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Sowing Seeds of Hope Since 1975
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Client Referral Form
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What are the main barriers that you face in securing or maintaining employment?
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Do you have access to the documents needed to verify your income?
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e.g. pay stubs, recent tax returns or other income documentation?
Are you currently receiving any kind of government assistance?Untitled
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Do you have any immediate needs that might expedite or delay the application process?
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What are your long term career aspirations?
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Are you currently employed full time, part time, temp, self employed, etc? If so, where and how long? If not, why? How long have you been unemployed?
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Are there language barriers that may affect your ability to complete application forms?
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Are you available to attend follow-up meetings or provide additional information within programmatic guidelines?
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Are you comfortable with the requirements of the program such as any conditions related to income, residency, continued eligibility?
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What supportive service or assistance would help reduce barriers for you?
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Has there been a reduction in household income within the last 12 months?
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What are the main barriers you face to maintain/secure employment? (e.g. transportation, childcare, access to resources, training, behavior issues, communication barriers)?
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Do you have reliable transportation to attend training, assessments, and work?
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Are there any certifications, skills, training that would help you achieve better employment that you currently lack? If so, please list them.
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Would you need assistance securing childcare or managing other responsibilities to attend and accomplish your goals?
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Are you open to exploring additional resources like financial counseling or skills training, to support your housing/budgeting and employment goal?
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Voice of Calvary Blog & Articles
2024 Year End Newsletter
BY:
developers
January 24, 2025
2024 YearEndBrochure-ReportC
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