I-CATCH Application
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Acknowledgement


I-CATCH is part of a national research study. Entry into I-CATCH will be done by computer lottery for most new applicants. All continuing or returning CATCH students must apply for the I-CATCH Program. If you participated in CATCH before, you may or may not have to participate in the lottery. Please contact us at (425) 640-1122 to find out more about I-CATCH eligibility requirements and the lottery.

Basic Information


If no cell phone, please enter NA

Income Eligibility


To be eligible for I-CATCH, family taxable income cannot exceed 200% of the current Federal Poverty Level based on the preceding year. Copies of official federal tax records for the preceding year may be required for verification.

Persons in Family/Household Size 200% Federal Guideline
1 $23,540
2 $31,860
3 $40,180
4 $48,500
5 $56,820
6 $65,140
7 $73,460
8 $81,780

Please select all that apply.

Personal History


Citizenship Status


Please select from the list

Authorization


The Health Profession Opportunity Grant (HPOG)/I-CATCH program is a demonstration project funded by the Administration for Children and Families (ACF) in the U.S. Department of Health and Human Services (HHS).

The primary goals of this project are to:

  1. Provide education and training to low-income individuals for occupations in healthcare that pay well.
  2. Provide education and training to low-income individuals for occupations in healthcare that pay well.

In order to learn what works, we are conducting a study requiring every person eligible for I-CATCH/HPOG to be selected through a lottery system. Those not selected through the lottery will not be able to participate in I-CATCH, but will be able to enroll in any other college or community services or programs for which they are eligible.

I have read the information contained in this application. I certify the information given is true and correct.

By signing below, I authorize the Edmonds Community College I-CATCH Grant program to:

  1. Conduct background checks and to obtain any and all information needed to process my application.
  2. I give Edmonds I-CATCH grant program permission to share necessary information with college staff at Edmonds Community College, Everett Community College, and Skagit Valley College community partners and any governmental entity and law enforcement agency.

By signing this application electronically below, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge.

This document was supported by Grant 90FX0032-01-00 from the Administration for Children and Families, U.S. Department of Health & Human Services (HHS). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS.



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