Talent Recruitment Grant Application

Talent Recruitment Grant Application

Section 1: Primary Applicant Information

First Name*

Last Name*

Date of Birth*

Phone Number*

Email*

Section 2: Current Household Residence

(Household must currently reside outside the state of Wisconsin)

Current Street Address*

Residency Verification: (Choose two) Please indicate which document you will submit to KABA. You will need to upload this document via a Sharefile link that will be provided to you by KABA.*

Current Lease or rental agreement
Current mortgage statement or property tax bill
Utility bill dated within the last 60 days of application submission
Current government-issued photo ID
Other

Section 3: Intended Location of New Residence

Which city or county in Wisconsin do you intend to move to?*

When do you intend to move? List month and year.*

Section 4: Household Members

Do you have additional people in your household who will be relocating with you?*

Section 5: Individual Income Qualification

(After relocation, at least one household member must earn $55,000 or more annually)

Name of Income-Qualifying Individual*

Which best describes your employment plans for your move?*

Income Verification: (Choose one) Please indicate which document you will submit to KABA. You will need to upload this document via a Sharefile link that will be provided to you by KABA.*

Employment offer letter from a Kenosha County employer
Employer letter verifying salary from a Kenosha County employer
Two most recent pay stubs from a Kenosha County employer
Other (Remote workers or self employed)
KABA will work with you on providing the acceptable documentation.

Section 6: Certification & Affidavit

I certify that:

My household currently resides outside the State of Wisconsin.

After relocation, at least one household member earns $55,000 or more annually.

I am not applying for any other funds related to the WEDC Talent Grant.

I understand that this program requires me to move to the State of Wisconsin.

I understand that KABA may verify submitted information and that false statements may result in denial or recapture of incentives.

All information and documents provided are true, complete, and accurate.

Almost done. Where should we send the confirmation?

Email*

Name*

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