This screening assessment is used to determine your eligibility for the Soft Skills Grant program.

For more details about this program please visit our website.

http://www.careersourcetampabay.com/pages/softskills

Please select the OK button to proceed with the application.

In order for your prescreen to be processed, be sure to answer all of the questions below and click the next button at the bottom of the page.

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* 1. First Name

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* 2. Last Name

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* 3. Full Social Security number

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* 4. Date of Birth

Date 

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* 5. Personal Email

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* 6. Phone Number

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* 7. Alternative Phone number

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* 8. Physical Address (Street/City/State/Zip)

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* 9. County of Residence

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* 10. Gender

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* 11. Household Arrangement

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* 12. Number of your dependent children in your household under the age of 18?

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* 13. Are you pregnant or have a dependent child?

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* 14. Are you a US Veteran?

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* 15. Character of discharge from military service

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* 16. Disabled Veteran

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* 17. Are you the spouse or dependent of a veteran?

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* 18. Are you a US Citizen?

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* 19. If you answered no to question 18, what is your current status?

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* 20. Have you ever been arrested or convicted of a crime?

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* 21. Highest Education Level

*WIOA defines a family as two or more persons related by blood, marriage or decree of court, who live in a single residence and may include one of the following; a) a husband, wife and dependent child(ren); b) a single parent or guardian and dependent child(ren); and c) a husband and wife.

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* 22. Do you currently receive (or are a member of a *WIOA Defined Family that receives) Food Stamps or received Food Stamps during the previous six months?

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* 23. What is your annualized family income?

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* 24. Do you or a family member (*WIOA Defined) currently receive Temporary Assistance for Needy Families (TANF)?

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* 25. Do you or a family member (*WIOA Defined) currently receive Supplemental Security Income (SSI)?

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* 26. Do you currently reside in a homeless shelter?

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* 27. Do you have a disability?

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* 28. Are you currently employed?

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* 29. Have you been terminated/laid off, are eligible for/exhausted unemployment compensation and are unlikely to return to your previous industry/occupation?

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* 30. Have you been terminated/laid off, or have received a notice of termination/lay off, and have been employed for a minimum of 6 weeks, but are not eligible for unemployment compensation due to insufficient earnings, and are unlikely to return to your previous industry or occupation?

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* 31. Have you been terminated/laid off or have received a notice of termination/layoff from employment as a result of permanent closure or substantial layoff at a plant/facility/enterprise?

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* 32. Has your employer made a general announcement that the facility will close within 180 days?

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* 33. Are you an individual who was previously self-employed (with a business license) but are currently unemployed due to general economic conditions or a natural disaster?
*Must be able to provide proof of business licenses and tax returns*

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* 34. Have you been dependent on the income of a family member(*WIOA Defined) while providing unpaid services to your family, but are no longer supported by the their income and are unemployed/underemployed and are experiencing difficulty in obtaining/upgrading employment?

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* 35. Are you the dependent spouse of a member of the Armed Forces on active duty and whose family income is significantly reduced because of a deployment/call or order to active duty/permanent change of station or service-connected death/disability of the service member?

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* 36. Are you the spouse of a current member of the military who was forced to leave your employment to follow your spouse due to change in military assignment?

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* 37. Are you a previous member of the military who was discharged from the armed forces under honorable conditions and who did not retire from the military?

Please ensure you've answered all questions on this page before clicking next below. On the following page you will need to click done to submit your application.

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