Current Start Preview Complete Have you completed your North Carolina Residency Determination form? If not, you can do so now by clicking on the green button, and then add your verification number in the blank below. In-state residents could be eligible for additional funding options that require residency verification for eligibility.Residency Determination Service RDS Verification Number Have you completed your NCWorks registration? If not, you can do so now by clicking on the blue button, and then add your NCWorks ID number in the blank below. Registration is not required for training, but registered individuals are notified of available jobs in the area. NCWorks NCWorks ID number First Name Middle Name Last Name Suffix Street Address Address2 Apt, suite, building, etc. City County (NC residents only) - Select -AlamanceAlexanderAlleghanyAnsonAsheAveryBeaufortBertieBladenBrunswickBuncombeBurkeCabarrusCaldwellCamdenCarteretCaswellCatawbaChathamCherokeeChowanClayClevelandColumbusCravenCumberlandCurrituckDareDavidsonDavieDuplinDurhamEdgecombeForsythFranklinGastonGatesGrahamGranvilleGreeneGuilfordHalifaxHarnettHaywoodHendersonHertfordHokeHydeIredellJacksonJohnstonJonesLeeLenoirLincolnMaconMadisonMartinMcDowellMecklenburgMitchellMontgomeryMooreNashNew HanoverNorthamptonOnslowOrangePamlicoPasquotankPenderPerquimansPersonPittPolkRandolphRichmondRobesonRockinghamRowanRutherfordSampsonScotlandStanlyStokesSurrySwainTransylvaniaTyrrellUnionVanceWakeWarrenWashingtonWataugaWayneWilkesWilsonYadkinYancey State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Email Address Phone Number Race - Select -American/Alaska NativeWhiteBlack or African AmericanLatino/HispanicAsianHawaiian or Pacific IslanderOther Ethnicity - Select -CaucasianLatino/HispanicMiddle EasternAfricanCaribbeanSouth AsianEast AsianMixed Gender - Select -MaleFemaleDo not wish to identify Highest Level of Education - Select -ElementaryMiddle SchoolGrade 9Grade 10Grade 11High School GraduateGEDAdult High School DiplomaPost High School Vocational DiplomaAssociate DegreeBachelor’s DegreeMaster’s Degree or Higher Currently employed? - Select -YesNo Employment Status - Select -Full TimeInmatePart TimeRetiredUnemployed - Not SeekingUnemployed - Seeking Estimated Income - Select ->$50k$41k-50k$31k-40k$21k-30k<$20k Number of Dependents Military Veteran? - Select -YesNo Military Status - Select -ActiveDischargedReserveRetiredMilitary SpouseN/A Are you requesting financial assistance for a course in which you are currently or were previously enrolled? - Select -YesNo If "Yes," provide the course name and number. How will this financial assistance help you achieve your educational and vocational goals? Briefly explain why you are requesting financial assistance and how your program of study will help you achieve your career goals. Which class interests you? BioWork: Process Technician Associate Professional in Human Resources (aPHR) Bookkeeping: Intuit QuickBooks Certified User Online Certified Bookkeeper Real Estate License Security Industry Essentials (SIE) Exam preparation Apartment Maintenance Technician Apprenticeship Training Carpentry Certified Fiber-optic Technician Forklift Operator HVAC Technician Certified Nurse Aide I Certified Nurse Aide II Central Sterile Processing Technician EKG Technician Emergency Medical Technician Basic (EMT-B) Emergency Medical Technician Paramedic (EMT-P) Advanced Emergency Medical Technician (AEMT) Healthcare Billing Healthcare Coding Massage Therapy Medical Terminology Phlebotomy Barbering Cosmetology Hotel and Restaurant Hospitality Certification AWS Certified Solutions Architect Associate Cisco Certified Network Associate (CCNA) Cisco Certified Network Professional (CCNP) CompTIA Certified Cybersecurity Analyst (CySA) CompTIA PenTest+ Computer Technology Basics for Digital Literacy Data Analytics for Business Professionals IT Support Technician Microsoft Office 365/Office 2019 for Office Administration Network Technician Red Hat Certified System Administrator Software Developer using Python Web Programmer using HTML5, CSS and Javascript Web Programmer using Python and Django Basic Law Enforcement Training Automotive Technician Escort Vehicle Operator Other If "Other," provide the course name. A laptop may be available to you if you are in need. Are you interested in being considered for one? - None -YesNo Residency Verification Please submit a photo or scanned copy of one of the following documents to verify your residency. (NOTE: Documentation is not necessary for previously enrolled Wake Tech students.) 1. Driver's license or state-issued ID 2. Credit card, cellphone or utility bill 3. Bank or other financial statement (or online profile screenshot) 4. Health insurance card or document 5. Library card (or online account screenshot) 6. TANF, WIC, FNS or AFDC documentation 7. Documentation of homelessnessOne file only.150 MB limit.Allowed types: txt, rtf, pdf, . COVID-19 Attestation Check this box to indicate your desire to be considered for additional federal aid based on the impacts of the COVID-19 pandemic. Your choice to apply for additional federal aid does not impact your application for other sources of aid. If you check this box, please include in your description above how the pandemic has affected your ability to complete your educational and vocational goals.By checking this box, I certify that I am experiencing financial impacts from the COVID-19 pandemic, and all information included in this request for emergency aid is true and complete. I understand that, if I am found to have knowingly or intentionally given false or fraudulent statements and/or documentation, my request will be denied, withdrawn, reduced or canceled. I also am aware that I may be required to pay all funds back and that future eligibility for federal education stimulus dollars could be jeopardized.