LCEWD Training Interest Form

Economic and Workforce Development is committed to providing accessibility for everyone. If you have accessibility needs that make it difficult to complete this form, contact Blake Dowling at lcewd-ada@larimer.org or 970.498.6041.

Contact lcewd-training@larimer.org with questions about your training interests.
We are receiving a high volume of requests for job search and training services.

Please note that it may take additional time to process your Training Interest Form, but we will make every effort to respond to you as soon as possible. Thank you for your patience.
LCEWD Training Interest Form

Form Revised 4.21.26
Thank you for your interest in training services at Larimer County Economic and Workforce Development (LCEWD).

Please be sure you are registered in Connecting Colorado in order for us to process your Training Interest Form. Please list the email address associated with your Connecting Colorado to ensure efficient processing.

If you are unsure of your career and training interests, and/or you are primarily interested in general job search assistance (resume review, interview prep, etc.) please contact our job seeker services team to schedule an appointment with a Career Consultant at 970-498-6600.

If you have chosen a specific occupation and identified a credential for training, please complete the following questions to help us determine potential eligibility for training funds and other services. Once your interest form has been received, you will be contacted by email from a staff member. We will aim to contact you within 10 business days. Depending on the volume of requests, it may take additional days for a response.

Your responses will help us assess and connect you to the services that best match your needs, but eligibility for funding is not a guarantee.

Please note that due to Labor Market Information in Larimer County, local policy, and federal reporting standards, we are not able to provide scholarship funds for:

Bachelor's Degrees, Master's Degrees, Graduate Certificates, nor credentials towards Esthetician, Cosmetology, Massage Therapy, Real Estate, Pilot, Paralegal, Home Inspection. IT related careers will only be considered if an individual has previous IT experience.

If determined eligible for our programs, we recommend engaging in services 2-3 months before training to allow time for orientation, eligibility determination, program enrollment, and scholarship review/approval. We cannot provide reimbursements, nor payments for training that has already started.

You may contact us at LCEWD-training@larimer.org if you have additional questions or concerns about your training interests.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County of Residence*
Example: Larimer
Zip Code*
Example: 80521
Phone Number
Please enter the best phone number to reach you at. By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.Format: (000) 000-0000.
Email - Please list the email associated with your Connecting Colorado account. *
example@example.com
Last 4 Digits of SSN
xxxx
Date of Birth*

MonthDayYear
LCEWD operates under Veterans Priority of Service. You can review this webpage to determine if you are an Eligible Veteran or Eligible Spouse of a Veteran: https://www.larimer.gov/ewd/programs/veterans/veteran-eligibility-requirements
Are you a Veteran or Eligible Spouse of a Veteran? Please see the above link for more information on Veteran and Spouse eligibility.*

YesNo
Are you a Recently Separated Veteran? This is defined as Veterans within 36 months of discharge.

YesNo
Are you a Transitioning Service Member? This is defined as Veterans within 12 months of separation OR within 24 months of retirement.

YesNo
Are you an Eligible Spouse of a Veteran, per USDOL definition?

YesNo
xAre you a Veteran or Eligible Spouse of a Veteran? Please see the above link for more information on Veteran and Spouse eligibility.*

YesNo
You must be registered in Connecting Colorado to process your Training Interest Form. If you have not already, please complete registration at www.ConnectingColorado.gov.
1. Are you registered in Connecting Colorado?*

YesNo
You must be registered in Connecting Colorado to process your Training Interest Form. To ensure we can process your request, please complete registration at www.ConnectingColorado.gov before submitting this form.
x. Are you registered in Connecting Colorado?*

YesNo
LCEWD scholarships are federally funded. If an individual is required by federal law to register with Selective Service, eligible participants must do so:
- All males who are at least 18 years of age and born after December 31, 1959, and who are not on active duty
- Almost all male U.S. citizens and male immigrants, who are 18 through 25
- Males who entered the U.S. after the age of 26 are not required to register with Selective Service, but must have documentation of their date of entry into the U.S.
You can review Selective Service requirements, exemptions to Selective Service registration, and verify your registration on the Selective Service website:
2. Are you registered with Selective Service? https://www.sss.gov*

YesNoN/A
3. How did you learn about potential training funding? Check all that apply.*

LCEWD Staff MemberLCEWD WebsiteWord of mouth/friendFRCC/AIMSAnother training providerCurrent employerColorado National GuardJob CorpsCommunity OrganizationOther
x. Are you registered with Selective Service?*

YesNoN/A
x. Are you legally able to work in the United States?*

YesNo
x. Are you legally able to work in the United States?*

YesNo
4. Have you experienced a layoff within the last 5 years?*

YesNo
Please list the employer from which you were laid off. *
Please list the job title. *
How many approximate hours were you working per week?*
How many weeks did you look for jobs in the same field after your layoff?*
Did you receive Unemployment Insurance (UI) after your layoff OR have you recently applied for Unemployment benefits?*

YesNo
5. Are you currently employed?*

YesNo
Please list your current employer or business name. *
Please list your job title.*
Please list your hourly wage. *
Example: $15/hr
How many approximate hours are you working per week?*
Are you currently self-employed?*

YesNo
Were you laid off from your most recent job?*
How many weeks have you been out of work?*
Was your job loss a result of a permanent business closure?*

YesNo
Were you self-employed?*

YesNo
Have you permanently closed your business?*

YesNo
Are you currently receiving Unemployment Insurance (UI) after your job loss OR have you recently applied for Unemployment benefits?*

YesNo
How many weeks have you been requesting UI payments?*
x. Since March 2020, in what ways have you and your household been impacted by the COVID pandemic? Check all that apply. NOTE: "Household" can include those 18 and older who live with you and share expenses, including rent.*

I experienced financial impacts due to COVID from a layoff.I experienced financial impacts due to COVID from reduced hours at work.A member of my household experienced financial impacts due to COVID, including a layoff, reduced hours, or other negative impacts.I experienced a disruption in my own education due to COVID (ex: could not attend classes due to shut down, could not transition to online classes as a student)I experienced an economic loss as a result of the transition to virtual education/services due to COVID (ex: had to purchase equipment and/or materials out of pocket as an educator, counselor, etc. when schools/services were shut down)Neither myself nor my household have been economically impacted by COVID.Other
6. What is the total number of people in your household, including yourself and those under the age of 18?*
If you are the only person in your household, please enter "1"
7. What was the approximate income of your household for the last month? This refers to the total income of all in the home, 18 and older, who share expenses. *
Last month's household income
x. What is the approximate projected income of your household for the next month? This refers to the total income of all in the home (18 and older) who share expenses.
Next month's household income
8. What is your individual approximate income for the upcoming month? This refers to the net income that you will bring in as an individual to your household. *
Individual income
x. Are you 25 years of age or older?*

YesNo
9. Have you received your high school equivalency (GED) or high school diploma?*

YesNoIn progress
x. Have you received your high school equivalency (GED) or high school diploma?*

YesNoIn progress
10. Please select the statement that best matches your interests. Choose one.*

I am exploring my career options and have not researched training opportunities.I have researched possible training programs and providers but have not registered for training.I have registered for training but not started classes.I have started classes towards a certificate or degree.
11. What career and training interests are you seeking potential funding for?*
12. If you know your school (training provider), please list the institution below. If you have not chosen a school or are exploring careers, please list N/A.*
13. Please list the anticipated or expected start date of your training. *
14. How long will the anticipated training take to complete? Choose one.*

Under 3 months3-6 months6-12 months12-24 months24+ monthsN/A (I have not selected a training provider or career)
15. Which best describes your employment goal after completing training? Choose one.*

Obtain full-time employment (40 hours/week)Obtain part-time employment (less than 40 hours/week)Start my own business (self-employment)Avert a layoff at my current place of employmentIncrease wage at my current employmentOther
x. How long will the anticipated training take to complete?*

Under 3 months3-6 months6-12 months12-24 months24+ monthsN/A (I have not selected a training provider or career)
16. Have you worked with any of the following programs over the last 6 months? Check all that apply.*

SNAP (Food Assistance)TANF (Temporary Assistance for Needy Families)LEAP (Low-income Energy Assistance Program)CCAP (Child Care Assistance Program)SSI (Supplemental Security Income)Section 8 HousingRefugee Cash AssistanceAwarded a PELL grant through FAFSANone of the above
17. Do you identify with any of the following groups? Check all that apply.*

An individual with a disabilityAn older adult (age 55 and older)Justice involved (ex-offender)Experiencing homelessness/unhousedNew American (individuals who arrived in the U.S. as immigrants or their children)Displaced homemaker (an individual who has been providing unpaid services to family members in the home and has been dependent on the income of another family member, but is no longer supported by that income.)Single parent (includes single pregnant people)An individual within two years of exhausting lifetime TANF eligibilityLong-term unemployed individual (27 or more consecutive weeks being unemployed)Eligible Migrant and/or Seasonal Farm WorkerNative American, Alaska Native, and/or Native HawaiianAn individual who faces a substantial cultural barrierNone of the above
If you would like to discuss disability accomodations, you may contact LCEWD's Disability Program Navigator Blake Dowling:

bdowling@larimer.org

970-498-6041
x. I'm also interested in: Check all that apply.*

Career exploration and planningJob search supportPaid work experience (internship)None of theseOther
18. Please select the statement that best matches your employment and training needs. Choose one.*

I prefer to work on my own to achieve my goals and do not need staff assistance.I prefer to have guidance from a staff member to get started on my goals and then prefer to work on my own.I prefer to have guidance and support from a staff member more intensively throughout the journey toward my goals.
x. Please select the statement that best matches your employment and training needs. Check one.*

I prefer to work on my own to achieve my goals and do not need staff assistance.I prefer to have guidance from a staff member to get started on my goals and then prefer to work on my own.I prefer to have guidance and support from a staff member more intensively throughout the journey toward my goals.
19. Please list any personal or professional responsibilities that may interfere with the success and completion of your training. Please leave blank if not applicable.
Verification of Application Information

I certify that the information contained in this application is true to the best of my knowledge. I am aware that this information is subject to review and verification and that I may be required to provide documentation in its support.

I am also aware that I am subject to immediate exit from the program if I am found ineligible after enrollment and may be prosecuted for fraud and/or perjury if the information I have provided is false. I authorize the release of information contained in this application for use in verifying my eligibility for Larimer County Economic and Workforce Development (LCEWD) programs; however, I understand that the information will not be released for other purposes.
Customer Electronic Signature for Verification of Application Information*
Electronic Signature: First and Last Name
You must be registered in Connecting Colorado to process your Training Interest Form. If you have not already, please complete registration at www.ConnectingColorado.gov.
Should be Empty:

LCEWD Training Interest Form

Verification of Application Information