Google Certificate Scholarship Application

Google Certificate Scholarship Application
A partnership between Google, the National Association of Workforce Board and West Michigan Works! is offering a limited number of scholarship for the Google Career Certificate Program, which includes training for IT support and automation, data analytics, project management, digital marketing, and user experience design certificates. No previous experience required. The online trainings are offered through the Coursera platform.

NOTE: Before you submit an application, you must create an account or update your existing account on Pure Michigan Talent Connect.

Once you complete and submit your application, please check your email for a confirmation from West Michigan Works! with important information. If you don't see the email in your inbox, please check your junk email folder.
Eligibility
Google Certificate Scholarship eligibility:
- One scholarship per person. If you are currently participating in a Google training, you will need to complete it before applying.
- Must live in the West Michigan Works! service area: Allegan, Barry, Ionia, Kent, Montcalm, Muskegon or Ottawa county.
Are you currently completing a Google certificate?

YesNo
Scholarship vouchers are limited to one per person. You will need to complete the training you are currently taking before applying for a new voucher/scholarship.
County *
Currently West Michigan Works! is providing scholarships to residents of the seven counties it serves: Allegan, Barry, Ionia, Kent, Montcalm, Muskegon, Ottawa.

To find an organization providing scholarships in your area visit: https://www.nawb.org/google-individual-scholarship-application.
Are you currently 18 years of age or older?

YesNo

Contact and Demographic Information
First and Last Name*
In order to generate your training voucher, please provide your birth day and month (DD/MM) *
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you served in the military?*

YesNo
Race*
Gender assigned at birth*

MaleFemale
Are you currently employed?*

YesNo

Agreement

Please signal your agreement with the following statements by selecting "Agree" and providing your signature below.
I understand the certificate program will require a minimum of 10 hours per week for six months.

Agree
I understand the certificate program must be completed within seven months.

Agree
I understand that if I am inactive in my course for more than 10 consecutive days, my scholarship may be assigned to someone else.

Agree
I agree to provide data about my employment before and after the training so program partners (West Michigan Works!, NAWB, and Google) can track the success of the program.

Agree
I agree to receive text messages (program reminders) and complete surveys regarding program satisfaction.

Agree
I have been informed about and understand the Equal Opportunity (EO) is the Law and have received a copy of this form. I understand how to file a complaint if I feel I have been discriminated against and have received a copy of these instructions.

Agree
I authorize the Workforce Development Agency to use my registration information to obtain workforce performance-related outcomes from other State of Michigan data systems. Please note, the State of Michigan does not report an individual’s performance results, but rather performance results are aggregated totals.

Agree
I acknowledge that I have read, understand, and agree to the conditions of my participation in the Google Certificate Program with ACSET West Michigan Works!.*

Clear
Print your name*
Date*

MonthDayYear
Date
Next Step
After you submit the form, you will receive a confirmation email from West Michigan Works! (if you do not see an email in your inbox, please check your email's junk folder).

The email will have important information about next steps to successfully move forward in the process.
Should be Empty:

Google Certificate Scholarship Application

Eligibility

Contact and Demographic Information

Agreement

Next Step