Workforce Funding and Support Programs Application

This field is for validation purposes and should be left unchanged.

Contact Information

Legal Last Name(Required)

Legal First Name(Required)

Preferred Name(Required)

Pronouns

ctcLink ID(Required)

Phone(Required)

Email(Required)

Personal Information

How many people are in your household(Required)

Branch of service(Required)

Date of separation(Required)

Program of Study Information

What quarter will you start taking classes? If you are already in classes, select the current quarter(Required)

What year will you start taking classes? If you are already in classes, select the current year(Required)

Year of Highschool Graduation(Required)

If you are enrolled in more than one program of study (dual major), please enter your second program here

Place of employment

Your job title

Stars number

How long have you worked there?

Name of previous degree or certificate(Required)

Employment Information

Name of employer(Required)

Hourly wage(Required)

Name of employer(Required)

Position held(Required)

Hours per week(Required)

Monthly income(Required)

Financial Assistance Information

Services You Use

Your Barriers

Please tell us about why you are seeking Workforce Funding support at this time(Required)

Other Need / Insecurity(Required)

What resources or services would you like information about?

A Workforce Funding staff member will contact you to schedule an appointment with our Resource Navigator.

Signature

Authorization for Release of Information(Required)

GHC staff adheres to Family Educational Rights and Privacy Act (FERPA) regulations regarding privacy of information. The information you give us is confidential. Your signature certifies that the information you provide is to the best of your knowledge. It also authorizes GHC staff to share information.

CAPTCHA

Continuous Non-Discrimination Notice

Grays Harbor College does not discriminate on the basis of race, color, national origin, sex, disability, sexual orientation, gender identity, creed, religion, marital status, veteran status, genetics, or age in its programs, activities, and employment. The following person has been designated to handle inquiries regarding the non-discrimination policies: Title II/Title IX/Section 504 Coordinator - Erin Tofte, Associate Vice President for Human Resources - 1620 Edward P. Smith Drive, Aberdeen, WA 98520, 360-538-4234, erin.tofte@ghc.edu