Eligibility Questionnaire

Code Fellows is now part of the Washington Worker Retraining Program, administered by the State Board for Community and Technical Colleges. The following online survey will help determine if you qualify to receive financial assistance (up to 15% of tuition) to help with the cost of tuition.

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* 1. Contact Information

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* 2. Are you formerly self-employed, and no longer have work because of local economic conditions?

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* 3. Are you formerly self-employed, and no longer have work because of a natural disaster?

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* 4. Are you a displaced homemaker?

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* 5. Are you currently unemployed?

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* 6. Are you currently employed, but have a net income being at or below 70% of Washington’s Median Family Income (MFI) as shown here (displaced homemakers and stop-gap employment categories only)?

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* 7. Are you currently employed, but the position is temporary in nature and only intended to support you as you complete training? Upon completion of your training program you intend to end this job for a position in line with your training program.

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* 8. Have you earned 45 college-level quarter credits (30 semester credits) and a credential?

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* 9. Have the minimum qualifications for your current position changed and training is necessary to maintain employment in your current position?

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* 10. Are you currently an active duty military service member who recently received official separation notice?

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* 11. Are you a veteran of the U.S. Armed Forces who was discharged within the last 48 months and are currently unemployed?

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* 12. Student Statement: Provide any additional information which supports your eligibility for the Worker Retraining Program.

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* 13. Self-Attestation Statement: I certify that the information provided on this document is true and accurate to the best of my knowledge and belief.  I understand that such information is subject to verification and further understand that the above information, if misrepresented or incomplete, may be grounds for immediate termination from the Worker Retraining Program and/or penalties as specified by law.

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