NDOL | Approved Training Program Application

Information

Complete this form only if you have applied and qualify for unemployment insurance benefits and you are enrolled in full-time postsecondary or vocational training. You may qualify for Approved Training while you are enrolled full-time in a post–secondary or vocational training program. For eligibility requirements, see the "Am I Eligible?" tab of the Approved Training Program webpage.

If your application is approved, the work search requirements will be waived while you are participating in the program. In addition to your regular unemployment benefits, you may be eligible to receive up to 26 weeks of additional benefits. No tuition or school expenses will be paid under the program. 225 NAC 1

Processing of your Approved Training application will be delayed if you do not provide complete information.

If you have questions, please call 402-458-2500 and ask for the Approved Training Unit.

Application

Applicant Information

SSN

First Name

Middle Initial

Last Name

Phone Number

Email Address

School/Facility Information

Name of School or Facility

Country

Address

City

State

Province

ZIP Code

Training Information

1. Planned attendance dates for the ENTIRE program (not quarter or semester):

Start Date

End Date

2. Title of training course

3. Method of completion (check all that apply):

Method of completion

In a Classroom

Online

On-the-Job Training

Other

Explain Below:

4. Student status:

Student status

Full-time

Number of Credit Hours

Part-time

Number of Credit Hours

Reason for part-time status:

Completion of Program

5. Upon completion of the program, you will receive:

Certificate

Diploma

License

Associate Degree

Bachelor Degree

Master Degree

Ph. D

6. Once you have completed your training program or degree, what occupation do you plan to pursue?

Payments from Other Sources

7. Have you applied for or do you expect to receive payments through any of the following programs while you are attending training?

Yes

Receiving Payments from Other Sources

Trade Act

Workforce Innovation and Opportunity Act

Vocational Rehabilitation

Payments will be made to:

Student

School/Training Institution

Veterans Benefits

Payments will be made to:

Student

School/Training Institution

Other

Explain source, amount, and purpose of payments:

Previous Work/Training in Industry

8. Indicate whether you can work in the industry in which you previously worked/trained.

Yes, I can work in my previous industry.

No, I cannot work in my previous industry.

Explain reason you cannot work in field (medical or other):

Resume Information

Your NEworks resume must provide the following information:

Work history (previous five years or five jobs): employment dates, job titles, rate of pay and reason(s) for leaving
Previous training/education: courses, dates, type of certification/degree (if any) for any training/education completed after high school

Non-Nebraska Residents

If you reside outside Nebraska, upload your resume using the upload documents button found at the end of this application.

Attachments

If you have any of the following documents that support your application, upload the files using the button below:

Upload WIOA Letter

Upload Medical Verification

Upload Resume

Upload Class Schedule

Acknowledgment and Release of Information Authorization

Acknowledgments

I certify that the information I have provided is true and complete to the best of my knowledge.

I hereby authorize the training school/facility named above to release any and all information concerning my training to the Nebraska Department of Labor. This release is valid for two years from the date I end training.

I understand that typing my name below constitutes a legal signature confirming the above statements.

Signature

Date