← OhioMeansJobs WIOA Adult/Dislocated

Mail your completed, signed application and autobiography to OhioMeansJobs-Meigs County, 150 Mill Street, Middleport, Ohio 45760. Questions? Ashley Hill 740-444-7638 or Dawn Smarr 740-444-7593. SSN, date of birth, initials and signatures are written by hand after printing. Nothing you type is sent or saved.

OhioMeansJobs Meigs County

WIOA Adult/Dislocated Application

Workforce Investment Opportunity Act (WIOA)

In order to be considered for Occupational Training Assistance Funds, the following steps must first be met

WIOA is not an entitlement program, which means that you may be “eligible” for services, but not suitable for the program. Suitability is determined by the county WIOA Case Manager. Case Manager will explore barriers, work history, existing skills, interests, and expectation will be considered when determining suitability.

  • You must be eligible for our services before training assistance may be awarded. You will be asked to provide documentation. Determining eligibility for training assistance may take up to four weeks.
  • Only Demand Occupational Fields that will likely lead to Self-Sufficiency will be approved for training services. Check with your training facility for job placement and wage information. Labor market information is also available in the Resource Room at OhioMeansJobs Centers. Our staff will gladly assist you.
  • OhioMeansJobs-Meigs County will fund only those training programs currently on the State of Ohio WIOA Eligible Training Provider List. This list is available at https://ohiomeansjobs.com/etpl/ (opens in a new tab – external website).
  • You will be asked to verify that you have applied for other sources of student financial aid. If applicable, the OhioMeansJobs Center will require that you complete and submit the FAFSA (Financial Aid Form). Contact the Financial Aid Office at the training facility that you will attend for assistance.

In addition:

  • Since most training fields, and many occupations, require that you have a high school diploma or GED, the OhioMeansJobs-Meigs County may require that you provide this verification. Exceptions will be considered on a case by case basis.
  • Candidates will be required to take the Basic Assessment Test, as administered by the Ohio Means Jobs Center. Candidates are required to achieve scores in the Reading, Mathematics and Language, that demonstrate an academic level consistent with their field of study.
  • A one page, hand written autobiography will need to be completed and turned in along with the application. Candidates should tell a little about themselves, why they selected the field of study that they are pursuing and what they expect to do once their training is complete.
  • If applicable, proof of acceptance into the training field.
Please mail completed WIOA applications and autobiography to the OhioMeansJobs-Meigs County, 150 Mill Street, Middleport, Ohio 45760. Any questions? Please call Ashley Hill at 740-444-7638 or Dawn Smarr at 740-444-7593.

Our Occupational Training Assistance Funds are designed to help you get the training you need to be competitive in today’s job market. Here’s how:

  • We may provide help towards your tuition. Award amounts are determined on an individual basis after actual costs and other financial aid is considered. There is a cap per participant per year for the use of training assistance and/or supportive services, for up to two years. All financial aid and scholarships are applied before WIOA funds are spent.
  • WIOA funds are the funding of last resort. All programs need to be explored first before WIOA funds are authorized.
  • We can help with the cost of textbooks, uniforms and supplies that are required for your training.
  • We assist with end-of-training testing and licensure fees.
  • Additionally, we can assist with your transportation expenses.
  • And, we will continue to help after you complete your training.

Through OhioMeansJobs Center, our agency can provide you with job leads, access to computers for resume updates and job search, and referrals to other community resources.

Our Staff is available to answer your specific job search questions.

If needed, you may utilize the Job Center for assistance in developing interview skills, completion of applications, resume development and much more.

We won’t forget about you once you are employed.

Our Staff is required to maintain contact with you for a full year once you have been hired. OhioMeansJobs wants to be a continuing resource for you. You will be given opportunities to evaluate the services that you have received and to make suggestions for improvement. You will have the chance to ask questions and discuss your new employment.

WIOA ADULT/DISLOCATED APPLICATION MEIGS COUNTY

Please complete the entire WIOA Application. This information will be used to determine WIOA Eligibility and Suitability. All information is kept confidential and is shared with our OhioMeansJobs Partners on a need to know basis.

APPLICANT INFORMATION
SSN:Write by hand after printing
Are you homeless?
Please select a method in which you prefer to receive your notifications:
DEMOGRAPHIC INFORMATION
Date of Birth (mm/dd/yyyy)Write by hand after printing
Gender
Ethnicity
Citizenship:
Are You Registered with Selective Service? (males only born on or after January 1, 1960)
DISABILITY
Do you have a disability?
Are you receiving Supplemental Security Income (SSI)?
Are you receiving Social Security Disability Insurance (SSDI)?
Does your disability prevent or interfere with your ability to work and/or attend schooling?
DRIVER'S LICENSE INFORMATION
Do you have a Driver's License?
Driver's License Type?
CRIMINAL BACKGROUND
Have you been convicted of a felony?
VETERAN INFORMATION
Did you serve in the active duty military, naval, or air service?
Are you a disabled veteran?
Are you receiving Veteran training assistance?
INCOME INFORMATION

List family members (including you) and income information. Income is for the last 6 months and may include gross earnings from employment, social security, veteran benefits, alimony or child support, workers compensation, and so forth. You will need to provide verification of the income during your initial visit with the caseworker.

2025 – 250% of Federal Poverty Guidelines for Ohio (Family Size / Monthly Gross Income): ask your case manager for the current guideline table.

Do you receive?
Family members and income
Name of Family MemberRelationshipSource of IncomeLast 6-months total

Attach Additional Sheets if needed. YOU MUST LIST ALL HOUSEHOLD MEMBERS!!!

Are you involved with Opportunities for Ohioans with Disabilities (OOD)?
Are you enrolled in the SNAP Employment & Training Program?
Educational Information:
Check last grade completed

List the names of schools you have attended, including high schools.

Schools attended
SchoolCourse of StudyDid You Graduate/Complete? (Yes/No)Date of Completion
Have you used WIOA funds in the past?
Employment Information:

List current and previous employers, beginning with your current or most recent job

Position:
Reason for Leaving:
Employment Information: (continued)
Position:
Reason for Leaving:
TRAINING GOALS
Is training required for you to meet your goals?
Have you selected a school/program?
Have you been accepted in the school?
Is your choice of study a demanding occupational skill?

In demand occupation list can be found at: https://owcms.ohio.gov/wiet/index.xhtml (opens in a new tab – external website)

Have you applied for financial aid, scholarships, or grants which will help your training cost?
Are you on financial aid hold with any educational institute?
Have you been on financial aid hold in the past?
Dislocated Worker Status

Please check any of the following categories that you currently belong to:

Category 1 – Terminated or laid off, or received a notice of termination or layoff from employmentORAND
Category 2 – Plant closure or substantial layoffOROR
Category 3 – Self-Employed Individual
Category 4 – Displaced Homemaker
Category 5 – Military Spouse
Determination of WIOA Dependent Status Checklist

If the answer of any of the below categories is “YES”, the individual is considered to be independent of his/her parent(s) or guardian(s). Please answer the following:

Are you 24 or older?
Are you married? (Answer “Yes” if you are separated but not divorced)
Do you have children who receive more than half of their support* from you?
Do you have dependents (other than your children or spouse) who live with you and who receive more than half of their support from you?
Do you live in your own residence or in a residence without support from parents or guardian?
Are you currently serving on active duty in the U.S. Armed Forces for purpose other than training? (If you are a National Guard or Reserves enlistee, are you on active duty for other than state or training purposes?)
Are you a veteran of the U.S. Armed Forces?

**Support as it relates to dependent includes food, clothing, shelter, utilities, education, medical, and dental care, recreation, and transportation; as well as cash public assistance and food assistance.

Serving Immediate Family Members, Close Acquaintances and Other Stakeholders Disclosure Questionnaire

Purpose: In order to ensure that all individuals applying for WIOA funded services are serviced in an ethical manner that is free from any real or perceived conflicts of interest.

Instruction: Please indicate if you have a close family member* or an immediate family member** employed by, or a part of: County Job and Family Services, OhioMeansJobs Center, Area 14 Workforce Investment Act Board Members, Local elected officials or WIOA Stakeholder

Disclosure
WIOA Release of Information Consent

The WIOA Release of Information Consent is provided by your WIOA Case Manager. Please ask for it when you return your application.

STATEMENT OF UNDERSTANDING

All services must be authorized by WIOA Case Manager prior to services beginning. Any and all obligations incurred without prior approval will be the responsibility of me, the applicant.

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I understand that my circumstances may differ from all other WIOA applicants. My employment plan is unique to me and therefore my assistance may differ from other applicants to include the types of assistance, the amount of assistance, the time frame, and the outcomes.

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I understand that my eligibility for WIOA does not mean that I have automatically been accepted into the program.

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I understand WIOA is not “financial aid” but WIOA is a program that provides assistance to me in obtaining suitable employment.

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WIOA applications that are placed on the waiting list will be destroyed every June 30th. Applicants will be made aware by letter that they will need to apply July 1st.

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I understand that my applications will be reviewed in the order of receipt and the WIOA Case Manager will be in contact with me to discuss my suitability and eligibility of services.

InitialWrite by hand after printing
Applicant SignatureWrite by hand after printing
DateWrite by hand after printing