an individual who is currently or was formerly a youth in care of the IL Department of Children and Family Services, or the equivalent agency in another state.*

WORKFORCE DEVELOPMENT ATTESTATION: I have graduated from or am a current or former participant in the Clean Jobs Workforce Network Program, the Clean Energy Contractor Incubator Program, the Illinois Climate Works Pre-apprenticeship Program, Returning Residents Clean Jobs Training Program, or the Clean Energy Primes Contractor Accelerator Program, and the solar training pipeline and multicultural jobs program created in paragraphs (a)(1) and (a)(3) of Section 16-108.21 of the Public Utilities Act.*

Type the Name of Workforce Training Program*

Select Date you did or will complete the Program*

Select date the individual did or will complete the Program*

Location of Training Program (City & State)*

I have attached one of the following documents to prove that I have participated in or completed an eligible workforce development/job training program: certificate of completion or written communication from the training program administrator confirming participation.*

Are you NABCEP Certified?*

The North American Board of Certified Energy Practitioners offers a variety of certifications for renewable energy professionals. For more information

see: Web Site

Yes

No

Is the individual NABCEP certified?*

The North American Board of Certified Energy Practitioners offers a variety of certifications for renewable energy professionals. For more information

see: Web Site

Yes

No

Please select one or multiple certifications.*

Select

Are you a Qualified Person?*

The standard to be considered a Qualified Person is contained in the Illinois Commerce Commission’s Part 468 Rules for Distributed Generation Installer Certification.

See: Web Site.

Yes

No

Is the individual a Qualified Person?*

The standard to be considered a Qualified Person is contained in the Illinois Commerce Commission’s Part 468 Rules for Distributed Generation Installer Certification.

See: Web Site.

Yes

No

Are you a member of a union?*

Yes

No

Is the individual a member of a union?**

Yes

No

List Union Affiliation*

Select

Local Union Number*

Personal Info

This information will be kept confidential by the Agency but may be published on an aggregated basis.

Gender*

Select

Attachments

File Upload

If you chose to qualify based on residence in an Equity Investment Eligible Community (EIEC), you must upload proof of residency from the following list: driver’s license or a state ID, utility bill, pay stub, mortgage agreement, or lease.

If you chose to qualify based on being a graduate, current or former participant in an eligible job training/workforce development program, you must upload proof of enrollment - either a certificate of completion, or formal communication from the training organizer.

If you would like your resume posted to the External EEP Dashboard (for clean energy companies to see) you may also upload one here.

Drag and drop files here or

Final Attestation that information provided is true and complete*

Do you want your information shared at this time? If ‘Yes’, your information will be shared with employers that use the Portal to recruit equity eligible job seekers.*

If you would not like to have your information displayed to potential employers, please select "No"

Select

Does the individual want their information shared at this time? If ‘Yes’, their information will be shared with employers that use the Portal to recruit equity eligible job seekers.*

If they would not like to have your information displayed to potential employers, please select "No"

Select

*EIEC - Equity investment eligible communities are geographic areas throughout Illinois which would most benefit from equitable investments by the State designed to combat discrimination. The eligible communities are: (1) R3 Areas as established pursuant to Section 10-40 of the Cannabis Regulation Tax Act, where residents have historically been excluded from economic opportunities, including opportunities in the energy sector; and (2) Environmental justice communities, as defined by the Illinois Power Agency pursuant to the Illinois Power Agency Act, where residents have historically been subject to disproportionate burdens of pollution, including pollution from the energy sector. 20 ILCS 3855/1-10.

How did you hear about the Energy Workforce Equity Portal?

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