Alaska CHARR Class Funding Request

Class Funding Request
Application Instructions:

Complete this application to request funding for Alaska CHARR's in-person ServSafe: Food Manager Certification program. If approved, Alaska CHARR Educational Fund staff will enroll you using Alaska STEP Grant funds.

If you live outside of the Anchorage Munincipality (Anchorage, Eagle River, Chugiak, Girdwood), and would like financial assistance with travel, please let us know.

Note: Submitting this application does not guarantee funding or enrollment.
Eligibility Requirements

To be eligible for funding, you must:
- Be an Alaska Resident. Proof of Alaska residency is through an Alaska Driver's License or State ID.
- Have worked in a postion covered by Unemployment Insurance (UI) in Alaska or another state within the past five years.
- If unemployed, have applied for, or be receiving, UI benefits, or have exhausted the right to UI benefits within the past three years.
- Have submitted this application BEFORE completing your training.
Any applications received AFTER training has already been completed will not be eligible.

If you encounter any issues or have questions, please reach out to the STEP Grant staff, at 907-217-8138 or STEP@alaskacharr.com

Compliance with these steps is crucial for the approval of your application.
Cancellation & Refund Policy:

This program is pre-funded, no refunds will be issued.

A rescheduling/administrative fee equal to the class cost applies for no-shows before rescheduling. If eligible, this fee may be reimbursed through the STEP Grant.To avoid this fee, contact us before your class date to reschedule.

Failure to complete your training may result in ineligibility for future STEP Grant funding through the Alaska CHARR Educational Fund.
I understand
The Alaska CHARR Educational Fund receives STEP (State Training and Employment Program) grant funding, which funds approximately 60% ($200,000) of the program. Thank you to the State of Alaska, Workforce Investment Board, for supporting the Alaska hospitality industry.

Alaska Workforce Investment Board (AWIB)

Participant State Grant Application

STATE OF ALASKA

Equal Opportunity employer/Program

Auxilary aids and services are avalable upon request to individuals with disabilities.
Participant Information
Name*

First NameMiddle NameLast Name
Address*

Street Address

Mailing Address (PO Box, HC, etc)

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
VoiceTTYVoice/TTYVideophoneAmplified Phone
YesNo
YesNo
YesNo
YesNo
ServSafe: Food ManagerOther
Please list the class you are interested in.
Please provide the class date you are requesting. (Class schedules can be found at alaskacharr.com)*

MonthDayYear
Date
AlaskaJobs Required Questions

FILLING OUT THIS APPLICATION MEANS: This information will be used to register you on the Alaska Jobs Website if you're not already registered. Registration through this process will in no way impact any benefits you receive from the state or county. Completing this information will grant the State of Alaska and all its administrative subdivisions the irrevocable right to use my likeness, comments, or personal story or all in media presentations, any of which may be reproduced and publicly distributed in media such as in photographs, videos, advertisements, and newspaper and magazine articles for public information, marketing, or policy discussions. This release is unconditional. I waive any right that I may have to inspect and approve the image or commentary that may be used. I release the State of Alaska and its administrative subdivisions from any claim(s) for compensation associated with the use of these images and/or commentaries.
YesNo
What is your MyAlaska Username (To Access AlaskaJobs only)
Social Security Number:*
Date of Birth:*

MonthDayYear
Date
FemaleMaleNon-BinaryI do not wish to answer
U.S CitizenU.S Permanent Resident AlienRefugee / ParoleeTemporary Work PermitNone of TheseOther
Who is your current employer?*
What is your desired Job Title?*
In need of training to improve the prospect of obtaining or retaining employment (Keep your current job OR because you've been hired for a new job)Unemployed and receiving Unemployment Insurance (UI) benefitsUnemployed but not receiving Unemployment Insurance (UI) benefitsEmployed but likely to be displaced because of the reduction in overall employment within the business (Employees are being laid off)Employed but likely to be displaced because of the elimination of your current job (Your job position is no longer needed)Employed but likely to be displaced because of a change requiring that to remain employed, they must learn substantially different skills (Your job requires more advanced skills that you must to training for)
YesNo
TextEmail
White / CaucasianBlack / African AmericanAmerican Indian / Alaska NativeAsianHawaiian / Pacific IslanderI do not wish to answserOther
YesNoDo not wish to answer
I do not have a disabilityYes, I can perform the essential functionsNo, I cannot perform the essential functions
YesNo
Military Affiliation
YesNo
Please provide the last active duty date:*

MonthDayYear
Date
YesNo
YesNo
Education Information
No school grades completedSome High School completedHigh School Equivalency DiplomaHigh School DiplomaSome CollegeCollege Graduate
YesNo
Yes, Middle SchoolYes, High SchoolYes, College or Technical / Vocational SchoolNo
Applicant Certification & Release of Information
My signature below affirms the certifications, media release, and release of information listed below:

✓ I certify to the best of my knowledge that the information in this application is accurate, true, verifiable, and subject to verification.
✓ I understand that the answers I have provided in this application are considered self-attestation, and I may be asked to provide proof to support my answers.
✓ I understand that falsification of information to receive grant benefits may be grounds for removal from the program, and/or I may have to repay benefits received.
✓ I certify that I am an Alaska resident, and I intend to stay in Alaska and make it my home.
✓ I certify that I have reviewed a copy of the Program Complaints and Appeals Policy, which describes the complaint and appeals process with regard to program complaints and discrimination complaints. (attached below)
✓ I certify that I have reviewed a copy of the Program and Equal Opportunity Discrimination Complaint Information document and have read and understand the contents of this document. (attached below)
✓ I agree to the use of the personally identifiable data collected on this form, including my Social Security number, for use by the Alaska Department of Labor to measure the performance and outcomes of the activities conducted under the AWIB.
✓ I understand that the funds I am applying to receive are for training or support services from the STEP program, which is funded from a percentage of employee payroll tax contributions to Unemployment Insurance. I agree to complete a survey or other inquiry regarding the training or services received from the STEP program and my employment outcome after receiving the services or training.
Program Complaints and Appeals Policy:
Program and Equal Opportunity Discrimination Complaint Information:
I grant the State of Alaska and all its administrative subdivisions the irrevocable right to use my likeness, comments, or personal story or all in media presentations, any of which may be reproduced and publicly distributed in media such as in photographs, videos, advertisements, and newspaper and magazine articles for public information, marketing, or policy discussions. This release is unconditional. I waive any right that I may have to inspect and approve the image or commentary that may be used. I release the State of Alaska and its administrative subdivisions from any claim(s) for compensation associated with the use of these images and/or commentaries.*

I DOI DO NOT
Please upload a copy of your Alaska state ID: *

A passport or an ID from another state is NOT a valid Alaska State ID.
Cancelof
Applicant Signature:*
Parent or Guardian Signature (If the applicant is under the age of 18)
Should be Empty:

Class Funding Request

Participant Information

AlaskaJobs Required Questions

Military Affiliation

Education Information

Applicant Certification & Release of Information