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ECC CalWORKs

 

FORMS 


 

 The CalWORKs program at El Camino College is providing these forms online for your convenience.

Please print out the forms you need and complete them in blue or black ink ONLY. 

 

Completed forms can be returned to the CalWORKs office located at SSVC-205B.

If you have any questions please contact us at (310) 660-6057. 

 

CW Check List

CalWORKs

   Student Check List  

 

CW Student Application

CalWORKs

Student Application

 

CW Book Request & Instructions

CalWORKs

Book Request

& Instructions

 

CW Update Form

CalWORKs

Student Update Form

             

FALL 

 

 

VERIFICATION OF BENEFITS FORM

Verification  

 

 

 2017

 

The GAIN forms below are completed by the ECC CalWORKs office afer the

GAIN Services Worker (GSW) issues them to the participant.

  • GN 6005A (Self Initiated Program)

  • GN 6006 (Vocational) along with GN 6013 and GN 6014

  • GN 6390 (Attending Multiple Schools) along with GN 6013 and GN 6014

  • GN 6070 (Progress Report)

  • ST1-20A (WTW Verification) Training Verification

 All paper work takes three business days to be completed

           

 

 APPLY FOR BOARD OF GOVERNORS FEE WAIVER ONLY

METHOD A

You or your family must receive benefits (cash aid) from one of the following:

  • CalWORKs (AFDC) or Temporary Assistance for Needy Families (TANF)

  • Supplemental Security Income (SSI) or State Supplementary Program (SSP)

  • General Assistance (GA)

 

METHOD A - REQUIRED DOCUMENTATION

Submit one of the following documents:

  • Copy of a current or last month’s check for CalWORKs, SSI, SSP, or GA benefits. Current or last month’s bank statement with direct deposit of SSI benefit is acceptable documentation. Please submit a PHOTOCOPY of your benefit check or bank statement.

  • Agency Certification Form, verifying eligibility, with an authorized signature, agency stamp, and current date.

For more information visit the Financial Aid site   

 

Last Published 10/16/17