WIOA Questionnaire

Thank you for your interest in the Workforce Innovation and Opportunity Act (WIOA) Program. The purpose of this screening form is a tool for applicants to provide information that can be reviewed to determine their possible eligibility for WIOA program services. The completion and submission of the form by an applicant does not constitute a definitive eligibility determination. This tool helps the WorkSource Southern Georgia staff determine if the applicant should be requested to make an appointment with staff to complete a final application to determine eligibility and WIOA program enrollment.

You can either fill out the form below, or download the PDF to digitally fill out/print out and scan, and return to Shameca Robinson at shameca.robinson@wiregrass.edu


WIOA PRE-SCREENING APPLICATION