Scholarship Request Form - CareerSource Suncoast

Welcome to the MySuncoast Scholarship and Training Orientation. Through CareerSource Suncoast (CSS) and the Workforce Innovation & Opportunity Act (WIOA) there are scholarship opportunities that may be available to selected individuals. The Workforce Innovation & Opportunity Act (WIOA) is federal legislation designed to provide services and training assistance to individuals so they can obtain a career in high skills, high wage occupations.

MySuncoast Scholarships are related to in-demand, targeted occupations in Manatee and Sarasota Counties and can cover costs like tuition and training related materials. Those occupations are listed on the Local Targeted Occupations List (LTOL) and the education providers, and their training programs are listed on the CSS Eligible Training Provider List (ETPL).

Selected scholarship recipients receive access to CSS follow-up services for at least a 12-month period once they become employed. Those services can include workplace counseling, help with securing better jobs, career planning, assistance with work-related problems, and referrals to other CSS services and/or services in the community.

Scholarships offer a maximum total cap of up to $15,000, which can be utilized over a span of up to two years*.

*Please Note: Registered Apprentice Programs listed on the CSS Eligible Training Provider List are not subject to the two (2) year limitation.

Scholarship Restrictions include the following:

CSS is unable to assist with the cost of any pre-requisite classes or general education requirements.
CSS cannot reimburse scholarship recipients for tuition, fees or books that have already been paid to the school or purchased.
Scholarships do not cover the cost of training vendor entrance exams, background checks, application fees or assessments.
Training programs cannot exceed two years*.

View the MySuncoast Scholarship Orientation

If interested in pursuing a MySuncoast Scholarship, please complete the following request

Address:

City:

State:

Zip Code:

One of the following documents is required:

Phone Number:

Mobile Number:

By providing your cell phone number you consent to receive SMS messages from CareerSource Suncoast for conversational purposes only. We won't send you marketing or promotional content through SMS. These messages may include meeting reminders, alerts, and other relevant information. You can opt-out of SMS conversations at any time by replying "STOP" to any message.

Email:

EmployFlorida.com is Florida's online labor exchange system that connects job seekers with employers. It provides a platform for individuals to create profiles, search for job opportunities, and access various employment resources. Registration on EmployFlorida.com is a requirement for all applicants seeking assistance through CareerSource Suncoast programs, including the MySuncoast Scholarship.

How to Register on EmployFlorida.com

Have you registered in EmployFlorida.com?
Register in Employ Florida

Yes

No EF Registration Required

General Criteria:

18 years of age or older.
Meet U.S. citizenship requirements/authorization to work or hold a permanent resident card in the U.S.
Meet selective service registration requirements (for men born after December 31st, 1959).

If you meet the general selection criteria, you must also meet one of the targeted selection criteria under either Adult or Dislocated Worker.

Under the Adult criteria, scholarship selection priority is given to interested low-income veterans and their spouses along with recipients of public assistance, other low-income individuals and individuals who are basic skills deficient.

Once all interested individuals with the above referenced characteristics have been screened and/ or selected, CSS will then entertain individuals whose family income is less than the Adult Service Below Self-Sufficiency income levels.

Priority is always given to those individuals whose total gross family income does not exceed the “Adult Service Priority” column. This is done by using the past six months of income multiplied by two. Only, when possible, will CSS consider individuals whose total gross family income is less than the “Adult Service Below Self-Sufficiency” column. This is done by using the past six months of income multiplied by two.

This chart represents the CSS Scholarship income guidelines for Adult selection.

Family Size	Adult Service Priority (Family income not to exceed)	Adult Service Below Self-Sufficiency (Family income below)
1	$15,650	$57,720
2	$21,150	$85,300
3	$27,488	$112,880
4	$33,888	$140,460
5	$39,995	$168,040
6	$46,777	$195,620
7	$53,559	$223,200
8	$60,341	$250,780

To be selected under the Dislocated Worker criteria, you need to only meet one of the eight targeted criteria listed in this section.

Please Note: For each individual targeted criteria, you must meet all subsets of that criterion to be considered.

An individual who has been:

Terminated or laid off or has received a notice of termination or layoff from employment AND
Is eligible for or has exhausted unemployment compensation (UC) AND
Is unlikely to return to the previous industry or occupation

An individual who has been:

Terminated or laid off, or has received notice of termination or layoff AND
Has been employed for sufficient duration (a minimum of 6 consecutive weeks) to demonstrate workforce attachment BUT
Is not eligible for unemployment compensation (UC) due to insufficient earnings or employer not being covered under State unemployment compensation (UC) law AND
Is unlikely to return to the previous industry or occupation

An individual who has been:

Terminated or laid off or has received notice of termination or layoff from employment because of a permanent closure, or substantial layoff at a plant, facility, or enterprise

An individual who has been:

Given a general announcement from his/her employer that the facility will close within 180 days

An individual who was:

Previously self-employed (including farmers, ranchers, and fisherman) BUT
Is currently unemployed due to general economic conditions in the community of residence OR because of natural disaster

Displaced Homemaker – An individual who was:

Providing unpaid services to family members in the home AND
Has been dependent on the income of another family member BUT
Is no longer supported by that income AND
Is unemployed or underemployed AND
Is experiencing difficulty in obtaining or upgrading employment
Includes dependent spouses of the Armed Forces on active duty whose family income is significantly reduced because of a deployment, a call or order to active duty, a permanent change in station, or the service-connected death or disability of a service member

Military Assignment - An individual who is:

A spouse of a current member of the military who was forced to leave his/her employment to follow spouse due to change in military assignment
A previous member of the military who was discharged from the armed forces under honorable conditions AND who did not retire from the military

The MySuncoast Scholarship selection process is not solely based on the general and targeted selection criteria. CSS will assess and consider an individual’s ability to successfully complete training and obtain full-time employment in the training-related occupation.

Items considered include, but are not limited to the following:

Previous training / scholarship assistance received from CSS.
Current credentials, degrees, or other marketable skills.
Current academic levels.
Level of support while attending training.
Stable living environment.
Financial support/stability while attending training.
Ability to cover the remaining tuition and training-related costs, if any.
Potential background issues that may prohibit employment in certain fields of study.

Date of Birth:

One of the following documents is required:

Are you a US Citizen or legally able to work in the US?

Yes

One of the following documents is required:
I-9 Document List

All males born January 1, 1960 or later are required to selective service register. If applicable, have you completed this registration?
To check your registration please visit sss.gov

Yes

Do you consider yourself to have a disability?

Yes

I do not wish to answer

Are you currently receiving benefits from the Social Security Administration for Disability?

Yes

Are you in the military, an eligible veteran, or spouse of an eligible veteran?

Yes

If yes, verifying document to be provided:

Are you a current Active Duty Military spouse who is unemployed / under employed?

Yes

Are you currently working?

Yes

Current rate of pay? (Per Month)

Note: if unemployed please record 0.00

Are you able to work full-time?

Yes

Have you received a notice of termination or layoff from your job?

Yes

If yes, verifying document to be provided:

Are you receiving Unemployment or have you exhausted your unemployment benefits?

Yes

If yes, verifying document to be provided:

Self-Employed: Did you close your business due to the economy or natural disaster?

Yes

Are you a Displaced Homemaker?

Yes

If yes, verifying document to be provided:

Have you been convicted of a felony or misdemeanor?

Yes

Are you currently receiving or have received SNAP/food stamps in the last six months?

Yes

If yes, verifying document to be provided:

Are you currently receiving Public Assistance?

Yes

If yes, verifying document to be provided:

A family means two or more persons related by blood, marriage, or decree of court, who are living in a single residence, and are included in one or more of the following categories:

A married couple and dependent children.
A parent or guardian and dependent children.
A married couple.

What is your family size?

(Total number of people in your family = all those living in a household related by blood, marriage or court decree)
Adult Family Definition

Verifying document(s) to be provided:

Birth Certificate
Marriage Certificate
Decree of Court
Public Assistance-Social Service Agency Records
Most Recent Tax Return Supported by IRS Documents
Landlord Statement
Lease
Public Housing Authority

What is your total annualized family income?

Use the past six months of income multiplied by two. (family income = all those living in a household related by blood, marriage or court decree)

Before selecting a training provider/school and program of study below, please review both lists to ensure your desired occupation is included on the LTOL and that the training provider/school and program of study are included on the ETPL.

What training provider/school are you interested in attending?
Training Provider List

What Program of Study are you interested in pursuing?
Local Targeted Occupations List (LTOL)

Do you have any remaining pre-requisites to complete before entering your selected program of study?

Yes

I don't know

Upon receipt of a MySuncoast Scholarship, individuals must commit to the following:

Attend all scheduled future CSS appointments for successful completion of the scholarship process.
Maintain monthly contact with an assigned CSS staff member and submit proof of training attendance.
Submit a copy of their grades and registration information for each term.
Apply for PELL grant and submit copies of any other financial aid received on an annual basis.
Maintain an overall GPA average of 2.0 or higher throughout the duration of training (term/semester and cumulative).
Provide copies of all earned credentials to your assigned CSS staff member.
Inform an assigned CSS staff member upon attainment of employment and provide details (company name, job title, rate of pay, etc.).
Respond to all follow-up contacts by CSS once training is completed and employment has occurred.

MySuncoast Scholarship & CSS Services

EmployFlorida Registration

Selection Criteria

Adult Selection Criteria:

Dislocated Worker Selection Criteria:

Selection Considerations

Definition of Family

Occupation & Education Selection

Responsibilities & Obligations