What are the documentation requirements for each eligibility criterion?

As you review an applicant’s eligibility, you may need to collect additional applicant responses or supporting documents. You can refer to the PRH Chapter 1, Exhibit 1-1 for information on what else is needed to assess each criterion. 

The following table outlines the documentation requirements for each eligibility criterion and additional data that may need to be collected from the applicant.

Category Documentation Requirements Sign in MyJobCorps Application (Required) Sign in Adobe or
via email 		Must upload if needed Use varies by applicant

Agreements

 
  • Job Corps Applicant Information (ETA 652)
 X      
  • Applicant Commitment Statement (ETA 652)
 X      
  • Acknowledgement of Expectations (ETA 652)
 X      
  • Job Corps Applicant and Parent or Guardian Consent Record (ETA 652)
 X

X

(parent/guardian signature)

 X  
  • Zero Tolerance for Violence Certification (ETA 652)
 X      
  • Authorization for Release of Criminal History Record (ETA 652)
 X

X

 (parent/guardian signature)

 X  
  • Authorization for Use and Disclosure of Your Health Information
 X

X

(parent/guardian signature)

 X  
  • Equal Opportunity Notice
 X      
  • Privacy Act
 X      

Criterion 1: Residency Status

 

 

 

 
  • At least one supporting document outlined in PRH Chapter 1, Exhibit 1-1
  • Examples: Birth certificate, U.S. Passport, Green Card
     X X
Criterion 2: Age
  • At least one supporting document outlined in PRH Chapter 1, Exhibit 1-1
  • Examples: Birth certificate, Driver’s License, U.S. Passport
     X X
Criterion 3: Low Income
  • At least one supporting document outlined in PRH Chapter 1, Exhibit 1-1
  • Examples: Paystubs, tax returns, W-2s, Statement of Support (if applicable)
     X X
Criterion 4: Criminal Background Check
  • Criminal Background Check Results document will automatically upload to Gateway.
  • Note: Resolution of inconclusive background results may be uploaded to Gateway using the “Job Corps Internal Case Document”.
        
Criterion 5: Barriers to Education and Employment
  • At least one supporting document outlined in PRH Chapter 1, Exhibit 1-1
  • Examples: School Records, Standardized Test Results, Letters from Case Worker or Support Provider
     X X
Criterion 6: Selective Service Registration
  • Job Corps Applicant and Parent or Guardian Consent Record (ETA 652)
  • Applicant Commitment Statement (ETA 652)
 X

X

(parent/guardian signature)

 X X
Criterion 7: Educational and Training Needs
  • At least one supporting document outlined in PRH Chapter 1, Exhibit 1-1
  • Examples: High School Diploma, Official Transcripts, HSE Certificate, Records Release Authorization (if applicable)
     X X

Criterion 8: Group Participation

 
  • Appendix 102 Guide for Evaluating Group Participation and Maintenance of Sound Discipline
     X  

Criterion 8(A). Non-Interference with Other Students’ Participation

 
  • Applicant Commitment Statement (ETA 652)
 X      

Criterion 8(B). Maintenance of Sound Discipline and Positive Center Culture

 
  • Applicant Commitment Statement (ETA 652)
  • Zero Tolerance for Violence Certification (ETA 652)
 X      

Criterion 8(C). Community Relations

 
  • N/A
        
Criterion 9: Child Care
  • N/A
        

Criterion 10: Authorization for Use and Disclosure of Health Information

 
  • Authorization for Use and Disclosure of Your Health Information
 X

X

(parent/guardian signature)

 X  

Health

*Eligibility or conditional eligibility (criterion 1-10) must be verified prior to processing Health forms
  • Job Corps Informed Consent to Receive Mental Health and Wellness Treatment
   X X  
  • Consent for Pre-Enrollment Interview
   X X  
  • Health Questionnaire (ETA 653)
   X X  
  • Chronic Care Management Plans (if applicable)
   X X X
  • Procedures for Providing Reasonable Accommodation, Reasonable Modification in Policies, Practices, or Procedures and Auxiliary Aids and Services During Admissions (if applicable).
   X X X
Miscellaneous
  • Right To Use Photographic Likeness or Moving Images Release Form
   X X  

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