Workforce Innovation & Opportunity Act (WIOA) Program

Please click below to watch a video version of our WIOA Information Session and complete the interest form. Your responses to the questions asked in this form will help us better determine your eligibility for WIOA career services.

WIOA Program Interest Form

Did you watch the informational video (above)?*
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
PA CareerLink Participant ID (if applicable)
Are you a resident of Lehigh or Northampton County?*
Are you over the age of 24?*
Are you legally able to work in the United States?*
Males born on or after 1/1/1960: Are you registered with Selective Service?*
Do you have a high school diploma or GED?*
Are you currently employed?*
Are you currently collecting or have you exhausted Unemployment Compensation benefits?*
Are you permanently unemployed?*
If you answered yes to the previous question, are you collecting unemployment benefits?*
Are you currently collecting or have you received any of the following benefits during the last 26 weeks? Select all that apply.*
- SNAP
- TANF (Cash Assistance)
- SSI (Social Security)
- No, I do not collect any of these benefits.
What is your family size? (Count yourself, your spouse and all dependents)*
List the total income for yourself, your spouse and all dependents during the last 26 weeks. (This includes: gross wages, Unemployment Compensation, net self-employment income, alimony, pensions, military retirement pay, regular insurance or annuity payments, college or university grants, dividends, interest, net rental income, Workers' Compensation, Social Security Disability, child support payments, and Old Age and Survivors Insurance benefits under Section 202 of the Social Security Act.)*