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Number of Family Members in Household

Social Security Number Optional 

Race (check all that apply) Required
Are You employed?
Are you registered with Arkansas Job link?
Are you a veteran?
are you the spouse of a veteran?
Are you registered with selective service?

Check All That Apply

If you are currently attending College or other training please complete the following: 

What funding are you receiving for the training? (Check all that apply)
By completing this initial application, you authorize WIOA to share the information with our partner agencies to see that you get the best help needed.

You have submitted!!

Equal Opportunity Officer
Mrs. Brittany Shipley

4441 Harrison Street 
Batesville, AR 72501
Phone: (870) 793-5233
Contact: brittany@wrpdd.org 
Searcy Workforce Center
501 West Arch Street
Searcy, AR 72143
Phone: (501) 268-6650
Days of Operation: Mon-Fri
8:00am-4:30pm
Contact: jamie@wrpdd.org 

WRPDD/Arkansas Workforce Center is an “equal opportunity employer/program.” Auxiliary aids and services are available upon request to Individuals with disabilities. Arkansas Relay Service: 1-800-285-1121 (Voice) 1-800-285-1131 (TDD)  Or TDD 711.

© 2017 Northcentral Arkansas WIOA Board

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