Intake Form

Address
Are you a former or current PVCC student?
Have you lived in VA for the past 12 months?
Have you lost your job (are a displaced worker) or are you working fewer hours?
  • You have been terminated or laid off, or have received a notice of termination or layoff, from employment, including separation notice from active military service (under other than dishonorable conditions); AND
  • You are eligible for or have exhausted entitlement to unemployment compensation; OR have been employed for a duration sufficient to demonstrate, to the appropriate entity at a one-stop center referred to in section 121(e), attachment to the workforce, but are not eligible for unemployment compensation due to insufficient earnings or having performed services for an employer that were not covered under a State unemployment compensation law; AND
  • You are unlikely to return to your previous industry or occupation.
Are you currently receiving unemployment benefits or did you received benefits any time after August 1st, 2020
Did you lose your job or have reduced hours due to COVID-19?
Please select the type of PVCC program you are interested in pursuing
leads to a four year degree (examples include liberal arts, engineering, business administration, and many others)
leads to local employment (examples include information technology/cybersecurity, advanced manufacturing, registered nurse, police science, and many others)
leads to certifications and other credentials (examples include commercial truck driving, small engine repair, welding, HVAC, certified nurse aide, and many others)