INX Academy · San Diego Campus

Workforce Training Inquiry

Tell us about your training goals and where you are in the Workforce Career Center process. INX Academy will help you understand program admission and provide program information for your Career Navigator.

2555 Camino Del Rio South, Suite 150, San Diego, CA 92108 · (619) 291-3304

Important: INX Academy does not determine WIOA eligibility or approve funding. Eligibility and Individual Training Account authorization are determined by the Workforce Career Center or funding agency.

1. Program Interest

Training program * Preferred start date Preferred schedule * When would you like to start? *

2. Contact Information

First name * Last name * Email * Phone * Street address * City * State * ZIP code * County * Preferred contact method *

Do not enter a Social Security number, immigration number, or benefits-account password on this form.

3. Workforce Career Center Status

Are you working with a Career Center? * WIOA/Workforce eligibility status * Individual Training Account status * Funding pathway Career Center name Career Navigator name Career Navigator email Career Navigator phone What information did your Career Navigator ask you to obtain?

4. Employment and Education

Current employment status * Current or most recent occupation Current or most recent employer Highest education completed * Relevant experience, training, licenses, or certifications Career goal and reason for requesting training *

5. Supporting Documents

Uploads are optional at the inquiry stage. Add any documents already available. Accepted formats: PDF, JPG, or PNG; maximum 10 MB each.

Career Center referral or Navigator request ITA or funding authorization Government-issued photo IDRedact identification numbers not needed for review. Résumé Diploma, GED, or transcript Layoff notice or employment document Other Career Center document

6. Consent and Electronic Signature

I certify that the information provided is accurate. I understand this is an inquiry, not an enrollment agreement or funding approval. * I authorize INX Academy to contact me about this inquiry and, at my direction, to provide program information to my Career Navigator or funding agency. *

Electronic signature *Signature date *

Fields marked * are required.