After watching the orientation video, please complete the form below. Once submitted, staff will work to determine your eligibility.

What Next?

  • If you are unable to complete the online form below, please print out and complete the pdf form by clicking “Download Form” below.
  • Return your completed form to our Workforce Center: 3125 Odd Fellows Road, Lynchburg VA 24501.
  • If you have questions regarding the form, please contact 434-455-5940 or email at
Complete el formulario de evaluación inicial aquí


  • Workers that have been laid off, terminated or otherwise become unemployed, and is eligible to receive unemployment insurance
  • Workers impacted by layoffs or business closures
  • Workers impacted by foreign trade, migrant and seasonal farm workers and veterans.
  • In and out of school Youth ages 14-24 that have at least one barrier to employment.
  • Barriers to employment include a low income, basic skills deficiency, foster child, school dropout, pregnant or parenting, homeless or runway or offender.
  • Adults must be over 18 years old, a US citizen or eligibly to work in the United States.
  • At times priority funding is given to adults with employment barriers.
    • Qualifying barriers may include low income, basic skills deficient or offenders.
  • Individuals that have served at least one day of active duty
  • That have been discharged with anything other than dishonorable
  • Individuals must be at least 18 years or older unless released from compulsory attendance, then individuals can be accepted at 16 or 17.
  • Individuals with documented disabilities with the desire to work are suitable for services.
  • Priority given to individuals with the greatest needs
  • Participants at least 55 years old, unemployed, and have a family income of no more than 125% of the federal poverty level.
  • Enrollment priority is given to veterans and qualified spouses, then to individuals who are over 65, have a disability, have low literacy skills or limited English proficiency, reside in a rural area, are homeless or at risk of homelessness, have low employment prospects, or have failed to find employment after using services through the American Job Center system.


This is a federally funded program, the assessments, suitability and eligibility will determine if the training is a fit for each individual. To include, if the industry is in High Demand. Due to the limited of funding a priority of service is in place to justify the need for training.

Depending on the commitment from each applicant completing the process in place. Registration with VAWC, taking assessments, completing WIOA application and eligibility documentation with staff. Expected time frame of 1-2 weeks to determine eligibility.

Intake forms are reviewed by staff member team and then applicant will be contacted by staff for assessment and/or eligibility documentation.

Everyone can receive basic employment services, but individualized services will not be guaranteed, it will determined by the applicant’s needs, if there are any barriers to employment and priority of service in place. Priority of Service in place is depending on Veteran status, Spouses of Veterans, Public Assistance, and Education Functioning Level (EFL) and/or Basic Skills Deficiency (BSD).

Staff with the Adult program have the ability to meet with potential applicants at the closest library to their home to conduct the discussion of if the WIOA program is a good fit and/or complete documentation. This type of situation is a side discussion with our staff.

Staff will provide information about other acceptable documentation that can be used other than a social security card, (ex. DD-214, Employment Records, IRS Letter 1722, Letter from Social Service Agency, Pay Stub if shown, Social Security Benefits documentation, W-2, Unemployment Comp/UI Records, or School Record) staff highly recommends all individuals to take a few minutes to apply for a social security card to have for employment hiring purposes.

Didn’t Find Your Answer?

Please don’t hesitate to contact us and we will be happy to help you find the answers to your questions!