Self-Reporting Verification

Please type your name and the date below to indicate that the learner support needs you have requested are self-reported.

DATA EXCHANGE

Applicants may be contacted regarding program performance, outcomes, and credentials.

Applicant hereby provides permission for his/her data to be exchanged with other education and workforce agencies for the purpose of verifying outcomes, performance, and credentials related to postsecondary education/training and employment or other services that are provided by Adult Education.

If I am a recipient of SNAP (formerly known as the Food Stamp program), I am aware that participation in the A-RESET program is voluntary and will not affect my SNAP benefits, but full participation may increase my chances of finding employment or getting a better job.

DATA EXCHANGE VERIFICATION

Please type your name and the date below to indicate your understanding of the Data Exchange Permission rules.