WA Grant for Apprenticeship (WG-A) 2023-2024 Application Form
Please note that in order to be considered for WA Grant for Apprenticeship (WG-A):
you cannot be in default on a state student loan or owe a repayment of a state grant
cannot have earned a Bachelor's Degree; must have a high school diploma or GED
and cannot have used 5 years of Washington College Grant (WCG)/WA Grant (WG-A) eligibility
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:
Please select...
Spokane Heat and Frost Insulators and Allied Workers Apprenticeship Committee
Atarashii Apprentice Program
Construction Industry Training Council (CITC)
Machinist Institute
Puget Sound Electrical JATC (PSEJATC)
Northwest Laborers (NWLETT)
PNW Ironworkers Local 86
Ironworkers Local 14
PEAC
Southwest Washington Electrical Joint Apprenticeship and Training Committee
Northwest Washington Electrical Industry Joint Apprenticeship and Training Committee
Inland Empire Electric
Other/Not Listed
This is the name of your WA state registered apprenticeship program.
Trade/Specialty Craft:
Please select...
Asbestos Worker
Barber
Cosmetologist
Esthetician
Hair Design
Manicurist
Carpentry
Electrical 01 Commercial Inside Wireman
Electrical 06 Low Energy/Sound and Communication Technician
Glazier
Heavy Equipment Operator
HVAC
Construction Craft Laborers
Painting
Plumbing
Scaffold Erector
Sheet Metal
Fabrication Welder
Heavy Duty Equipment Mechanic
Industrial Machinery Technician
Trailer, Container and Van Repair Mechanic
Inside Wireman 01
Residential Wireman 02
Electrician Technician
Limited Energy/Sound and Communication Technician
Maintenance Electrician
Neon and Electrical Sign Installer
Outdoor Lighting and Traffic Signal Installer
Laborer
Ironworkers
Ironworker
Inside Electrician
Inside Wireman 01
Limited Energy/Sound and Communication Technician
Residential Wireman 02
Inside Wireman 01
Limited Energy/Sound and Communication Technician
Residential Wireman 02
Inside Wireman 01
Inland Empire Electric
Low Energy/Sound and Communication
Other
Indicate your Program Sponsor (Other/Not listed):
This is the name of your WA state registered apprenticeship program.
Apprentice ID:
Program Start Date:
Projected End Date:
APPLICANT INFORMATION
Legal First Name
Legal Middle Name:
Legal Last Name
Preferred First Name:
Preferred Last Name:
Mobile Phone Number
Email Address
SSN or ITIN:
Date of birth:
City
Street
Zipcode
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Country
Preferred Method of Contact
Cell
Text
Email
Are you a Washington Resident? (Living in WA for 1 or more years primarily for purposes other than postsecondary education)
Yes
No
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 the "Race/Ethnicity" question 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 Islander
American Indian or Alaskan Native
Black
Hispanic or Latin(X)
White
Other
Prefer not to disclose
Gender
Female
Male
Nonbinary/X
Prefer Not To Disclose
What is your high school completion status?
High School Diploma
GED Certificate
Home Schooled
None of the above
What is your current highest level of education?
Less than HS
HS Diploma or GED
Certificate of Completion
Associate Degree
Bachelor's Degree
Postbaccalaureate Degree
Have you previously or are you currently receiving financial aid from any school?
No
Yes (Provide details)
If yes, which school?
Which year?
Current year
Previous year
Both previous and current year
Are you currently receiving services from any of the public assistance programs?
No
Yes (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 74.62
Essential needs and housing support program benefits under RCW 43.185C.220
Pregnant women assistance program financial grants under RCW 74.62.030
Economic 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, 2000?
Yes
No
As of today, are you married? (Also answer "yes" if you are separated but not divorced):
Yes
No
As of July 1, 2023, will you be working on a Master's or a Doctorate program?
Yes
No
Are you currently serving on active duty in the U.S. Armed Forces for purposes other than training?
Yes
No
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?
Yes
No
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 now have, or will you have children who will receive more than half of their support from you between July 1, 2023 and June 30, 2024?
Yes
No
Do you have dependents (other than your children or spouse) who live with you and who receives more than half of their support from you, now and through June 30, 2024?
Yes
No
At any time since you turned age 13, were both your parents deceased, were you in foster care, or were you a dependent or ward of the court?
Yes
No
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, even if you are no longer in foster care today; or
You were a dependent or ward of the court, even if you are no longer 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 apprenticeship sponsor 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?
Yes
No
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, 2022, were you determined to be an unaccompanied youth who was homeless or were self-supporting and at risk of being homeless?
Yes
No
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 and cannot provide parental information?
Yes
No
Certain circumstances such as being a victim of human trafficking, having legal granted refugee or asylum status, or parental abandonment or estrangement or incarceration may allow you to submit your application without providing parental information.
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 do not provide you with financial support or refuse to contribute to your program expenses
Your parents do not 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?
Please select...
Married or unmarried and both legal parents living together as of
Remarried (after being widowed or divorced) as of
Never married (and not living together), divorced, or separated as of
Widowed as of
Parent Marital Status (Date):
What is your family household size?
Total Family Income for 2021 IRS Tax Year (dependent):
Including yourself, how many members of your household will be in college or in an apprenticeship between July 1, 2023, and June 30, 2024? (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?
Please select...
Single (never married)
Married or remarried as of
Separated as of
Divorced or widowed as of
Marital Status (Date):
What is your household size?
Total Family Income for 2021 IRS Tax Year:
Including yourself, how many members of your household will be in college or in an apprenticeship between July 1, 2023, and June 30, 2024?
Between July 1, 2023, and June 30, 2024, will you receive other form of assistance for apprenticeship? (Opportunity or other Scholarships, Employer Reimbursements, Trade Act, etc.)
Yes
No
Please select which additional form of assistantship you are receiving and indicate the amount (select all that apply):
Opportunity scholarship
Other scholarships
Trades Act
Employer Reimbursements
Other
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?
Yes
No
- 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, or
I am a U.S. citizen, U.S. national, or U.S. permanent resident.
Signature of Applicant:
Date:
