Complete this form if an employer has selected you for Maritime Customized Training. Your answers go straight into your WIOA application and eligibility form, so your WIOA Career Coach does not have to re-enter them. This form does not ask for your Social Security number. Your WIOA Career Coach will collect that securely.
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Equal Opportunity Is the Law. South Central Mississippi Works is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. Mississippi Relay Service: 711 (TTY/TDD). To request an accommodation, contact your nearest WIN Job Center. Read our Accessibility Statement.
The WIOA Title I programs described on this website receive support and funding from a U.S. Department of Labor Workforce Innovation and Opportunity Act (WIOA) grant. Read more about USDOL grant funding at mdes.ms.gov/stevens.