The following information is requested to determine eligibility to participate in the Career Pathways Initiative (CPI). You will be contacted with more information about the program if you appear eligible to participate.
Personal Information
*Skip, if your physical address is the same as your mailing address.
Children
If you answered yes, please complete the following:
Status/Benefits
Education
Employment
Professional References
This field is required
Please upload a picture (JPG or PNG images only) of your driver's license or picture ID.
Submit Application
By signing my electronic signature below, I give full permission for the Career Pathways Staff at UA - Pulaski Technical College to verify any information listed in this application, review my financial and academic record including but not limited to my FAFSA application, test scores, transcripts, and participation with the DHS/DWS Programs. I also give permission for CPI to contact the references and previous supervisors that have been provided on this application. This information will be used to determine eligibility to participants in CPI.
By signing my electronic signature below, I understand participation in CPI may be revoked at any time due to falsifying any information or engaging in inappropriate behavior. I also recognize that Career Pathways is not an entitlement program and that services are not guaranteed to applicants and/or participants.
I understand that typing my full name in this box constitutes a legal signature confirming that I acknowledge and agree to the understandings above.
After submitting this form, please e-mail [email protected] or [email protected] the following documents:
