JVS Boston Employment Program Application

Massachusetts Career Ladder Program Application

The Massachusetts Career Ladder Program (CLP) helps current Certified Nursing Assistants (CNAs) and other direct care workers in senior care, home care, and community settings become Licensed Practical Nurses (LPNs).

CLP participants receive the following benefits:

CLP Advance Payments of $440 per week (pre-tax) to help cover living costs throughout the standard duration of the LPN program (typically 10 months)
Access to weekly one-on-one coaching and other supports through JVS Boston, a nonprofit supportive services provider
Coverage of the NCLEX-PN exam fee ($200) and license registration ($230)
Referrals to other resources as needed

Click this link to learn more: http://socialfinance.org/massachusetts-career-ladder-program

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Eligibility requirements

To be eligible for the Massachusetts CLP, you must:

Be currently employed by your employer as a full-time CNA or direct care worker in good standing;
Be accepted into an LPN training program at an approved Massachusetts community college;
Have received conditional approval from your employer to participate in the CLP if you are accepted into an approved LPN program at an eligible Massachusetts community college;
Be a U.S. citizen, legal permanent resident (green card holder), Asylum Grantee or refugee status with a valid U.S. work permit (not eligible: TPS, asylum seeker, parolee, J1 Visa, undocumented);
Have a valid Social Security Number;
Currently live in Massachusetts;
Plan to work in Massachusetts for the next five (5) years; and
Make a commitment that upon obtaining your LPN license, you will continue to work for your current employer as a full-time LPN for at least four (4) years.

If you do not return to your employer after obtaining your LPN license, you will be responsible for repaying the full CLP Advance Payment amount you received.

If you return to your employer for a period of less than 4 years, you will be responsible for repaying a portion of the CLP Advance Payment amount you received. This portion will depend on how long you remained with your employer. See the FAQs here for more information: http://socialfinance.org/massachusetts-career-ladder-program

Application Information

First Name

Last Name

Phone Number

Email Address

Street

City

State

Zip Code

Are you Hispanic or Latino

Select which group that you identify with:

What is your highest level of education completed to date?

Who is your current employer?

Please indicate which applies to you:

What best describes your primary role?

What is your current hourly wage?

What are the average number of hours you currently work per week?

I receive my health insurance through which of the following:

Do you work directly with patients in your current role?

Do you work in either a skilled nursing, home-based, or community-based service provider?

For applicants who have not applied to an LPN college, when do you intend to enroll in a practical nursing program?

Please provide your manager's name or someone from the HR department so we can confirm they are willing to participate in this employer-sponsored program

Manager’s Name

Manager’s phone number

Manager’s email

LPN Program Application Status

The following questions help us understand where you are in the LPN program application process (at approved Massachusetts community colleges) to recommend next steps.

Have you completed the Free Application for Federal Student Aid (FAFSA®) form for the current academic year?

For the following questions, please hold down the control key to select more than one option.

Select all eligible schools to which you have applied to for the upcoming Fall Semester(please hold down control to select more than one):

Select all eligible schools to which you have received an acceptance letter for the upcoming Fall semester (please hold down control to select more than one):

Select all eligible schools to which you applied and are still awaiting a response regarding the upcoming Fall Semester (please hold down control to select more than one):

CLP Applicant Certifications

Please certify that the below statements are correct by signing your full name.

I am currently employed by my employer as a full-time direct care worker in good standing.

I intend to apply or have already applied to at least one LPN program at an approved Massachusetts community college.

I have received conditional approval from my employer to participate in the CLP if I am accepted into an LPN program at a Massachusetts community college.

I am a U.S. citizen, legal permanent resident (green card holder), Asylum Grantee or have refugee status. Note: TPS, Asylum Seeker, Parolee, J1 Visa, and undocumented do NOT meet this eligibility requirement.

I have a valid Social Security Number.

I currently live in Massachusetts and plan to work in MA for the next 5 years.

I understand that by participating in the CLP, I am committing to return to my employer to work full-time as an LPN for at least 4 years after successfully attaining my LPN license. If I do not return or leave before the 4-year period, I will be responsible for repaying all or a portion of the CLP Advance Payment, as applicable, that I received while I was working part-time and attending an LPN program.

By typing my full name below, I attest that all of the above information is correct

Prerequisites

Please check any courses below that you have completed within the past 5 years. To select more than one option, please hold down the control key.

Each community college has its own prerequisite requirements and may not require all courses below (please hold down control to select more than one):

Please indicate your status regarding the Test of Essential Academic Skills (TEAS)

Career Ladder Preparatory Program (CLPrep) Interest

CLPrep focuses on individuals who need additional preparation and/or support to be admitted into an LPN program. The level of support offered to CLPrep participants vary based on application readiness level.

This could include: assistance with navigating admissions requirements, coverage of the TEAS exam fee, and an online readiness class (for up to 1 year) focusing on English and Math skills.

Your CLPrep eligibility will be determined as part of your screening and assessment with JVS.

Click here to learn more about CLPrep: http://socialfinance.org/massachusetts-career-ladder-program

JVS determines eligibility during assessment and screening, and may not be required of all applicants.

By selecting yes below, you are acknowledging that you are interested in being considered for CLPrep.

I am interested in being considered for CLPrep

NOTE: If you select no, you may be contacted by a representative to discuss your individual situation.

CLPrep Applicant Certifications

Please certify that the below statements are correct by signing your full name.

I have received conditional approval from my employer to participate in the CLPrep if accepted.

I am a U.S. citizen, legal permanent resident (green card holder), Asylum Grantee or have refugee status. Note: TPS, Asylum Seeker, Parolee, J1 Visa, and undocumented do NOT meet this eligibility requirement.

I have a valid Social Security Number.

I currently live in Massachusetts and plan to work in Massachusetts for the next five (5) years.

I understand that participation in CLPrep is contingent upon the results of the JVS assessment and that I may or may not be invited to participate in CLPrep this year.

I understand that the CLPrep aims to prepare me for CLP participation by helping me complete the admissions requirements for eligible LPN programs. CLPrep participation does not guarantee me a spot in CLP.

If I am successful in the CLPrep program and continue to an LPN program with the support of CLP, I am committing to return to my employer to work full-time as an LPN for at least 4 years after successfully attaining my LPN license. If I do not return or leave before the 4-year period, I will be responsible for repaying all or a portion of the CLP Advance Payment, as applicable, that I received while I was working part-time and attending an LPN program.

By signing my full name below, I attest that all of the above information is correct

Massachusetts Career Ladder Program Application

Please provide your manager's name or someone from the HR department so we can confirm they are willing to participate in this employer-sponsored program

LPN Program Application Status

Career Ladder Preparatory Program (CLPrep) Interest

Please provide your manager's name or someone from the HR department so we can confirm they are willing to participate in this employer-sponsored program