What blank forms can I download from the Forms tab in Gateway?

The following forms are available on the Forms tab in Gateway as blank documents you can download and print.

If you need to obtain parent/guardian signature for an unemancipated minor, download the applicant signed form from either the Application or Documents tab in Gateway and send via email using Adobe sign to the parent/guardian.

Type Forms

Portal agreements 

(Applicant signature completed in Portal)

  • Form 652 Section A: Job Corps Applicant Information
  • Form 652 Section B: Applicant Commitment Statement
  • Form 652 Section C: Acknowledgement of Expectations
  • Form 652 Section D: Job Corps Applicant and Parent or Guardian Consent Record
  • Form 652 Section E: Job Corps Zero Tolerance Student Conduct System
  • Form 652 Section F: Authorization for Release of Criminal History Record Information
  • Form 1-07: Equal Opportunity Notice
  • Form 6-02: Authorization for Use and Disclosure of Your Health Information
  • Form 5-08/5-09: Right to Use Photographic Likeness or Moving Images-Release Form
  • Form 1-01 Job Corps Informed Consent to Receive Mental Health and Wellness Treatment
  • Consent for Pre-enrollment Interview
  • Job Corps Privacy Act

Health

(Available in the Forms tab in Gateway

  • ETA Form 653 Health Questionnaire
  • Chronic Care Management Plan - Seizure Disorder
  • Chronic Care Management Plan - Sickle Cell Disease
  • Chronic Care Management Plan - Sleep Apnea
  • Chronic Care Management Plan - Substance Use Disorder
  • Chronic Care Management Plan - Asthma
  • Chronic Care Management Plan - Diabetes
  • Chronic Care Management Plan - General Health Questionnaire
  • Chronic Care Management Plan - HIV Infection/Aids
  • Chronic Care Management Plan - Hypertension
  • Chronic Care Management Plan - Obesity
  • Chronic Care Management Plan - Orthodontic Care Agreement
  • Chronic Care Management Plan - Mental Health Disorders
  • Immunization Record
  • Individualized Assessment of Possible Direct Threat (Form 2-04)
  • Health Care Needs Assessment (Form 2-05)
  • Center Applicant File Review Form (Form 1-06)
Additionally required forms (completed by Admissions)
  • Appendix 102: Guide for Evaluating Group Participation and Maintenance of Sound Discipline (Criterion 8)
Eligibility Support Forms
  • Form 1-03: Job Corps Application Statement of Support
  • Appendix 103: Denial Letter Template for Admissions Services
  • Parental Consent Record
  • Records Release Authorization
Informative/Policy
  • Exhibit 1-1: Job Corps Eligibility Requirements
  • Form 1-05: Procedures for Providing RA-RM-AAS During Admissions
  • Form 2-03: Procedures for Providing RA-RM-AAS for Participation in the Job Corps Program
  • Appendix 101: Definitions of Family and Family Income
  • Appendix 201: Communicating with Individuals with Disabilities
  • Appendix 202: Transmission Storage and Confidentiality of Medical Health and Disability-Related Information

 

Updated

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