Training Program Acceptance

This form gathers the details and documents needed to confirm your acceptance into a training program and move forward with your scholarship. You can fill it out yourself or have your training provider complete it.

Please upload all requested documents. When you click Submit at the bottom, the form will be sent automatically to CareerSource Palm Beach County — no need to email it separately.

Student’s First Name

Student’s Last Name

ProviderName

ProgramName

School Name

Program Name

Program Start Date

Estimated Program End Date

Attach a copy of the registration to confirm enrollment.

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If “yes” to any of the questions below, attach copies of supporting documents. If you need assistance with obtaining these documents, please let us know.

Before starting this WIOA-funded program, did you take any classes at this school?

Yes

Attach a copy of the current transcript showing classes completed.

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Upload your account ledger or payment statement – so we can verify any payments made and your current balance (if any).

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Receiving financial aid?

Yes

Attach a copy of the financial aid award letter.

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Will there be an out-of-pocket cost?

Yes

Attach a copy of the payment plan agreement: so we can see how you plan to cover the remaining balance.

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An equal opportunity/employer program. Auxiliary aids and services are available upon request to individuals with disabilities.