STNA Informational Appointment Checklist
PLEASE READ INFORMATION BELOW:
THIS PACKET MUST BE COMPLETED before you can meet with a Case Manager.
Once you have everything on the checklist completed, please call (419) 999-0360 and ask to schedule an informational appointment.
Please reserve program questions for the Case Manager who will review the checklist with you.
Please ensure you have following items with you when you make appointment with Case Manager.
If not applicable to your situation, please indicate N/A
Documentation needed for you to bring to your scheduled appointment with Case Manager:
Age – Birth certificate, Baptismal Record, DD214, Driver License, OR Passport
Citizenship – Social Security Card, Birth Certificate, Baptismal Record, OR Passport
Social Security Number – Social Security Card, DD214, OR Passport
Selective Service – If male, born after Jan.1, 1960. DD214 or verification of registration (www.sss.gov
Dislocated Worker – Layoff letter or Unemployment Compensation Verification
Income – All income for all household members for the last 30 days
Resume – Updated resume
OMJ Employment Contact Form or documentation of your job search for the last 30 days (if unemployed)
OMJ Individual Assessment/Application completed
OMJ Job History Form completed
Information Required for STNA Students
All medical students must verify their background. Verification of this can be found at www.limamunicipalcourt.org or your
local municipal court if not an Allen County resident.
STNA Individual Assessment form completed (included in this package)
PLEASE NOTE: The Workforce Innovation and Opportunity Act (WIOA) is not an entitlement program and you are not
guaranteed career or training services. Your eligibility and suitability for services will be determined by a WIOA Case Manager.
WIOA 900-08/Revised 11/2017