As a previous, current or potential customer in a program funded by the WIOA/TAA, I hereby give my permission for any agency/company to release information to the WIOA/TAA staff pertaining to the following:
* Training Information – grades, placement test results, financial aid status, transcripts, degrees, diplomas, certificates, schedules, tuition, and deficiency reports as it relates to training by the school/training provider.
* Employer Information – previous/current employer, job title, employment dates, wages or salary, and length of employment.
* Unemployment Insurance Information – Office of Employment & Training verification of lay-off, UI benefits, wage reports, and employment verification.
* Publication Information - my name, photos, experiences, history, and training information used for WIOA/TAA program articles.
* Parental/Guardian Contact – permission to obtain/release information regarding training progress and/or requested requirements. (Under 18 years of age)
* Criminal Background check- permission to obtain criminal background history.
I understand by signing below the information provided by myself or any agency/company will remain confidential, be used as documentation needed for program participation and used to provide data necessary for tracking program performance measures.