Job Corps Application Data

OMB 1205-0025

Forms ETA 652, 655 and 682 are used to obtain information for screening and enrollment purposes to determine eligibility for the Job Corp program in accordance with the requirements of the Workforce Investment Act. They concern questions of economic criteria and past behavior problems as well as questions needed to certify an applicant's arrangements for care of a dependent child(ren) while the applicant is in Job Corps.

The latest form for Job Corps Application Data expires 2023-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ETA 652 Job Corps Application Data Form and Instruction
1205-0025 Supporting Statement 022223 clean.docx Supporting Statement A
Verbal Verification of Dependents
Verbal Verification of Childcare
Job Corps Application Data Form and Instruction

All Historical Document Collections

202212-1205-008 Approved without change	Revision of a currently approved collection	2023-02-28
202003-1205-003 Approved without change	Revision of a currently approved collection	2020-03-27
201612-1205-003 Approved without change	Extension without change of a currently approved collection	2017-01-31
201306-1205-004 Approved without change	Extension without change of a currently approved collection	2013-11-08
201004-1205-001 Approved with change	Reinstatement with change of a previously approved collection	2010-08-30
200701-1205-003 Approved with change	Extension without change of a currently approved collection	2007-02-13
200312-1205-002 Approved with change	Revision of a currently approved collection	2003-12-29
200007-1205-003 Approved without change	Reinstatement with change of a previously approved collection	2000-07-14
199305-1205-002 Approved without change	Extension without change of a currently approved collection	1993-05-03
199003-1205-003 Approved without change	Extension without change of a currently approved collection	1990-03-29
198710-1205-001 Approved without change	Revision of a currently approved collection	1987-10-05
198705-1205-003 Approved without change	Revision of a currently approved collection	1987-05-05
198404-1205-002 Approved without change	Revision of a currently approved collection	1984-04-09
198209-1205-009 Approved without change	Reinstatement with change of a previously approved collection	1982-09-01
198203-1205-004 Approved without change	Reinstatement with change of a previously approved collection	1982-03-03
198107-1205-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-30
197908-1205-001 Approved without change	Revision of a currently approved collection	1979-08-30
197711-1205-001 Approved without change	Revision of a currently approved collection	1977-11-01
197708-1205-001 Approved without change	Revision of a currently approved collection	1977-08-03
197704-1205-001 Approved without change	Revision of a currently approved collection	1977-04-05
197509-1205-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1975-09-23