America's Promise: Drone Technology Program Surveying & Mapping Application
Registration will close promptly at 12:00pm on Monday, 2/18/2019.

Applicants will be notified on Tuesday, 2/19/2019 on the status of their application.

All accepted participants are required to attend a MANDATORY orientation that will be held on Monday, 02/25/2019.

- The orientation will start promptly at 1:00pm for participants registered for the 12pm - 4pm class.
- The orientation will start promptly at 5:00pm for participants registered for the 4pm - 8pm class.

Participants who fail to attend the mandatory orientation will forfeit their place in the Program.

Name (last, first) *
Your answer
Date of Birth (MM/DD/YYYY) *
Your answer
SSN
PLEASE PROVIDE SSN TO AMERICA'S PROMISE TEAM IN PERSON DURING MANDATORY ORIENTATION
Telephone number *
Your answer
Sex (M/F) *
Preferred mailing address *
Your answer
Primary Email *
Your answer
Secondary Email
Your answer
Choose your class time *
Required
Class Breakdown
UAS Ground School
FAA 107 sUAS Certification School
UAS Surveying & Mapping **

**FAA certification license must be obtained prior to start of Surveying & Mapping class**

What is the highest educational level completed? *
Are you an English as a Second Language learner? *
Are you currently enrolled in a post-secondary education program? *
Are you receiving Financial Aid? *
If yes, what type of financial aid are you receiving? (e.g., BOG Waiver, GI Bill, etc.)
Your answer
Employment status (please check all that apply) *
Required
If you checked any of the "Employed" above, please provide: Company name, length of employment, job title, and hourly wage. *
Your answer
If you checked "Unemployed" please check the box most applicable to you:
Student Demographic (please check all that apply) *
Required
Do you have a disability? *
Are you active/former military? *
If answered "Yes" Military Service above, please check the box that is most applicable to you.
Have you ever been convicted or incarcerated? (Answering "yes" will not affect your eligibility for this program) *
In the past 6 months, have you or a family member used government assistance? (Answering "yes" will not affect your eligibility for the program.) *
Highest school grade completed (enter 0-12= Number of school grades completed or 0 if no grades have been completed) *
Your answer
Do you have a low income status at program entry? (See below for description) *
Low income status
(a) Receives, or in the 6 months prior to application to the program has received, or is a member of a family that is receiving or in the past 6 months prior to application to the program has received:
(i) Assistance through the supplemental nutrition assistance program (SNAP) under the Food and Nutrition Act of 2008 (7 USC 2011 et seq.);

(ii) Assistance through the temporary assistance for needy families program under part A of Title IV of the Social Security Act (42 USC 601 et seq.);

(iii) Assistance through the supplemental security income program under Title XVI of the Social Security Act (42 USC 1381); or

(iv) State or local income-based public assistance.

(b) Is in a family with total family income that does not exceed the higher of the poverty line or 70% of the lower living standard income level;

(c) Is a youth who receives, or is eligible to receive a free or reduced price lunch under the Richard B. Russell National School Lunch Act (42 USC 1751 et seq.);

(d) Is a foster child on behalf of whom State or local government payments are made;

(e) Is an participant with a disability whose own income is the poverty line but who is a member of a family whose income does not meet this requirement;

(f) Is a homeless participant or a homeless child or youth or runaway youth; or

(g) Is a youth living in a high-poverty area.

Are you a dislocated worker? (Select one. See description below) *
Dislocated worker
Please see below if any of the following apply to you to answer correctly.

(A)(i) has been terminated or laid off, or who has received a notice of termination or layoff, from employment; (ii)(I) is eligible for or has exhausted entitlement to unemployment compensation; or (II) has been employed for a duration sufficient to demonstrate, to the appropriate entity at a one-stop center referred to in section 121(e), attachment to the workforce, but is not eligible for unemployment compensation due to insufficient earnings or having performed services for an employer that were not covered under a State unemployment compensation law; and (iii) is unlikely to return to a previous industry or occupation;

(B)(i) has been terminated or laid off, or has received a notice of termination or layoff, from employment as a result of any permanent closure of, or any substantial layoff at, a plant, facility, or enterprise; (ii) is employed at a facility at which the employer has made a general announcement that such facility will close within 180 days

(C) was self-employed (including employment as a farmer, a rancher, or a fisherman) but is unemployed as a result of general economic conditions in the community in which the participant resides or because of natural disasters;

(D) is a displaced homemaker; or

(E)(i) is the spouse of a member of the Armed Forces on active duty (as defined in section 101(d)(1) of title 10, United States Code), and who has experienced a loss of employment as a direct result of relocation to accommodate a permanent change in duty station of such member; or (ii) is the spouse of a member of the Armed Forces on active duty

Are you an Incumbent worker, or received Incumbent worker training? *
Are you enrolled in a registered apprentice program *
Are you an underemployed worker? *
Do you currently have your FAA 107 license? *
Please list any drone related training you have taken previously. Please include program name, date taken, where training occurred, and approximate hours of training. *
Your answer
America's Promise Drone Technology Program Details
Prior to being accepted into the program, the student/participant must meet the following criteria set by the Department of Labor and the America’s Promise Program Office:
- Submit a signed and fully completed Application Form
- Be over 18 years old
- Be a United States Citizen
- Attend a mandatory America’s Promise orientation
Please initial and date to signify all the information above is correct *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service