WIOA Youth Pre-Screen

This screening assessment is used to review your eligibility for the WIOA Youth Program. Please complete all of the required questions and a Career Counselor will reach out to you with next steps within 48 hours. If you experience difficulty completing this assessment, you may come to an informational session for assistance. These are at the CareerSource Hillsborough Pinellas’ office located at 9215 N. Florida Avenue, Tampa, FL 33612 on Mondays, Wednesdays, and Fridays at 10:00am and 2:00pm.

For more details about this program please visit our website at https://careersourcetampabay.com/youth-services/

If you are not between the ages of 18-24 or reside outside of Hillsborough County, DO NOT proceed. Please visit the webpage for WIOA Adult/Dislocated Worker located below:https://careersourcetampabay.com/wioa/

Notice of Youth Enrollment Change: 07/11/2024
Thank you for your interest in considering youth services through CareerSource Hillsborough Pinellas. With the overwhelming response and interest from our local youth job seekers; we are closing applications for Youth Occupational Skills Training and Penn Foster. CareerSource Hillsborough Pinellas is reviewing the needs of all currently enrolled youth and interest received prior to our temporarily closure to determine ability to reopen Occupational Skills training and Penn Foster services. We apologize for any inconvenience and would ask interested job seekers to monitor our CareerSource website for updates, as well as consider taking advantage of our other program offerings including Paid Work Experience, Career Services, Placement assistance and On-the-Job Training.

For questions or further assistance, please email youth@careersourcetb.com

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* 1. First Name

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* 2. Last Name

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* 3. Date of Birth (month/date/year)

Date

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* 4. Full Social Security number (xxx-xx-xxxx)

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* 5. Primary Telephone Number

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* 6. Secondary Telephone Number 

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* 7. Email Address

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* 8. Preferred Method of Contact

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* 9. Current Residential Address (city/state/zip)

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* 10. County of Residence

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* 11. Gender

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* 12. Are you a US Citizen?

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* 13. If you answered no to question 12, what is your current status?

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* 14. What is your highest level of education?

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* 15. List degrees/licenses/certifications that you have earned. Specify the year that you received each. (Put N/A if you haven't received any)

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* 16. Are you employed?

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* 17. If you answered yes to question 16, please specify your employer, rate of pay, and start date

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* 18. What is your annualized family income?

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* 19. Do you or a family member currently receive Temporary Assistance for Needy Families (TANF)?

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* 20. Do you or a family member currently receive Supplemental Security Income (SSI)?

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* 21. Do you or a family member currently receive Food Stamps (SNAP) or have received Food Stamps (SNAP) during the previous six months?

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* 22. Have you ever been arrested or convicted of a crime?

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* 23. Are you pregnant or have a dependent child?

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* 24. Are you a youth who is currently in foster care or had aged out of foster care?

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* 25. Do you have a disability?

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* 26. Do you currently reside in a homeless shelter or are you currently homeless?

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* 27. Have you reviewed our approved training vendors and targeted occupations list?

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* 28. What is your program of interest?

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* 29. If you are interested in post secondary education, what is your desired training program?

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* 30. If you are interested in post secondary education, what is your desired school for training?

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* 31. Did you relocate to Florida from Puerto Rico or the Virgin Islands as a result of Hurricane Maria after September 17, 2017?

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* 32. Are you a smoker?

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* 33. Are you interested in learning about Tobacco Free Florida Free Quit Services?

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* 34. How did you hear about us?

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