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SPC Rapid Credentialing Scholarship Application and CareerSource Pinellas Registration

To be considered for the scholarship, you must be eligible to work in the U.S. and be a Pinellas County resident who is one of the following: Unemployed; furloughed; employed but at risk of losing your job due to automation or disruption in the local economy as a result of COVID-19; or employed with individual earnings of less than $25,500/year or less than $12.26/hour.

Complete this form to continue with the scholarship award process. If you are not sure how to respond to any question, select "n/a". 

Please enter the following information about yourself.
Do you have an Employ Florida account?
If you are already an SPC student, what is your Student ID number?
Phone
Email
Street Address
City
State
Zip Code
Date of Birth
/ /
Last 4 digits of Social Security Number
Are you authorized to work in the U.S.?
Select all that apply
Which training program are you pursuing?
Please enter the following information about yourself.
Please select your gender (optional)
Please select your ethnicity (optional)
Disability
Farmworker Status:
Homeless Veterans’ Reintegration Program:
UI (Unemployment) Referred By Status:
Unemployed for 27 or more consecutive weeks (Long
Term):
Occupational code of most recent employment prior to program entry: (Job title)
Tenure (number of months) with employer at separation:
Attended a Rapid Response Orientation:
If yes to previous question, please provide the company name:
Highest School Grade completed:
Highest Education Level Completed:
School Status
SSI Recipient:
Low Income:
Homeless:
Runaway Youth:
Ex Offender – Individual has been arrested/convicted of a crime 
English Language Learner:
Basic Skills Deficient /Low Levels of Literacy:
Cultural Barriers:
Single Parent:
Displaced Homemaker:
 

St. Petersburg College is committed to equal access/equal opportunity in its programs, activities, and employment. For additional information visit www.spcollege.edu/eaeo/. St. Petersburg College is an Equal Opportunity Employer.