Welcome

Sunlight Care participates in a Federal jobs tax credit program called the Work Opportunity Tax Credit (WOTC). For compliance purposes these programs are administered through GMG Specialized Tax Incentives. The information that you share on this secured site will be treated as confidential and will be used solely to assess your eligibility for Local, State, and Federal Tax Incentives. Your answers to these questions will not be shared with Sunlight Care.

This may increase your likelihood of receiving an employment offer as this program provides tax incentives for Sunlight Care.

Applicant Information

First Name

Middle Initial

Last Name

DOB

Social Security #

Address

Apt/Suite #

County

City

State

Zip

Phone

Ext.

Job Information Criteria

Employer

Location “Location You are Applying to Work At”

Job Title

WOTC Questionnaire for Sunlight Care

1. Sunlight Care will be unaware of your answers to these questions.
2. Under penalty of perjury, the following information must be answered honestly and accurately to the best of your knowledge.

Are you age 16 to 24? *

Yes

Have you been unemployed for the last 27 consecutive weeks? (Since 11/18/2025 ) *

Yes

Unsure

Have you or any member of your household received Aid to Families with Dependent Children (AFDC/TANF), Welfare payments, or General Assistance any time during in the last 2 years? *

Yes

Unsure

If you checked "Yes" or "Not Sure", please complete the following...

Recipient's name?

Recipient's SSN?

Case number?

Relationship to you?

City where received?

State where received?

Have you or any member of your household received Supplemental Nutrition Assistance Program (SNAP) benefits (Food Stamps) at any time during the last year? *

Yes

Unsure

If you checked "Yes" or "Not Sure", please complete the following...

Recipient's name?

Recipient's SSN?

Case number?

Relationship to you?

City where received?

State where received?

Have you been convicted of a felony or released from prison in the last 12 months? *

Yes

Unsure

If you checked "Yes" or "Not Sure", please complete the following...

Date of conviction? (mm/dd/yyyy)

I'm unsure of the exact date

Date of release? (mm/dd/yyyy)

I'm unsure of the exact date

Parole officer/counselor's name?

Parole officer/counselor's telephone number?

Are you currently participating in or have you recently completed a State or Veteran approved vocational rehabilitation agency or Ticket to Work program? *

Yes

Unsure

If you checked "Yes" or "Not Sure", please complete the following...

Name of agency?

Telephone number of agency?

Address of agency?

Counselor's name?

Have you received any Supplemental Security Income (SSI) benefits within the last 60 days? *

Yes

Unsure

Are you an enrolled member, or the spouse of an enrolled member of an Indian tribe? *

Yes

Unsure

Under penalties of perjury, I declare that I gave the above information to the employer on or before the day I was offered a job, and it is, to the best of my knowledge, true, correct, and complete. *

True

False