Submit a request – Tennessee Department of Labor and Workforce Development

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Are you interested in receiving one-on-one career planning or help finding employment?

Are you currently serving on active duty and are wounded, ill, or injured receiving treatment at military treatment facility OR within 1 year of separation or 2 years of retirement AND have participated in the Transition Assistance Program (TAP)?

If you are a Veteran, please answer Yes or No if any of the below statements apply to your service

I served on active duty for more than 180 consecutive days and was discharged with other than a dishonorable discharge. (For National Guard/Reserve, active-duty training does not count toward the 180 days.) • I was released from active duty because of a service-connected disability. • I was released from active duty by reason of a sole survivorship discharge. • I was a member of a Guard/Reserve component; AND served on active duty during a period of war or in a campaign or expedition for which a campaign badge is authorized, AND was discharged or released from such duty with other than a dishonorable discharge.

If you are the spouse, family caregiver, or widow(er) of someone who served or is serving in the Armed Forces, please answer Yes or No if any of the following statements apply to you:

I am the spouse or family caregiver of a wounded, ill, or injured current service member who is receiving care at a military treatment facility. • I am the surviving spouse of an individual who died while serving as a member of the Armed Forces (including any reserve component) or as a result of a service-connected disability.

Has your spouse (or deceased spouse had) a total and permanent service-connected disability rating from the Department of Veterans Affairs?

Is your active-duty spouse listed as one of the following, and has been for more than 90 days: 1) missing in action; 2) captured in the line of duty by a hostile force; or 3) forcibly detained or interned in line of duty by a foreign government power?

Do you have a disability, which may include any of the following:

I am entitled to compensation for a service-connected disability from the U.S. Department of Veterans Affairs (VA), or I currently have a disability claim pending with the VA. I was released from active duty due to a service-connected disability. I have another disability, meaning a physical or mental impairment that substantially limits one or more major life activities

Are you an Eligible Veteran and part of my active military, naval, or air service was during the Vietnam era, which means either:

I served in the Republic of Vietnam at any time between November 1, 1955, and May 7, 1975, or any part of my active duty service was between August 5, 1964, and May 7, 1975.

Are you an Eligible Veteran discharged or released from active duty within the last three years.?

Have you been referred for employment services by a representative of the U.S. Department of Veterans Affairs?

Are you experiencing homelessness, including any of the following:

• I do not have (and cannot obtain) a fixed, regular, adequate, permanent place to live. • I will soon lose my housing and do not have anywhere else to go. • I am attempting to flee domestic violence and have no safe residence or resources to obtain safe permanent housing

Have you been subjected to any stage of the criminal justice process, and/or need assistance overcoming employment barriers resulting from a record of arrest or conviction?

Are you between 18–24 years of age?

Do you have a high school diploma or equivalent certificate?

Do you receive (or have in the last 6 months received) public assistance through SNAP, TANF, SSI, or state or local income-based programs?

Does your total family income not exceed the higher of the poverty line, or 70% of the lower living standard income level?

Are you unemployed and available to work?

Are you the head of a single-parent household?

By completing these fields and checking this box, you certify that your answers are true to the best of your knowledge.

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