- Per Scholas

Unlock your potential and achieve a thriving tech career through our tuition-free tech training and certifications, professional development, and employer job connections.

Apply today by completing this eligibility form. Upon completion, you’ll receive the next step in the admissions process.

Per Scholas Training Eligibility Form

Initial Screening (additional requirements dependent on campus and course)

	Yes	No
Are you 18 years or older?
Do you have a High School diploma/equivalent or higher?
Are you able to provide valid proof of U.S. Work Authorization?
Do you have a passion for technology?
Will you be available to take a role in tech immediately following training?
Have you experienced any challenges launching a career in technology?

What challenge(s) have you experienced/currently experiencing launching a career in technology?

Financial constraints due to the cost of tech trainingHave tech experience but have struggled to secure a tech roleTime commitmentOther challenge(s)Select all that apply

What other challenge(s) have you experienced/currently experiencing launching a career in technology?

Limit response to 250 characters.

Thank you for your interest.

Based on your responses for the previous page, you do not meet one or all of the following minimum learner eligibility requirements to enroll in a Per Scholas course:

At least 18 years of age.
Attained at least a HS diploma/equivalent or higher.
Authorized to work in the U.S.

If your situation changes, please resubmit a form. Best of luck on your future endeavors!

Personal Information

First Name

Last Name

Do you have a middle name?

YesNo

Middle Name or Middle Name Initial

What is your date of birth?

Format: mm/dd/yyyy
You must be at least 18 years of age to submit this form.

How would you describe yourself?

American Indian or Alaska NativeAsianBlack or African AmericanHispanic/Latino/SpanishNative Hawaiian or Other Pacific IslanderWhiteNot ListedPrefer not to saySelect all that apply.

If you selected "not listed", with what other race or ethnicity do you identify?

Which gender identity best represents you?

If you selected "not listed", how do you identify?

What are your pronouns?

If you selected "not listed, which pronouns do you use?

Click for more information about gender identity and pronouns.

What is the highest degree or level of education you have completed that can be verified with a diploma or an official transcript?

You must have at least a high school diploma or equivalent to enroll in Per Scholas.

Have you ever served, or are you currently serving, in the U.S. Military?

YesNoPer Scholas is honored to support Military-Connected learners through our Vets in Tech initiative. Your response may be shared with our philanthropic supporters, and it will not impact your eligibility.

What is your current Military Status?

Are you a Skillbridge Participant?

YesNoPer Scholas is a DOD Skillbridge approved provider. SkillBridge permits active duty servicemembers to use up to the last 180 days of service to train and learn with Per Scholas.

When is your Military Service end date?

Format: mm/dd/yyyy

Has your spouse ever served, or is your spouse currently serving, in the U.S. Military?

YesNoNot ApplicablePrefer Not to Answer

Contact Information

What is your preferred email address?

Please note that this email will be used by the Per Scholas team to contact you about next steps in the admissions process. We highly recommend using the same email for all communications with Per Scholas staff members.

Please confirm your preferred email address

Confirm Email Message

What is your mobile phone number?

Do you want to receive text message updates about Per Scholas training and opportunities at the phone number provided?

YesNoYour consent is optional and will not impact your eligibility. Message and data rates may apply. Reply HELP for help and STOP to cancel.

What is the street address of your primary residence?

What city do you live in?

What state do you live in?

Per Scholas is not accepting applications from non-U.S. residents at this time.

What is the County or County Equivalent that you live in?

Please use this resource if unsure of your county or county equivalent: https://www.whatcountyamiin.com/

What is your Zip/Postal Code?

Are you currently employed?

YesNo

Household & Personal Income

This data is used to calculate our org-wide average learner household and individual income and may be shared with our philanthropic supporters, allowing us to continue to provide no-cost training.

Have you ever worked for pay?

YesNo

When did your last employment end?

Format: mm/dd/yyyy

How much total income did you, personally, earn in the past year?

If you only know your hourly pay, please use this formula to calculate your annual pay: your hourly pay x hours worked each week x 52. This includes all forms of earned income; e.g., wages, salaries, tips, and other taxable employee pay. This does not include savings or inheritance funds.

Including yourself, how many family members live in your household?

What is your annual household income?

Combined annual incomes of you and all family members in your household or place of residence. This includes all forms of earned income; e.g., wages, salaries, tips, and other taxable employee pay. This does not include savings or inheritance funds.

Training Information

Please select the campus closest to you based on your current residence.

If you are applying for a National Remote course or do not reside within commutable distance of a Per Scholas campus, please select 'National Remote'. Please note, location selection is not guaranteed as some Per Scholas course offerings have geographic restrictions.

Which course are you most interested in?

Are you a Great Jobs KC Scholar referral?

YesNo

What type of Per Scholas course training delivery are you interested in? Select all that apply.

Remote trainingIn-person trainingFull time (40 hours per week)Part time (20 hours per week)Self-pacedLive and Instructor-ledPlease note, not all course delivery options are currently available.

Which criteria influenced your answer in the type of course training(s) selected above? Choose all that apply.

I do not have a quiet place at homeI have limited digital resources or access to the internetI have social distancing concernsI have financial obligations that limit my scheduleI have vaccination concernsI want to connect with my instructors and classmates face-to-faceThis helps me balance my other responsibilitiesI need to secure child careI am concerned about transportationNoneOther

Other reason for course delivery training preference

Have you taken an IT course or training before?

YesNo

What is your experience with remote learning and online courses?

Have you earned any certificates or licenses in the IT industry?

YesNo

What certificate(s) or license(s) have you earned in the IT industry?

CompTIA A+CompTIA Network+CompTIA Security+CCNAGoogle ITOther

What other certificate(s) or license(s) have you earned in the IT industry?

Per Scholas follows all ADA (Americans with Disabilities Act) policies and procedures regarding accessibility and accommodations. The ADA defines a person with a disability as a person who has a physical or mental impairment that substantially limits one or more major life activities. Do you anticipate needing ADA accommodations in the Admissions Process?

YesNoADA accommodation requests typically need to be supported by Medical documentation. Accepted documentation includes but is not limited to a Medical note, IEP, or 504 and must be provided by a qualified evaluator.

If yes to above, what type of accommodations?

Only let us know about Accommodations needed for the Admissions Process (for example, extra time on Admissions Assessments). Once accepted into training, all learners are asked about ADA Accommodations needed during training. Your response to this question will not impact Admissions Decisions.

Where did you FIRST hear about Per Scholas?

Where did you specifically hear about Per Scholas?

What is the name of the referring Agency, Institution or Community Based Organization?

Which Indianapolis Goodwill Excel Centre Location?

Where else did you hear about Per Scholas?

With what you know about Per Scholas today, how confident are you that Per Scholas is a good fit for you and your goals?

How likely are you to move on to the next step in enrollment with Per Scholas?

By submitting this form, you certify that everything you’re submitting is true and accurate to the best of your knowledge. By providing your contact information (including cell number) and clicking “Agree & Submit” below, you agree that Per Scholas may contact you about our relevant content, products, and services via email, phone and text communications.

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Per Scholas Training Eligibility Form

Initial Screening (additional requirements dependent on campus and course)

Thank you for your interest.

Choose a location for
Your Course

Per Scholas Training Eligibility Form

Initial Screening (additional requirements dependent on campus and course)

Thank you for your interest.

Choose a location for Your Course

Choose a location for
Your Course