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Career Pathways and STEP

Thank you for your interest in joining the PCC Career Pathways and STEP program. This form is for prospective students interested in the program. This is a support service for students who are seeking ABE/GED/ESOL, short term training, and career technical education certificates and degrees. The services we provide include one-on-one coaching, resume & portfolio development, career planning and? college support. And depending on your field of study you may be eligible for funding. Our STEP program serves students who are currently receiving SNAP benefits.

After you complete this form, our team will contact you to meet with a PCC Career Pathways & STEP coach to determine if the program is a good fit for you.

Please note: this form is to receive coaching support services and is not the form to sign up for a particular academic program. If you want to start classes at PCC, contact the academic department?or admissions to get started.

"*" indicates required fields

Name*

First Last

Email*

Phone*

What is your preferred method of contact?*

Phone

If we call, may we leave a message identifying PCC?*

Yes

If you are a current or returning student, add your G#

Which term are you seeking services for?*

Spring 2025

Summer 2025

Are you currently receiving Oregon SNAP benefits?*

Yes

Prefer not to disclose

Are you also receiving Oregon TANF?

Yes

What are you hoping to study?*

Here's a list of the programs offered at PCC for reference.

What is your primary language?*

English

Other

Are you currently pursuing or interested in pursuing English as a Second Language (ESOL) at PCC?*

Yes

Are you currently pursuing or interested in pursuing a GED at PCC?*

Yes

Do you have a disability?*

Yes

Prefer not to disclose

Are you currently receiving Vocational Rehabilitation services from the State of Oregon?*

Yes

Prefer not to disclose

How did you learn about Career Pathways & STEP?*

PCC advisor, coach, or instructor referral

PCC Discover (on-ramp) class

PCC website

Classroom visit

Community event

Saw a flier or print materials

Social media (Facebook or Instagram)

Peer/other students/friends

Other

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USDA Nondiscrimination Statement

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity.

Program information may be made available in languages other than English. ?Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language), should contact the agency (state or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online (USDA Program Discrimination Complaint Form), from any USDA office, by calling (833) 620-1071, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted to:

mail:
Food and Nutrition Service, USDA
1320 Braddock Place, Room 334
Alexandria, VA 22314; or
fax:
(833) 256-1665 or (202) 690-7442; or
email:
FNSCIVILRIGHTSCOMPLAINTS@usda.gov

This institution is an equal opportunity provider.