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WIOA Follow-Up Form

CGTC WIOA Follow-up Form

Full Name: *This question is required.

Student ID#: *This question is required. This question requires a valid number format.

E-Mail Address: *This question is required. (e.g., outlook, gmail, yahoo, icloud, hotmail, student.centralgatech) This question requires a valid email address.

Phone Number: *This question is required.

Address: *This question is required.

Address
City
State
Zip Code

Please answer the following questions pertaining to your training objective/goal:

Space Cell	Yes	No
1. Did you meet your training goal and graduate?	1. Did you meet your training goal and graduate?: Yes	1. Did you meet your training goal and graduate?: No
2. Have you been offered/obtained employment in your field? (if yes, provide information below)	2. Have you been offered/obtained employment in your field? (if yes, provide information below): Yes	2. Have you been offered/obtained employment in your field? (if yes, provide information below): No
3. Do you need assistance with job search/resume/interview skills?	3. Do you need assistance with job search/resume/interview skills?: Yes	3. Do you need assistance with job search/resume/interview skills?: No
4. Are you currently attending training or school (college, university, technical/vocational school, apprenticeship)?	4. Are you currently attending training or school (college, university, technical/vocational school, apprenticeship)?: Yes	4. Are you currently attending training or school (college, university, technical/vocational school, apprenticeship)?: No

Employer Information

Employer:

Start Date:

Hourly Wage: This question requires a valid currency format.

If yes, choose Full Time or Part Time"

Please attach a pay stub or signed letter from your employer (including wage information) as proof of your employment. If you are not currently employed but are enrolled in a school other than Central Georgia Technical College, please attach a copy of your class schedule.

File: {{filename}} delete

I understand that the Workforce Innovation and Opportunity Act (WIOA) office is required to make contact with me at least once a month if not employed, while I am in a case management status or once quarterly after graduation and successful job placement.