LACES 2026-2027 "*" indicates required fields Please type answers in EnglishctcLink ID*Enter ctcLink IDEmail* Last Name*First Name*Highest Level of Schooling Completed:* No Schooling Grades 1-5 Grades 6-8 Grades 9-12 (no diploma) High School Diploma or alternate High School Equivalent (e.g., GED®) Some college or technical, no degree College or professional degree Unknown Where did you complete your highest level of school?* In the U.S. Not in the U.S. Current Employment Status:* Employed Not looking for work currently Temporarily not working, but returning to the same employer Not employed, but looking for work Retired not working Received termination notice or separating from military WIOA Employment Considerations None of your responses or lack of responses will affect your ability to participate in our programs.Bias Considerations*A person who perceives themself as possessing attitudes, beliefs, customs, or practices that influence a way of thinking, acting, or working that may serve as a hindrance to employment. Yes No Individual with disability*A person with a physical or mental impairment that substantially limits one or more of the person’s major life activities. Yes No Displaced homemaker*A person who previously provided unpaid services to the family (for example: a stay-at-home parent), is no longer supported by the spouse, or is the dependent spouse of a member of the Armed Forces, is unemployed or underemployed, and is having trouble finding or upgrading employment. Yes No Low-income individual*A person who within 6 months has received income-based assistance, such as housing supplement or food stamps, or whose total family income is below 70 percent of the lower living standard income level. Yes No English Language Learner*A person with limited ability in speaking, reading, writing, or understanding the English language. Yes No Justice Involved*A person who has been subject to any stage of the criminal justice process. Yes No Exhausting TANF*A person within 2 years of using up lifetime eligibility. Yes No Foster care youth*A person who is currently in foster care or has aged out of the foster care system. Yes No Homeless individual*A person without a fixed, regular and adequate nighttime residence or runaway youth. Yes No Long-term unemployed*A person who has been unemployed for 27 or more consecutive weeks. Yes No Skills Development*A person wanting to improve their ability to compute and solve problems, or read, write, or speak English at a level necessary to function on a job, in their family, or in society. Yes No Migrant Farmworker*Check only if this applies. A seasonal farmworker and whose agricultural labor requires travel to a job site such that the farmworker is unable to return to a permanent place of residence within the same day. A dependent of the individual described as a migrant farmworker above. None Seasonal Farmworker* A low-income individual who for the past 12 consecutive months has been primarily employed in agriculture or fish farming labor that is characterized by chronic or seasonal unemployment or underemployment and faces barriers to economic self-sufficiency. A dependent of the individual described as a seasonal farmworker above. None Single parent*A person who is single, separated, divorced or a widowed and has primary responsibility for one or more dependent children under age 18 or is currently pregnant. Yes No I certify that the information provided on this form is correct and true to the best of my knowledge.*Student Electronic SignatureToday's Date*Month / Day / YearMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Last Updated June 1, 2026
