Eligibility Requirements and Checklist

Use this form to determine eligibility for WIOA Services

Under WIOA, who are Adults, Dislocated Workers and Displaced Homemakers?
Adults are individuals age 18 and older who are unemployed at time of application OR who are under-employed OR whose family meets adult low income guidelines (see Chart at bottom of page).

Dislocated Workers are individuals with significant attachment to the workforce but have lost their employment or income from employment for one or more of the following circumstances:

• Has been terminated through no fault of their own or laid off, or received a notice of no fault termination or layoff from employment and is eligible for or has exhausted U. I. or is not eligible for U. I. due to insufficient earnings or having performed work for a non-covered employer, but has been employed for duration to show attachment to the workforce (6 months) and is unlikely to return previous occupation without additional services or training

• Has been terminated through no fault of their own (determined by UI review) or laid off, or received a notice of no fault termination or layoff from employment as a result of any permanent closure of or any substantial layoff at a plant, facility or enterprise.

• Is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days

• Previously self-employed and unemployed due to natural disaster or general economic conditions

• After layoff, have become reemployed in an income maintenance position and meets the definition of a currently employed dislocated worker (underemployed, see below)

• Individuals who have been separated for cause and/or those who voluntarily left who are also eligible for UI. 

• Being discharged (under honorable circumstances) either voluntarily or involuntarily from the military and unlikely to return to a previous industry or occupation. TEN 22-04

Currently employed dislocated workers may be determined eligible for services if the customer’s current employment meets all of the following conditions:

The individual is currently making less than 85% of former wages, and/or is in employment that uses significantly less skills or abilities than the job of dislocation and is not commensurate with the individual’s demonstrated level of educational attainment, and the individual’s current employment and job of dislocation is not in a field or occupation that is generally known for short term or contract work. In these instances, customers may be assessed for program eligibility at the time they are no longer working.

Displaced Homemakers (male or female)

• An individual who has been providing unpaid services to family members in the home and who

• Has been dependent on the income of another family member but is no longer supported by that income and is unemployed or underemployed and is experiencing difficulty in obtaining or upgrading employment (may include spouses of dislocated workers)

      Adult Low-Income WIOA Guidelines  Effective June 1, 2019

 Family Size - Annual Income - Six-Month Eligibility Period Income

One - $13,313 - $6,656

Two - $21,818 - $10,909

Three - $29,960 - $14,490

Four - $36,974 - $18,487

Five - $43,635 - $21,817

Six - $51,027 - $25,513

Additional family members

$7,392 for each additional family member

$3696 for each additional family member

ELIGABILTY REQUIREMENT CHECKLIST

• (Complete only one section – either Adult or Dislocated Worker)
• ADULT ELIGIBILITY (Check boxes if Yes)
• U.S. Citizen/or Legal Alien   Yes | No   
• Social Security Number       
• 18 years old or older       
• Selective Service Registration (Males only, born on or after 1/1/1960) www.sss.gov       
• Unemployed at time of application OR Under-employed OR your family meets adult low income on the income guidelines shown

REQUIRED DOCUMENTATION

• Driver’s License OR State I.D. OR Birth Certificate        
• Social Security Card       
• Selective Service Registration (Males only, born on or after 1/1/1960) www.sss.gov       
• Resume (If not available, you will be required to attend a resume workshop)       
• Proof of unemployed status at time of application including information on last employment/employer, pay stubs for last employment period and/or tax forms (W-2)       
• For under-employed or low-income: Food Stamps within last 6 months OR Paycheck Stubs for 6 months prior to date of application AND Family Income and Composition Form       

DISLOCATED WORKER & DISPLACED HOMEMAKER ELIGIBILITY (Check boxes if Yes)

• U.S. Citizen or Legal Alien    
• Social Security Card    
• 18 years old or older    
• U. I. (Unemployment) Recipient     
• Selective Service Registration (Males only, born on or after 1/1/1960) www.sss.gov     
• Notice of no fault termination or layoff     
• Previously Self Employed and Unemployed (due to general economic conditions or natural disaster)       
• Displaced Homemaker (may include spouses of dislocated workers)      
• Unlikely to Return to previous occupation without additional services      
• Currently employed dislocated worker     

For Currently employed dislocated workers: Eligibility documentation may include tax return information (up to 2 years) validating an income decrease. This will not be required if dislocation & WIOA application occur within the same year.

Atlanta Regional Workforce Development Board (ARWDB) Atlanta Regional Commission (ARC) Hotline: 404-463-3327 TDD: 1-800-255-0056 ▪ Voice 1-800-255-0135 www.atlantaregional.com/workforcesolutions

LETS GET STARTED

Please follow this step by step

GETTING STARTED (please follow this step by step)
1.     Go to https://atlworks.org/ 
a. Click on "Help For Job Seekers", then
b. Scroll down to "Ready to get started" and
c. Click on "GET STARTED". 
d. Enter the information in the form, "Sign Up to Get Started", and
e. click on "SUBMIT".

2. Click on www.worksourceportal.com 
a. Click on “no registered yet” next to the yellow sigh in button
b. Scroll down to “individual” and click on that
c. Fill out the details to create your account here

IMPORTANT: Remember to have one (1) document ready in each category that applies to you below:

• Proof of your Date of Birth (Birth Certificate, Passport, GA ID or GA Driver’s License)
• Proof of your Social Security Number
• Proof of Residency (Utility Bill, Lease, Notarized Statement)
• Proof of your Citizenship or Authorization to Work in the U.S.
• DD214 (Veterans Only)
• Proof of School Status (Youth Only)
• Proof of Income (Food Stamp Letter, TANF, SSI, Recent Pay Stub) or Unemployment status

3. After receiving a response email, attend virtual Orientation.

REMEMBER TO: Complete your Registration profile and Participant profile on the WorkSource Georgia Portal https://www.worksourcegaportal.com

4. Upload the required documentation for Eligibility.

REQUIRED DOCUMENTATION

• Driver’s License OR State I.D. OR Birth Certificate        
• Social Security Card       
• Selective Service Registration (Males only, born on or after 1/1/1960) www.sss.gov       
• Resume (If not available, you will be required to attend a resume workshop)       
• Proof of unemployed status at time of application including information on last employment/employer, pay stubs for last employment period and/or tax forms (W-2)       
• For under-employed or low-income: Food Stamps within last 6 months OR Paycheck Stubs for 6 months prior to date of application AND Family Income and Composition Form  

IMPORTANT: Submit your documents within 30 days of attending an eligibility (virtual) orientation / information session. [The eligibility process can take up to 30 business days to complete if you dont have everything you need, beginning on the date you submit a completed packet.]

IMPORTANT: If your packet is found to be incomplete during your eligibility appointment, it will be returned to you with all of your documents. You will have to make the necessary corrections and obtain any missing documentation and resubmit the complete packet. Note that the 30 business day window for processing starts when you submit a COMPLETED packet.

Once your packet is approved you will receive an email indicating you are eligible for participation in the WIOA program.

Within five (5) business days your assigned Career Planner will contact you for a first appointment.

• Complete first appointment.
• Complete assessment.
• Complete Labor Market Research.
• Complete Eligible Training Provider search and selection.

               
                               

Authorization to Pay Charges______________________________________________________

I do here by authorize S.A.H.P Training to use my financial assistance awards (including the Pell Grant) to pay any educational expenses that I incur at S.A.H.P Training. These charges will include, but are not limited to, tuition and fees, books, exams and supplies. These charges will be deducted from my financial assistance package before a student aid check is disbursed to me.

           
   
Yes | NoSignature   
Yes | No      First Name   Last Name

I Your Name do here by certify that I reside at the address given on this application, that I have read the Residency Policy,
I will have lived in this county for at least 30 days prior to the first day of classes.    I will have lived in this state in a this county for at least 12 months prior to the first day of classes.    I am an out-of-state resident.    
I am an international student.

*If for any reason, a student has not been domiciled as certified above by the beginning of classes, the student is responsible for notifying us of the correct information. I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that the submission of false information may result in dismissal from SAHP TRAINING. In addition, I understand that upon my enrollment, I will abide by the policies and regulations of SAHP TRAINING.

  Your Signature         Date     
Parents Signature   if student is under 18 years old        Date   

No person acting within the scope of his/her authority and responsibility at SAHP  shall discriminate on the basis of color, age, race, creed, sex, national origin, ancestry, handicap, marital or veteran’s status. 

Educational Goals: What are your educational goals at this time? ( Please check the one item that best matches your goals.)
Graduate with a certificate and go right to work   Graduate with a certificate and pursue further certificate program.    Take some classes to learn a new skill but not enter the field.    Enroll for program to prepare for another school.    Take one or two classes for personal interest   Take classes as a visiting student that will transfer back to your home.    Enroll in classes to find out if this industry is right for me.   I have no idea of my goals at this time. (Career counseling appointments may be made by calling 678-767-2695)    Other  Other please explain      

Statement of Responsibility for Financial Obligations
For enrollment during the Program of study training, I promise to pay SAHP TRAINING my total financial obligation (tuition, fees and Bookstore charges) upon receipt of my financial award(s) or student loan(s).

I understand and acknowledge that in the event that the anticipated fund(s)are denied or are otherwise not forthcoming, or in the event that I stop attending SAHP TRAINING for any reason, my total financial obligation shall become due and payable immediately.

I understand and acknowledge that failure to fully satisfy my total financial obligation may result in collection and/or legal action brought against me by SAHP TRAINING.

Further, I understand and acknowledge that I am fully obligated and responsible for any and all charges associated with such collection and/or legal action.

  Signature      Date   

Warning: If you stop attending SAHP TRAINING, for any reason, your financial assistance awards may be reduced or canceled. Contact the Financial Assistance office first, before leaving the Program
 
SAHP GROUP, 1040 West Marietta Street, Atlanta GA 30318