WORKFORCE INNOVATION AND OPPORTUNITY ACT APPLICATION

Workforce Solutions Career Centers in the South Plains provide services under the Workforce Innovation and Opportunity Act (WIOA) for employment focused training both in the classroom and with employers through hands on training experiences.

For questions regarding the WIOA program, Workforce Solutions South Plains offers weekly orientations that provide an in-depth explanation of the program and eligibility requirements. Orientations are available at each location listed below and are available in person or virtually by Zoom Meeting. Counselors are available to answer questions at the end of each orientation. To attend in person, call today to reserve your spot.
To attend virtually, go online to https://www.zoomgov.com/ and enter the meeting ID number. Schedules, Locations, and ID Numbers a listed below.
Brownfield
Wednesday from 2:00-3:00 PM
(806)-637-1223
Zoom ID: 161 517 1098
Levelland
Wednesday from 2:00-3:00 PM
(806) 894-5005
Zoom ID: 161 517 1098
Muleshoe
Wednesday from 2:00-3:00 PM
(806) 272-7540
Zoom ID: 161 517 1098
Plainview
Wednesday from 2:00-3:00 PM
(806) 293-8566
Zoom ID: 161 517 1098
Lubbock
Wednesday from 2:00-3:00 PM
(806)-765-5038
Zoom ID: 161 517 1098

BASIC WIOA ELIGIBILTIY - REQUIRED DOCUMENTATION

To determine if you are eligible for services you must complete this application and supply the following documentation.
- Social Security Card
- Birth Certificate, U.S. Passport, Permanent Resident Card or DACA
- Picture ID. (School, Driver’s License or State ID)
- Selective Service Registration or Waiver (Males Only)
Additional information may be requested, such as, a copy of your High School Diploma or transcripts and proof of income to determine eligibility. See below for possible exemptions to the proof of income requirements.

PROOF OF INCOME EXEMPTIONS FOR ADULT AND DISLOCATED WORKER PROGRAM

You may not be required to provide income, if any of the following categories apply to you or a member of your household.
- SNAP
- TANF
- Homeless
- Notice of Layoff (applies to applicant only)
You may be required to provide proof of income (previous 6 months from date of application) if the above do not apply.

PROOF OF INCOME (EXCEPTIONS) - YOUTH PROGRAM ONLY (Age 14-24)

You may not be required to provide proof of income, if you are an Out-of-School Youth ages 16-24 and any of the following categories apply to you.
- High school dropout
- English language learner
- Offender
- Runaway
- Homeless
- Pregnant or parenting
- Foster Youth
- Individual with a disability
- Receives free or reduced price lunch
All In-School-Youth ages 14-21 are required to provide proof of income (previous 6 months from date of application).

WIOA Income Guidelines

To be eligible for Workforce Innovation and Opportunity Act (WIOA) programs and services, individuals must meet WIOA eligibility requirements. When determining an individual's WIOA eligibility based on low-income status, Workforce Development Boards use the income guidelines identified by the U.S. Department of Labor’s (DOL) Lower Living Standard Income Level (LLSIL) guidelines and the U.S. Department of Health and Human Services’ (HHS) Poverty Guidelines. Each of these guidelines is updated annually, and the Texas Workforce Commission updates this page twice a year with the new income amounts and effective dates.
WORKinTEXAS
WorkInTexas.com serves employers and job seekers, and it is the primary tool used to implement the Employment Service (ES) program. WorkInTexas.com is provided at no cost, 24 hours a day, seven days a week, and seeks to match qualified job seekers with potential job opportunities, online and in real time, by comparing things like work experience, skills, abilities, education and other factors.
Individuals seeking a new job, different job, or an additional job can post their résumé, search job listings (including Texas state agency jobs), obtain employer contact information to apply for jobs, get information about the job market, and receive a variety of other services online and also via Workforce Solutions offices throughout the state.
Eligible Training Providers

Eligible Training Providers (ETPs) are entities with job training programs approved by the Texas Workforce Commission (TWC) to provide Workforce Innovation and Opportunity Act (WIOA)–funded training services. Local Workforce Development Boards (Boards) fund training for Adult and Dislocated Worker program participants primarily through Individual Training Accounts (ITAs). The publicly accessible Statewide Eligible Training Providers List (ETPL) includes all programs that are currently approved by TWC for ITA funding. The Statewide ETPL Performance Report includes data related to student enrollment for approved programs from July 1, 2018, through June 30, 2020.
Apply for Federal Student Aid

Use the Free Application for Federal Student Aid (FAFSA®) form to apply for financial aid for college or graduate school.
Register with Selective Service

All males born on or after January 1, 1960, who have reached their 18th birthday must register with the U.S. Selective Service.
Interest Profiler

A fun activity to do before exploring the world of work. Take a few minutes to answer 60 questions to identify occupations relevant to your likes and interests. Your results will lead you to a list of occupations for you to explore.
Labor Market Information

Tools for building careers and helping job seekers.

You must reside in one of the counties listed on the map below. Please do not submit an application if you live outside our service area.

IDENTITY

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References: Date of Birth:

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CONTACTS
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Authorization to Release Information

I hereby agree that all my records, documents, and information on file with the Workforce Solutions South Plains/ SPCAA may be shared with other agencies involved in my employment and training activities. I also authorize information to be obtained from other agencies and community resources related to the delivery of service under any program in the Workforce Solutions South Plains/ SPCAA that I am participating in or plan to participate in. I understand that this information will be used to assist me in obtaining my employment and training goals.
I understand that I may revoke this consent at any time by notifying Workforce Solutions South Plains in writing of my decision.
I further authorize that a photocopy of this release form may be fully acceptable as an original.

Authorization to Release Media Information

I authorize Workforce Solutions South Plains to share information regarding my program participation (print and electronic) NOT including photographs.*field type radio button
I authorize Workforce Solutions South Plains to share information regarding my program participation (print and electronic) NOT including photographs.YESNO
I authorize Workforce Solutions South Plains to share information regarding my program participation (print and electronic) including photographs.*field type radio button
I authorize Workforce Solutions South Plains to share information regarding my program participation (print and electronic) including photographs.YESNO
I hereby authorize Workforce Solutions South Plains (including any of its officers, employees, contractors, and agents) to release, disseminate, or use the attached information about myself (or my child) for print, broadcast, electronic publications, online media including websites, or social media. I also authorize the use of my photograph (or my child’s), if provided, for the same purpose. I also authorize the use of videotape or film taken of me (or my child) individually or in conjunction with any other film or videotape for any purpose whatsoever, including (but not by way of limitation) illustration, promotion, advertising, and trade. I understand, and agree, that these materials will become the property of Workforce Solutions South Plains and will not be returned.
I hereby irrevocably authorize Workforce Solutions South Plains to edit, alter, exhibit, publish, or distribute this photo for purposes of publicizing Workforce Solutions South Plains programs, or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph.
I hereby hold harmless, and release, and forever discharge, Workforce Solutions South Plains of all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf, or on behalf of my estate, have or may have, by reason of this authorization.
I am 18 years of age and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.

Signature

By signing electronically, I agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability and admissibility.
Appplicant Signature*field type signature
Date*field type date
Workforce Solutions South Plains is an equal opportunity employer/programs. Auxiliary aids and services are available upon request to individuals with disabilities. Relay Texas: 711 (voice); 800-735-2989 (TDD); or Relay Texas Spanish 800-662-4954.

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COMPLAINT PROCEDURES

This Orientation to Discrimination Complaint Procedures form addresses discrimination complaint procedures for the listed programs and services administered in the local workforce development area by the Workforce Development Board and its Contractors:
Workforce Innovation and Opportunity Act

(WIOA)
THE RECIPIENT OF THE FEDERAL FINANCIAL ASSISTANCE IS:
South Plains Regional Workforce Developmental Board
1500 Broadway, Suite 800
Lubbock, TX 79401
Equal Opportunity (EO) Officer: Sandra Mendoza
Telephone Number: (806) 744-1987
Relay Texas: 1-800-735-2989/TYY 1-800-735-2988 (Voice)
The South Plains Workforce Development Board (the Board) shall resolve equal opportunity complaints in a fair and prompt manner. Acts of restraint, interference, coercion, discrimination, or reprisal towards complainants exercising their rights to file a complaint under this procedure are prohibited. This procedure applies to all applicants and participants who have cause to file a discrimination complaint related to activities or programs administered by the Board. If you have an equal opportunity complaint concerning any of these programs, you may submit your written complaint to the Board or Contractor EO Officer, as appropriate.
After your equal opportunity complaint has been received, the EO Officer will notify you of the next step in the complaint process. As long as you wish to pursue your complaint, the Board or Contractor will follow the steps described below. You should study the Discrimination Complaint Procedure carefully, and if you feel that the required steps are not being followed, contact the EO Officer. Remember, if you feel you are not being provided enough help at any stage of the complaint process, you should contact:
Texas Workforce Commission (TWC)
Equal Opportunity Monitoring
101 E. 15th St., Room 504
Austin, TX 78778-001
Telephone Numbers:
(512) 463-2400
Relay Texas: 1-800-735-2989
TTY 1-800-735-2988 (Voice)
EQUAL OPPORTUNITY IS THE LAW
It is against the law for this recipient of Federal financial assistance to discriminate on the following bases: against any individual in the United States, on the basis of race, color, religion, sex (including pregnancy, childbirth, and related medical conditions, sex stereotyping, transgender status, and gender identity), national origin (including limited English proficiency), age, disability, or political affiliation or belief, or, against any beneficiary of, applicant to, or participant in programs financially assisted under Title I of the Workforce Innovation and Opportunity Act, on the basis of the individual’s citizenship status or participation in any WIOA Title I–financially assisted program or activity. The recipient must not discriminate in any of the following areas: deciding who will be admitted, or have access, to any WIOA Title I–financially assisted program or activity; providing opportunities in, or treating any person with regard to, such a program or activity; or making employment decisions in the administration of, or in connection with, such a program or activity. Recipients of federal financial assistance must take reasonable steps to ensure that communications with individuals with disabilities are as effective as communications with others. This means that, upon request and at no cost to the individual, recipients are required to provide appropriate auxiliary aids and services to qualified individuals with disabilities.
What to do if you believe you have experienced discrimination. If you think that you have been subjected to discrimination under a WIOA Title I-financially assisted program or activity, you may file a complaint within 180 days from the date of the alleged violation with either: the recipient’s Equal Opportunity Officer (or the person whom the recipient has designated for this purpose); or the Director, Civil Rights Center (CRC), U.S. Department of Labor, 200 Constitution Avenue NW, Room N-4123, Washington, DC 20210. If you file your complaint with the recipient, you must wait either until the recipient issues a written Notice of Final Action, or until 90 days have passed (whichever is sooner), before filing with the Civil Rights Center (see address above). If the recipient does not give you a written Notice of Final Action within 90 days of the day on which you filed your complaint, you may file a complaint with CRC before receiving that Notice. However, you must file your CRC complaint within 30 days of the 90-day deadline (in other words, within 120 days after the day on which you filed your complaint with the recipient). If the recipient does give you a written Notice of Final Action on your complaint, but you are dissatisfied with the decision or resolution, you may file a complaint with CRC. You must file your CRC complaint within 30 days of the date on which you received the Notice of Final Action.
PROCEDURES ON HOW TO FILE A COMPLAINT
- WORKFORCE INNOVATION AND OPPORTUNITY ACT (WIOA) / TRADE ADJUSTMENT ASSISTANCE (TAA) and TRADE READJUSTMENT ALLOWANCES (TRA): If you think you have been subjected to equal opportunity discrimination under a WIOA Title I or a TAA/TRA financially assisted program or activity, you may file a discrimination complaint within 180 days from the date of the alleged violation with either the Board/Contractor Equal Opportunity Officer (or designee) or Director, Civil Rights Center (CRC), U.S. Dept. of Labor, 200 Constitution Avenue NW, Room N-4123 Washington, DC 20210. If you file your complaint with the Board or Contractor, you must wait until you receive a written Notice of Final Action or 90 days have passed (whichever is sooner) before you can file with the CRC. If the written Notice of Final Action is not issued within 90 days of the day you filed your complaint, you have 30 days following the 90-day deadline to file a complaint with CRC (that is, within 120 days of the day you first filed your complaint). If you receive a written Notice of Final Action on your complaint but are dissatisfied with the decision, you may file a complaint with CRC. However, you must file your CRC complaint within 30 days of receiving the Notice of Final Action

Signature

By signing electronically, I agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability and admissibility.
Applicant Signature*field type signature
Date*field type date
Workforce Solutions South Plains is an equal opportunity employer/programs. Auxiliary aids and services are available upon request to individuals with disabilities. Relay Texas: 711 (voice); 800-735-2989 (TDD); or Relay Texas Spanish 800-662-4954.

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INCOME & EXPENSE INFORMATION

Please examine your monthly income and expenses to ensure that all your bills can be paid while you are participating in WIOA supported training.
Expected Income During Training:
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- Amount:*field type currency
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Expected Expenses During Training:
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WIOA Staff

Income Totalfield type currency
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Expense Totalfield type currency
$
Income-Expense Totalfield type currency
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"Total Monthly Expenses" ARE GREATER THAN "Total Monthly Income"

Signature

Appplicant Signature*field type signature
Date*field type date
Workforce Solutions South Plains is an equal opportunity employer/programs. Auxiliary aids and services are available upon request to individuals with disabilities. Relay Texas: 711 (voice); 800-735-2989 (TDD); or Relay Texas Spanish 800-662-4954.

WORKFORCE INNOVATION AND OPPORTUNITY ACT APPLICATION

BASIC WIOA ELIGIBILTIY - REQUIRED DOCUMENTATION

PROOF OF INCOME EXEMPTIONS FOR ADULT AND DISLOCATED WORKER PROGRAM

PROOF OF INCOME (EXCEPTIONS) - YOUTH PROGRAM ONLY (Age 14-24)

IDENTITY

CONTACT INFORMATION

CONTACTS

CHARACTERISTICS

EDUCATION

MILITARY

PUBLIC ASISTANCE

UNEMPLOYMENT (UI)

BARRIERS TO EMPLOYMENT

INCOME

Income Sources for Applicant

Income Sources for Family Member 1

Income Sources for Family Member 2

Income Sources for Family Member 3

Income Sources for Family Member 4

Income Sources for Family Member 5

Income Sources for Family Member 6

Income Sources for Family Member 7

Income Sources for Family Member 8

Income Sources for Family Member 9

Income Sources for Family Member 10

TOTAL INCOME

DISABILITY

EMPLOYMENT HISTORY

CERTIFICATION

Authorization to Release Information

Authorization to Release Media Information

Signature

COMPLAINT PROCEDURES

Signature

INCOME & EXPENSE INFORMATION

Expected Income During Training:

Expected Expenses During Training:

WIOA Staff

Signature