Find various forms provided by the CalWORKs program.
Read the description under each form title to help you select the correct document(s).
The CalWORKs Intake Form provides the ECC CalWORKs program with all the information required to create a student record for data entry.
The CalWORKs Student Document Submission form allows students to submit their GAIN Book Request Form, Monthly Attendance Report, and Progress Report related to the term in session.
Each semester/term, all CalWORKs students are required to submit a Verification of Benefits to verify eligibility and stay in compliance with the ECC CalWORKs program. Please log on to the YBN (Your Benefits Now) website and save a current Verification of Benefits (VOB) in PDF format. You can watch a step-by-step video here to learn how to access your VOB.
New and continuing students are encouraged to complete this form each semester/term. This form will help us keep the student’s information up to date.
The GAIN Book Request form allows students to submit books, supplies and fees related to the term in session.
Participants are responsible for completing the top section of the form to include their daily actual hours of participation for each month. Actual hours of participation include a combination of classroom time and course-related activities, such as labs, internships, work study hours, and supervised study time.
Note: Study hours should be separated from class time. You can click here to access instructions on how to complete this form.
Progress reports are due on a quarterly basis as determined by GAIN.
The GAIN forms listed below are completed by the ECC CalWORKs office and emailed directly to your GAIN services worker (GSW). Be sure to provide updated GSW contact information. Keep in mind certain forms may be available online for you to download. Please contact us if you have questions.
Note: All paperwork takes three business days to be completed.