inCompass Program Application

inCompass Program Application

Larimer County Economic and Workforce Development
Auxiliary aids and services are available upon request to individuals with disabilities.

Larimer County Economic & Workforce Development is an equal opportunity agency and supports Veterans priority of service.

Qualified persons with disabilities can request reasonable accommodations with seven business days’ notice by emailing lcewd-ada@larimer.org or calling 970.498.6600 or Relay Colorado 711. Accommodation requests will be honored when possible but may be unavailable if advance notice is not provided.

Please Read Prior to Completing Application: You will not be able to save this application. Therefore you must complete this application and submit it without closing the application page. If you have gathered all of the information, you can likely complete the application in up to 30 minutes.

Release of Information
I authorize the release/sharing of information between my counselor and other LCEWD staff, and/or the referring community partner, for the purpose of documenting eligibility and supporting my participation goals.
I, First Name* Last Name* do hereby declare that, to the best of my knowledge, the information provided above is true and correct as of the date signed.
Applicant Electronic Signature*

First NameLast Name
Applicant Signature for Release of Information. Use your touch screen or place your mouse cursor in the box to create your signature. I authorize the release/sharing of information between my counselor and other LCEWD staff, and/or the referring community partner, for the purpose of documenting eligibility and supporting my participation goals. *
Verification of Application Information
Applicant Electronic Signature*

First NameLast Name
Applicant Signature for Verification of Application Information. Use your touch screen or place your mouse cursor in the box to create your signature.*
Date

MonthDayYear
Larimer County Economic and Workforce Development is an equal opportunity agency and supports Veterans priority of service. Accommodations for persons with disabilities provided upon request.

NOTICE TO APPLICANT: EQUAL OPPORTUNITY IS THE LAW

The Colorado Department of Labor and Employment, Division of Employment and Training is prohibited from discriminating on the grounds of race, color, religion, sex, national origin, age, disability, and for beneficiaries only, citizenship or participation in programs funded under the U.S. Department of Labor (USDOL) in admission or access to, opportunity or treatment in, or employment in the administration of or in connection with any USDOL funded program or activity.

If you believe you have been discriminated against, under a USDOL funded program or activity, you have the right to file a complaint within 180 days from the date of the alleged violation with Colorado Department of Labor and Employment’s Equal Opportunity Officer, Gloria Fisher, at Tower 2, Suite 775, 1515 Arapahoe Street, Denver, CO 80202-2117 or you may file a complaint directly with the Directorate of Civil Rights (DCR), U.S. Department of Labor, 200 Constitution Avenue, Room 4123, Washington, DC 20210.

For further information or assistance, please contact the nearest Workforce Center in your area.
Should be Empty:

inCompass Program Application

Education & Training

Employment History

Employment Goals

Release of Information

Verification of Application Information