WA Grant for Apprenticeship (WG-A) 2024-2025 Application Form

Please note that in order to be considered for WA Grant for Apprenticeship (WG-A):

Cannot be in default on a state student loan or owe repayment of a state grant
Cannot have earned a bachelor's degree or higher
Must be a Washington State resident
Must have a high school diploma or GED
Cannot have used 6 years of Washington College Grant (WCG) / WA Grant (WG-A) eligibility

SPP Acknowledgement

Returning applicants are those that were approved and received WG-A funding during the 2023-24 fiscal year. In addition to the standard eligibility requirements, returning applicants will have to meet the following Satisfactory Program Progress (SPP) requirements to receive funding for an additional year:

Must complete a minimum of 1,340 OJT/96 RSI hours (67% of the 2,000 OJT and 144 RSI) for each fiscal year that they have been awarded
Meet program start date requirement:
- For apprentices who have been actively employed in their apprenticeship program as of July 1, 2023, SPP eligibility determination will be based on an annual redetermination of SPP requirements every July 1
- For apprentices who started their apprenticeship program (or restarted an apprenticeship program after being terminated) after July 1, 2023, their SPP eligibility determination will be based on an annual redetermination of SPP requirements on the anniversary date of when they began their apprenticeship program. For example, a returning applicant began their program on August 1, 2023. SPP eligibility for this applicant would be redetermined on or after August 1, 2024 for the 2024-25 fiscal year.

Returning applicants are encouraged to apply on or after their anniversary date so that we may accurately assess your Satisfactory Program Progress and overall eligibility for additional WG-A funding.

By checking this box I acknowledge that I understand the SPP policy for returning applicants.

IMPORTANT NOTE *

Check with your Program Sponsor for their application process. This online application is utilized only for Program Sponsors that participate in WG-A with ANEW as a third-party servicer. For more information, please refer to the Washington College Grant for Apprenticeship| WSAC website.

APPRENTICESHIP PROGRAM INFORMATION

Select a Program Sponsor Organization:

This is the name of your WA state registered apprenticeship program.

Apprenticeship program (Occupation):

Indicate your Program Sponsor (Other/Not listed):

This is the name of your WA state registered apprenticeship program.

Apprentice ID:
Your apprentice ID is 6-digits long. To locate your apprentice ID please utilize the Apprenticeship Registration & Tracking System (ARTS) on the Labor and Industries website or follow this link: https://secure.lni.wa.gov/arts-public/#/

Program Start Date:

Projected End Date:

APPLICANT INFORMATION

Legal First Name

Legal Middle Initial:

Legal Last Name

Preferred First Name:

Preferred Last Name:

Mobile Phone Number

Email Address

SSN or ITIN:

Date of birth:

City

Street

Zipcode

State

Country

Preferred Method of Contact

CellTextEmail

Are you a Washington Resident? (Living in WA for 1 or more years primarily for purposes other than postsecondary education)

YesNo

NOTE*

Apprentices must be WA state residents to be eligible to receive WG-A funding. Please visit this link to learn more about the WG-A eligibility requirements.

DEMOGRAPHICS & EDUCATION

Responses to these questions are requested, but optional. Responses will not affect your eligibility for the WG-A program & will be used for statistical data reporting purposes only.

Race/Ethnicity (select all that apply):

Asian or Pacific IslanderAmerican Indian or Alaskan NativeBlackHispanic or Latin(X)WhiteOtherPrefer not to disclose

Gender (select one)

FemaleMaleNonbinary/XPrefer Not To Disclose

What is your high school completion status?

High School DiplomaGED CertificateHome SchooledNone of the above

What is your current highest level of education?

Less than HSHS Diploma or GEDCertificate of CompletionAssociate DegreeBachelor's DegreePostbaccalaureate Degree

Have you previously or are you currently receiving financial aid from any school?

NoYes (Provide details)

If yes, which school?

Which year?

Current yearPrevious yearBoth previous and current year

Are you currently receiving services from any of the public assistance programs?

NoYes (select what program(s) and complete Residency Affidavit)

Please select public assistance program(s) (select all that apply):

Aged, blind, or disabled assistance benefits under RCW 74.62Essential needs and housing support program benefits under RCW 43.185C.220Pregnant women assistance program financial grants under RCW 74.62.030Economic Security for All (EcSA) Other

Other public assistance program:

Labor & Industries and Program Sponsor Release of Information

By signing this application, you certify that all the information you provided is true and complete to the best of your knowledge, and you agree, if asked, to provide information that will verify the accuracy of your completed form. You also certify that you do not owe a refund or repayment for any Washington state financial aid programs and are not in default on any state loan program. Any participant who obtains state aid by means of a willfully false statement or a failure to reveal any material fact, condition, or circumstance affecting eligibility will be subject to applicable civil and criminal penalties and repayment of all state aid funds received.

Additionally, by signing this application, you give permission for Washington Student Achievement Council, Washington State Labor & Industries, ANEW, and the Apprenticeship Program Sponsor listed on this application, to use and share confidential information about you as necessary for the WA Grant for Apprenticeship Program – as required to determine your eligibility and monitor your ongoing participation and eligibility. This consent is valid for a maximum of three (3) years from the date signed, unless you withdraw or change your consent in writing.

Signature of Applicant:

Date:

DEPENDENCY STATUS

Were you born before January 1, 2001?

YesNo

As of today, are you married? (Also answer "yes" if you are separated but not divorced):

YesNo

As of July 1, 2024, will you be working on a Master's or a Doctorate program?

YesNo

Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training?

YesNo

Answer "Yes" if you are currently serving in the U.S. Armed Forces or are a National Guard or Reserves enlistee who is on active duty for other than state or training purposes.

Answer "No" if you are a National Guard or Reserve enlistee who is on active duty for other than state or training purposes.

Are you a veteran of the U.S. Armed Forces?

YesNo

Answer “Yes” (you are a veteran) if you (1) have engaged in active duty (including basic training) in the U.S. Armed Forces, or are a National Guard or Reserves enlistee who was called to active duty for other than state or training purposes, or were a cadet or midshipman at one of the service academies; and (2) were released under a condition other than dishonorable. Also answer “Yes” if you are not a veteran now but will be one by June 30, 2024.

Answer “No” (you are not a veteran) if you (1) have never engaged in active duty (including basic training) in the U.S. Armed Forces; (2) are currently an ROTC student or a cadet or midshipman at a service academy; (3) are a National Guard or Reserves enlistee activated only for state or training purposes; or (4) were engaged in active duty in the U.S. Armed Forces but released under dishonorable conditions.

Also answer “No” if you are currently serving in the U.S. Armed Forces and will continue to serve through June 30, 2024

Do you have children or other people (excluding a spouse) who live with you and receive more than half of their support from you now and between July 1, 2024, and June 30, 2025?

YesNo

At any time since you turned age 13, were you an orphan (no living biological or adoptive parent), were you a dependent or ward of the court, or were you in foster care?

YesNo

Answer “Yes” if at any time since you turned age 13:

You had no living parent, even if you are now adopted; or
You were in foster care or a dependent or ward of the court even if you are no longer in foster care today or a dependent or ward of the court today. For federal student aid purposes, someone who is incarcerated is not considered a ward of the court.

The financial aid office may require you to provide proof that you were in foster care or a dependent or ward of the court.

Has a court in your state or legal residence determined that you are an emancipated minor or that someone other than your parent or stepparent has legal guardianship of you?

YesNo

Answer "Yes" if you are now an adult but were in legal guardianship or were an emancipated minor immediately before you reached the age of 18. Answer "No" if the court papers say "custody" rather than "guardianship".

At any time on or after July 1, 2023, were you unaccompanied and either (1) homeless or (2) self-supporting and at risk of being homeless?

YesNo

Answer "Yes" if your situation was determined by a) your high school or district homeless liaison, b)the director of an emergency shelter or transitional housing program funded by the U.S. Department of Housing and Urban Development, or c) the director of a runaway or homeless youth basic center or transitional living program.

Do you have an unusual circumstance preventing you from contacting your parents or would contacting your parents pose a risk to you?

YesNo

You may be experiencing unusual circumstances if you left home die to an abusive or threatening environment; were abandoned by or estranged from your parents; have refugee or asylee status and are separated from your parents, or your parents are in a foreign country; are a victim of human trafficking; are incarcerated (or your parents are incarcerated), and contact with your parents would pose a risk to you; or are otherwise unable to contact or locate your parents.

Not all situations are considered an unusual circumstance. The following situations do not qualify as an unusual circumstance:

You do not live with your parent(s), or your parent(s) do not want to provide their information on your application
Your parents don't provide you with financial support or refuse to contribute to your program expenses
Your parents don't claim you as a dependent on their income tax return

DependencyCalc

DependencyStatus

Dependent

Independent

Unknown

FINANCIAL & HOUSEHOLD INFORMATION (DEPENDENT)

Based on your responses from previous page, you are considered a dependent:

Please provide your parent's household information (which includes you - even if you no longer live with them) and your parent's income information.
If your parents were Never Married (and not living together), Divorced, or Separated, provide information for the parent you lived with most during last 12 months, or during the most recent year that you received support from a parent.
For financial aid purposes, a married couple is considered legally separated by a state or if the couple is legally married but has chosen to live separate lives, including living in separate households, as though they weren’t married. If your parents are separated but living together, select “Married/Remarried,” not “Separated.”

Parent First Name:

Parent Last Name:

Parent Email:

As of today, what is the marital status of your parents?

Parent Marital Status (Date):

What is your family size?
Family size should include the parent (and their spouse or partner), the applicant, the parent's dependent children (even if they live apart due to college enrollment), and other people living with the parent now. Include dpendent children and other people only if the parent will provide more than half of their support between July 1, 2024, and June 30, 2025.

Total Family Income for 2022 IRS Tax Year (dependent):

If you are dependent, provide your parent's family income information for both parents if they are married (or unmarried or divorced) and both parents living together.

If your parent was never married and does not live with your other legal parent, or if your parent is widowed and not remarried, provide information for your parent.

If your parents are divorced or separated, provide information for the parent who provided the greater portion of the applicant's financial support, even if the applicant does not live with them.

If both parents provided an exactly equal amount of financial support during the past 12 months, or if they don't support the applicant financially, answer the question about the parent with the greater income and assets.

If this parent is remarried as of today, answer the questions about the parent and the stepparent.

If the applicant's windowed parent is remarried as of today, answer the questions about that parent and the stepparent.

Including yourself, how many members of your household will be in college or in an apprenticeship between July 1, 2024, and June 30, 2025? (Do not count parents of Dependent Applicants)

FINANCIAL & HOUSEHOLD INFORMATION (INDEPENDENT)

Based on your responses from a previous page, you are considered an independent:

Please provide information for your household, including yourself, spouse (if married or remarried), and those that you provide more than half of their support for.
For financial aid purposes, a married couple is considered legally separated by a state or if the couple is legally married but has chosen to live separate lives, including living in separate households, as though they weren’t married. If you and your spouse are separated but living together, select “Married/Remarried,” not “Separated.”

As of today, what is your marital status?

Marital Status (Date):

What is your family size?
Family size should include yourself (and your spouse if married), your dependent children (even if they live apart due to college enrollment), and other people living with you now. Include dependent children and other people only if you provide more than half of their support between July 1, 2024, and June 30, 2025.

What is your total Family Income for 2022 IRS Tax Year:
If you are considered independent, provide your family income information for you and your spouse (if married or remarried).

Including yourself, how many members of your household will be in college or in an apprenticeship between July 1, 2024, and June 30, 2025?

Between July 1, 2024, and June 30, 2025, will you receive other form of assistance for apprenticeship? (Opportunity or other Scholarships, Employer Reimbursements, Trade Act, etc.)

YesNo

Please select which additional form of assistantship you are receiving and indicate the amount (select all that apply):

Opportunity scholarshipOther scholarshipsTrades ActEmployer ReimbursementsOther

Opportunity Scholarship (amount):

Other Scholarships (amount):

Employer Reimbursements (amount):

Trades Act (amount):

Other (specify form of assistantship and indicate amount):

Do you have any special circumstances?

YesNo

- if your household income reported on this form has dramatically changed (such as loss of an income due to being laid off); or

- if you answered "yes" to the question about unusual circumstances with parents Please upload a statement explaining the details of your situation. Attach additional pages if necessary. You will also need to submit third-party documentation to your Sponsor Financial Aid Administrator (SFAA) to validate your statement (such as layoff notice from work or court documents). Provide as many details and supporting documents as possible, so your SFAA can determine if your situation qualifies as a special circumstance.

Special circumstance statement*:

File upload:

CERTIFICATION AND SIGNATURES

By signing this application, you certify that all the information you provided is true and complete to the best of your knowledge, and you agree, if asked, to provide information that will verify the accuracy of your completed form. Any participant who obtains state aid by means of a willfully false statement or a failure to reveal any material fact, condition, or circumstance affecting eligibility will be subject to applicable civil and criminal penalties and repayment of all state aid funds received.

Signature of Applicant: Financial

Date:

Signature of Parent (if dependent):

Date:

Washington State Higher Education Residency Affidavit

People who are eligible to sign this affidavit pay in-state (resident) tuition and fees. They also meet residency requirements for state financial aid programs. Check your school’s residency website or contact the residency office for submission instructions. For private institutions, check your school’s financial aid website or contact the financial aid office.

Eligibility requirements

To be eligible for this affidavit, you must:

Earn a high school diploma, GED, or diploma equivalent before your first term at the college determining residency, and

Maintain a primary residence in Washington for at least 12 consecutive months immediately before your first term at the college determining residency. The Washington residence must be for purposes other than college. If you take any courses at another Washington college during the prior 12 months, you cannot have taken more than six credits in any given term. If you exceed that limit you must prove that you have a Washington residence for non-college reasons.

Certification

If you meet the eligibility requirements above, you must also sign this affidavit to qualify for residency. The affidavit is a promise between you and the institution determining residency. Please certify the following statement by signing below.

I certify that, by the official start date of my first term at the college determining residency, I will have met the eligibility requirements on this affidavit form and that one of the following is true:

I will file an application to become a permanent resident of the United States as soon as I am eligible to apply. I am also willing to engage in activities designed to prepare me for citizenship, including citizenship or civics review courses, orI am a U.S. citizen, U.S. national, or U.S. permanent resident.

Signature of Applicant:

Date: