Pre-Application & Eligibility Documents List for WIOA Youth Program
Please complete each part of the pre-application form accurately. Incomplete forms may result in delays. Once we receive your form, we will contact you to schedule an appointment. Please bring with you the documents listed below in ORIGINAL when you meet with us:


Social Security Card

School Status – Any 1 of the following:
• GED Certificate
• H.S. Diploma
• School Records from last school attended
• Dropout letter

Legal Identification: Any 1 of the following:
• AZ State ID
• AZ Driver’s License
• Passport
• Permanent Resident Card or Green Card
• DACA documents
• Authorization to work documents

Proof of low income – Any 1 of the following:
• Food Stamps
• AHCCCS Award Letter
• Last six consecutive pay-stubs
• TANF

For Homeless/Runaway Youth: Written statement

Proof of Date of Birth: Any 1 of the following:
• Birth Certificate
• Passport
• Baptismal Record

Family Size – any 1 of the following:
• Social security cards (all family members)
• Birth certificates (all family members)
• Public assistance letter bearing the names of all your family members
• Most recent income tax return

If Employed – any 1 of the following:
• Paystubs of last 6 months
• W2

Foster care – any 1 of the following:
• Court records
• Letter from group home
• Arizona Department of Child Safety records

Proof of Selective Service Registration for all male youth 18 years and above

Individuals with Disabilities must provide documentation necessary to prove disability.

Today's Date *
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How did you hear about our youth program? *
Your answer
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Date of Birth *
MM
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DD
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YYYY
Age *
Your answer
Gender *
Do you have any children? *
If yes, how many? *
Your answer
High School or GED graduate? *
If No, highest level of education? *
Your answer
Name of last school attended? *
Your answer
For Males 18 Years and above only - Are you registered with selective service? *
I am a *
Are you currently registered in school or college? *
If yes, name of school or college? *
Your answer
What do you want to study in college (program)? *
Your answer
Are you currently working? *
If Yes, name of Employer? *
Your answer
Hourly rate? *
Your answer
Part Time or Full Time?
Total hours worked per week? *
Your answer
Number of family members currently living with you (including yourself)? *
Your answer
Total monthly household income (including yourself)? *
Your answer
Do you have reliable transportation? *
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