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Gateway Academy Screener

  1. Gateway Academy Services Request
  2. please enter the mm/dd/yyyy for your date of birth.
  3. Are you currently a Norfolk resident? *
  4. Are you currently receiving SNAP benefits?*
  5. Are you currently receiving TANF benefits?*
  6. Are you between the age of 18-49 years old with no dependents on your SNAP case? Please answer N/A if you do not have SNAP benefits.
  7. Have you ever been convicted of a misdemeanor or felony charge*
  8. Are you a youth or young adult (age 17-24) who is transitioning out of foster care?
  9. Do you have a child support case with TANF debt owed?
  10. Do you have a HS Diploma or GED?
  11. Which training program are you interested in?
  12. Leave This Blank:

  13. This field is not part of the form submission.