Southeastern Community College

Please Note:  Applications received a week or less prior to training start date may not have sufficient time for approval process.

APPLICANT INFORMATION

Work History (Present or Most Recent)

All information for work history is required for each job you list. This includes employer, job title, start/end dates, job description, and reason for leaving. 

Work History Continued

All information for work history is required for each job you list. This includes employer, job title, start/end dates, job description, and reason for leaving.

Work History Continued

All information for work history is required for each job you list. This includes employer, job title, start/end dates, job description, and reason for leaving.

Applications received a week or less prior to training start date may not have sufficient time for approval process. 

I certify the information I have provided during this application process is true to the best of my knowledge. 

I agree to provide all of the proper documentation that is requested of me by Southeastern Community College staff for eligibility determination purposes.  I am also aware the information I provide may be reviewed and verified and that I may have to provide additional documents to support the information contained in this application.  By giving my signature below, I give my consent and permission for release of information by Southeastern Community College staff to partner agencies (Iowa Workforce Development, IowaWORKS, Department of Human Services) for documentation purposes and to gain further information for eligibility purposes.

Further, I understand that this information will be used to determine my eligiblity for participation in the PACE and GAP programs, including consideration for tuition assistance, and the support services that the PACE program can provide.  I understand that each application is reviewed and approved on an individual basis and may not reflect what others have received. 

I understand that eligibility for tuition assistance under this chapter shall not be construed as a guaranteed enrollment in any community college certificate program.