WES Application

Created: 10/2020 Updated: 2/2021

I am applying for:

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First Name*

Last Name*

Preferred Name

ctcLink ID*

Phone Number*

Put NA if none.

Street Address

City

State

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Zip Code

Email Address*

Put NA if none.

Have you lived in Washington for the last 12 months?*

Yes

Have you applied for financial aid (FASFA or WASFA)?*

(Required to apply within 90 days)

Yes

Have you received Opportunity Grant Funds at any other Washington State community or technical college?*

Yes

Are you a U.S. Veteran?*

Yes

Discharge date*

Are you currently serving as Active Duty Military?*

Yes

Are you active duty at JBLM?

Select or enter value

Have you received a layoff notice?*

Yes

Layoff Notice

Please provide a letter from employer confirming your separation.

Have you received unemployment benefits within the last 4 years?*

Yes

UI self service portal print out: Most recent UI check stub.

Please upload any formal documentation directly from Employment Security confirming approval within the last 48 months. Your unemployment benefits can be exhausted.

File Upload*

Drag and drop files here or

Are you receiving basic food assistance?*

Yes

Are you receiving TANF (Temporary Assistance for Needy Families) and working with a DSHS (Department of Social and Health Services) Case Manager?*

Yes

Are you interested in workstudy?

Select or enter value

Current Household / Family Size*

Select or enter value

Current Household Family income*

Select or enter value

Amount*

Current Skills & Education

Do you have a previous credential?*

Yes

Certificate - Date received mm/yy

Major

Associates - Date received mm/yy

Major

Bachelors/Masters - Date received mm/yy

Major

Work Experience

I have work experience within the past year.

I have no work experience within the past year

Most recent employer

Are you at risk of being laid off?

Yes

Job Title

Type of job

(select one)

Select

Start date (mm/yy)

End date (mm/yy)

I am still currently employed

Additional Information

Do you have a disability that requires special accommodations?

Yes

If yes, please describe below.

Briefly describe below any challenges that you might face in completing your college program (i.e. medical/dental/vision, legal, housing, etc.). Also describe how you will try to overcome these and how we may be able to help.

Please note that you may be requested to bring additional documentation to verify your eligibility.

The program I plan to enroll in:

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I understand that Workforce Education Services Funding is designed to support students with limited financial aid and that I am expected to apply for Financial Aid through the FAFSA (Free Application for Federal Student Aid). I further understand that if I am awarded WES Funding, any student loans I have applied for may be reduced or canceled quarterly which will allow me to receive WES support funds and will decrease the amount of debt I will incur while in school. I understand that I will be responsible for all tuition and fees due for any reason, to include providing incorrect, incomplete, or inconsistent financial aid information or I am not maintaining satisfactory progress or attendance. I understand that I will be responsible for any and all expenses, including but not limited to, books, supplies, transportation, childcare, housing, and any additional educational costs. I appear to be eligible for Workforce Education Services. If for any reason I am found to be ineligible or not approved, I will be fully responsible for all tuition and fees due. This is not a guaranteed award, but an award estimate is pending.

I have read and understand the above language.*

Release of Information

I give permission for the Washington State Department of Social and Health Services and Bates Technical College to use and share confidential information about me (except as limited below) as necessary for Employment and Training (E&T) activities as required by the BFET and TANF programs. This consent is valid for a maximum of three years from the date signed, unless I withdraw or change my consent in writing. This consent DOES NOT permit sharing of sensitive information about my mental health, chemical dependency, HIV/AIDS and STD test results, diagnosis or treatment. I understand that I must fill out a separately approved consent form if I am under 18 years of age, I want to further limit information shared about me, someone else is representing me in this manner, or I want to allow sharing of sensitive information about my mental health, chemical dependency, HIV/AIDS and STD test results, diagnosis or treatment." I certify that the information provided is true to the best of my knowledge. I authorize the following partners and agencies to exchange any information required for my enrollment and funding in the Workforce Programs: Employment Security, Worker Retraining partners, WorkSource/WIOA agency partners, DSHS, other federal or state agencies, schools or colleges, and community based organization. I am also aware that the information I have provided is subject to review and verification and I may be asked to provide documentation to support this application for program funding. This institution is an equal opportunity provider.

I have read and agree to the above release of information.*

Send me a copy of my responses

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