Career & Job Training Program Application

Welcome
Welcome to HAP Academy OIC! We’re excited that you’re taking the next step toward joining our community of motivated learners. Please complete the information below to help us get to know you better and ensure the best possible fit. This program is designed for students whose goal is full-time employment upon successful completion of the program.

Eligibility Requirement

Applicants must fall at or below 200% of the federal poverty guideline (see matrix below). To interpret the matrix: if you file taxes as a single individual with no dependents (family size of 1) and earn less than $31,920 per year, you fall below the 200% federal poverty guideline and would qualify for scholarship consideration.

Getting to Know You
Please share your contact information so a member of our administrative team can follow up with you. For more information, visit the Career and Technical Education page on the Hmong American Partnership website. If you have any questions or would like to connect with our team, we’re happy to follow up with you.









Please note that by submitting this interest form, it does not mean you have submitted an application.
Training Funding Source

MFIP Counselor



HAP reserves the right to contact any county worker or organizational counselor for inquiries or requests related to program matters.
Dislocated Worker



HAP reserves the right to contact any county worker or organizational counselor for inquiries or requests related to program matters.
WIOA Participant



HAP reserves the right to contact any county worker or organizational counselor for inquiries or requests related to program matters.
Employer Information



Tuition Cost
Below are the program costs for HAP OIC Academy:

HealthCare

  • Certified Nursing Assistant (CNA) – $1,250

  • Certified Phlebotomy Technician (CPT) – $1,550

Business

  • Microsoft Office Specialist (MOS) – $2,965 (includes MS Word, Excel, and PowerPoint at $990 each)

  • Computerized Accounting (QuickBooks) – $1,250

  • Social Media Marketing – $875

  • Entrepreneurship Essentials – $875

  • Business Plan Writing – $1,250

Information Technology

  • CompTIA Tech+ Certification – $925

  • CompTIA A+ Certification – $1,250

  • CompTIA N+ Certification – $1,275

  • CompTIA Security+ Certification – $1,525

  • CompTIA Cybersecurity Analyst (CySA+) Certification – $1,525

  • CompTIA Penetration Test Certification – $1,525

Transportation

  • Commercial Driver’s License Permit B – $2,050

Next Steps
Please complete the application below. A member of our team will contact you within 5–10 business days with an update on your application status and next steps.
Applicant Information



















Citizenship
Immigrant - Any person lawfully in the United States who is not a U.S. citizen, U.S. national, or person admitted under a nonimmigrant category as defined by the Immigration and Nationality Act (INA) section 101(a)(15).
Refugee - Status granted to an individual, prior to departure for and arrival in the United States, who has been determined by competent authority to be fleeing persecution or have a well-founded fear of persecution in their own country because of race, religion, nationality, membership in a particular social group or political opinion.
Emergency Contact Information



Program of Interest



Please note that this training will require students to undergo a background check and a tuberculosis (TB) test. 



Family/Income Status

Make sure to include yourself.
Include your estimated income. If you have a spouse, include the total estimated annual income for both you and your spouse.

Employment
Please fill out current employer information below





Education
An IEP is a written plan developed for a student identified with a disability by a team of education professionals, the parent/guardian, and the child (when appropriate) that describes the special education instruction, supports, and services a student needs.


Legal

The justice system is the set of courts and processes that handle legal cases, decide if laws were broken, and determine the consequences.



Media Release
I hereby grant Hmong American Partnership (HAP) permission to use my name, image, voice, and/or statements for promotional and publicity purposes, without compensation. I understand that I may be photographed, recorded on video and/or audio, and/or quoted. I release HAP, its staff, and associates from any and all claims, actions, and  liabilities that may arise in connection with the use of these materials. I also waive the right to review or approve the material before its use.
Participant Acknowledgement, Release and Waiver of HAP Liability
I understand that HAP may check public records to view my criminal background record. 

All personal identification data is private and used to determine program eligibility, for grant reporting purposes and to increaser our services to participants. It will not be unnecessarily accessed, reviewed or disclosed. 

By participating in Hmong American Partnership (HAP) programs, you acknowledge and agree to use services and resources according to all laws, rules, grant agreements, and communications by HAP staff regarding the proper uses of services and resources.  You further acknowledge and agree that HAP is not responsible for misuse or exploitation of services or resources provided to you.  You further release HAP from liability and waive your right to sue HAP.

By signing and submitting this form, you confirm your understanding that HAP will not be liable for any actions or outcomes arising from your participation in HAP programs.


Contact Information