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WIOA Out-Of-School Youth 16-24 Years Old

Title I-B Youth Program focuses on providing services to out-of-school youth aged 16-24.

8 of 8 Review and submit

  1. Level 1 Screener Edit

    • What is your date of birth (mm/dd/yyyy)?
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    • Did you ever serve in the military or are you a veteran/retiree, active duty service member, member of the National Guard or Reserves, or their spouse?
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    • Are you an American Indian, Alaskan Native, Native Hawaiian, or Other Pacific Islander?
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    • Do you have a disability that impacts any of your major life activities? (Work, School, Activities of Daily Living, etc.)
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    • Do you have a job?
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    • Are you currently enrolled in school?
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    • What was the last grade you finished in school?
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    • Do you need help with your English, reading, writing, math, or other academic skills?
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    • Are you or your family low-income?
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    • Do you or your family move around for farm work or seasonal work?
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    • Are you currently or have you in the past been involved with the criminal justice system? (Arrested, convicted, in prison or jail, on parole or probation, etc.)
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  2. Common Eligibility Edit

    • Are you registered for Selective Services, or are you exempt because of your gender or age?
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    • Can you legally work in the United States?
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  3. Contact Information Edit

    • Please enter your name
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    • Suffix:
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    • What is your email address?
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    • Cell phone number, area code first:
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    • Home phone number, area code first:
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    • Is your mailing address the same as your physical address?
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    • What is your Physical/Street Address?
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    • What county in Arkansas do you live in?
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  4. Demographic Information Edit

    • What is your Social Security Number (SSN)?
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    • What is your sex?
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    • Are you Hispanic/Latino?
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    • What is your race?
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  5. Education and Employment Information Edit

    • Do you currently have, or in the past had, an Individual Education Plan (IEP)?
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    • Are you an English Language Learner (ELL)?
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    • What is the highest level of education you have completed?
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    • Are you currently or have you previously participated in a Pre-Apprenticeship Program?
       
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    • Are you in an apprenticeship program?
       
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    • Do you need help getting into an education or training program?
       
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    • Do you need help completing an education or training program?
       
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    • Do you need help getting or keeping a job?
       
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    • Do you have dependable transportation?
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    • Do you have a valid driver's license?
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  6. Low Income Edit

    • If you/your family is or may be low-income, please select all of the items below that relate to your family.
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  7. OSY Barriers Edit

    • Are you 14-24 years old and a parent or pregnant?
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    • Are you 24 years old or younger and currently or previously involved with the foster care system?
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    • Are you a migrant or seasonal farmworker?
       
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    • Are you the spouse or child under 18 years old of a migrant or seasonal farmworker?
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    • Are you homeless or a runaway?
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    • Are you currently or have you previously been involved with the criminal justice system?
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    • Do your cultural attitudes, customs, beliefs, or practices make it hard for you to get or keep a job?
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    • Are you under 18 years old, and your parents are in jail or prison?
       
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    • Are you a Displaced Homemaker?
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    • Are you a participant in ARHOME, the state's Medicaid expansion program?
       
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