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Before you continue with this questionnaire, you must be registered on Employ Florida at www.employflorida.com to be considered for the WIOA program. IF YOU ARE NOT REGISTERED PLEASE REGISTER AT EMPLOYFLORIDA.COM BEFORE MOVING FORWARD WITH THIS QUESTIONAIRE.

If your questionnaire is selected, you will receive a callback or email from a CareerSource Escarosa WIOA Career Advisor within 5 business days to schedule your pre-screening interview. Due to the high volume of questionnaire submissions,
individuals who do not qualify for assistance through the WIOA program may not receive a callback. Applications purge
after 30 days, so if it has been over 30 days you will need to submit another questionnaire.

If you lack the necessary skills to become gainfully employed, and have not had previous training in a demand
occupation, you may qualify for the Workforce Innovation and Opportunity Act (WIOA). WIOA is an employment and
training program for adults and dislocated workers designed to increase their skills and result in employment and/or
increased earnings. WIOA services are individualized and based upon eligibility and assessed need. WIOA is not an
entitlement program, it is a grant.

Through the Workforce Innovation and Opportunity Act (WIOA), adults and dislocated individuals may be eligible to
receive the following services:

Training and Educational Opportunities
Job Search Assistance
Career Planning and Decision Making
Specialized Workshops and Orientations
Career Assessment Testing
Veteran Services
Labor Market Information

Those interested in participating, must complete and submit the WIOA Eligibility Questionnaire. If selected, notification
of pre-eligibility will be provided via email and/or by mail within two weeks of submission. If eligibility is approved, all
participants must agree to pursue a career in their training field and must conduct a diligent job search immediately upon completion of WIOA funded training.

For more information on the Workforce Innovation and Opportunity Act, please call Belinda Todd at 850-607-8751.

Please note, you may experience difficulty completing this questionnaire if you are using a computer with Firewall
Protection. For assistance, call 850-607-8752, or visit the Resource Room of your nearest CareerSource Escarosa Career Center.

Click NEXT to continue with this questionnaire.

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