This intake will take approximately 5-10 minutes to complete. Please click save at any point in the intake to recieve an e-mailed link that will allow you save your information.
Begin your journey by completing our intake below. Should you have any questions or need assistance, we can be reached by phone:
Lynchburg (434) 845-5944 Ext. 1221
Richmond (804) 461-3585 Ext. 1101
I hereby agree agree that the information given in this intake is true, accurate and complete as of the date of submission.
I certify that the information provided throughout this submission is true and correct. I am aware that the information I have provided is subject to review and verification. I allow the release of this information for verification purposes and understand that it will be used to determine eligibility.
The selection of services made possible through the Ways to Work Program is my responsibility.
Here is What to Expect:
We will respond to your completed Ways to Work program Intake at phone number provided in this application within 24-48 business hours. At that time we will work with you to review the information provided in this Intake and determine program eligibility. If all program qualifications are meet we will discuss the steps forward. We will also provide refferals to other resources that may be available to assist with transportation, financial, and other goals as identified durring the review.