Thank you for your interest in employment assistance. This form helps us determine whether you may qualify for individualized services designed for veterans and spouses.

Some questions ask about military service, disability, or employment barriers because those factors may affect eligibility and service priority. This information is requested solely to determine eligibility and service prioritization. Answering these questions is voluntary, your information will be kept confidential, and declining to answer will not result in negative consequences.

Completion of this form does not guarantee enrollment in veteran specific individualized services, but it helps us connect you with the most appropriate employment resources.