What is the best phone number to reach you at?
Parish of Residency
Tangipahoa / St. Helena
Iberville / West Baton Rouge
E/W Feliciana / Pointe Coupee
Do any of these apply to you? Please check all that apply.
Did you lose your previous job through no fault of your own, as a result of a downsizing, restructuring, the COVID-19 pandemic or some similar actions?
Are you recently divorced or have you become a widow/widower in the last 5 years?
Were you honorably released from the Military in the last 2 years (must provided DD214)?
Are you a spouse of an active military member that was relocated to Louisiana (Change of Duty)?
Do you have a layoff letter?
Are you eligible for unemployment?
I have exhausted my unemployment benefits
Do any of these apply to you? Please check all that apply
You or a family member is receiving public assistance, or has received public assistance in the last 6 months.
You have a disability
You have been subject to any stage of the criminal justice process (felony, misdemeanor, arrest record, diversion, deferral)?
You have a belief or practice that would restrict you from some employment opportunities?
You do NOT have a high school diploma or GED
You are a single parent of a child under the age of 18
You are 55 or older
You are low income individual, which includes being homeless, a foster care youth, and a recipient of free or reduced lunch (including parents)?
What forms of public assistance are you or a member of your family currently receiving or received in the last 6 months? Please check all that apply.
Child Care Assistance Program
Are you currently enrolled in a post secondary school or training program?
What post secondary school or training program are you enrolled in?
What are you hoping to get out of the WIOA Program? Please be specific.
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