Veterans’ Priority of Service Screening Form

Priority of Service means veterans and eligible spouses are given priority over non-covered persons for the receipt of employment, training and placement services provided under a qualified job training program. Priority means that veterans and eligible spouses are entitled to precedence over non-covered persons for services. This means that a veteran or an eligible spouse either receives access to a service earlier in time to a non-covered person or, if the resource is limited, the veteran or eligible spouse receives access to the service instead of or before the non-covered person. If you think you may qualify to receive Veterans’ Priority of Service please complete this form so the staff can determine how best to serve you. To qualify, at least one of the criteria listed below must be met.

Veteran:

For the purposes of Priority of Service, the broad definition of Veteran as found in 38 U.S.C. 101(2) is used: 1. The term “Veteran” means a person who served at least one day in the active U.S. military, naval, or air service, and who was discharged or released under conditions other than dishonorable, as specified in 38 U.S.C. 101(2). 2. Active service includes full-time Federal service in the National Guard or a Reserve component. 3. This definition of “active service” does not include full-time duty performed strictly for training purposes (i.e., that which often is referred to as “weekend” or “annual” training), nor does it include full-time active duty performed by National Guard personnel who are mobilized by State rather than Federal authorities (State mobilizations usually occur in response to events such as natural disasters).

Spouse of Veteran:

Spouse: A spouse of any one of the following individuals: 1. Any Veteran who died of a service-connected disability; 2. Any member of the armed forces serving on active duty who, at the time of application for the priority, is listed in one or more of the following categories and has been listed for a total of more than 90 days: A. Missing in action; B. Captured in line of duty by a hostile force; or C. Forcibly detained or interned in the line of duty by a foreign government or power; 3. Any Veteran who has a total disability (100%) resulting from a service-connected disability, as evaluated by the Department of Veterans’ Affairs; or 4. Any Veteran who died and a total disability (service connected), as evaluated by the Department of Veteran Affairs was in existence.

Your Name(Required)

First Last

Are you a Veteran?(Required)

Yes

Are you the spouse of a 100% disabled Veteran?(Required)

Yes

Are you the surviving spouse of a 100% disabled Veteran?(Required)

Yes

Tribal Affiliation(Required)

Enrollment Number (If Known)

Your Email Address(Required)

Enter Email Confirm Email

Please provide documentation of your veteran status or spousal rights.(Required)

Accepted file types: pdf, doc, docx, jpg, , Max. file size: 25 MB.

Signature of Applicant(Required)

Date(Required)

Equal Opportunity Employer/Program. Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI and VII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, the Department prohibits discrimination in admissions, programs, services, activities or employment based on race, color, religion, sex, national origin, age, and disability.