SCSEP Program Waiting List Application

The purpose of the SCSEP to offer a “stepping stone” back into the workforce. To be eligible, applicants must:

  • Want to receive occupational skills training and job search assistance
  • Be age 55+
  • Be currently unemployed
  • Meet income requirements

We also offer a printable version of the application. Feel free to print and complete, then fax it to us at 800-901-1531 or scan and email to

SCSEP Waiting List Application PDF


  • Program Eligibility

  • Income Eligibility

  • Size of Family Maximum Allowed Family Income (what is counted)
    1 $15,075.00
    2 $20,300.00
    3 $25,525.00
    4 $30,750.00
    5 $35,975.00
  • Sources of Income

  • Employment and training

  • Miscellaneous

  • Employer's NameJob Title / Description of WorkStart Date / End DateCity, State 
    Add a row