• Goal4 It!TM for CCMEP

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  • Stepping Stones to Success

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  • Format: (000) 000-0000.
  • Question 1 What is your overall stress level right now*

  • Question 2 Where do you feel you currently are in these areas of life? (Fill in a circle in each pathway row)

  • Housing (from I do not have housing or my housing is unsafe to I have stable and safe housing)*
  • Transportation (from I have no transportation to I have reliable transportation and a back up plan)*
  • Personal Well-Being (from my personal well-being or my mental health needs my attending to I am doing well, am mentally healthy and am fully able to work)*
  • Family Well-Being (from family challenges interfere with my progress, or I have no child care to My family is well, and I have safe, reliable child care (as needed))*
  • Social Support (from I don't have any friends to I have good friends I can trust)*
  • Financial Health (from I do not have enough money to cover my basic needs to I have enough money to cover my basic needs and am able to save some money too.)*
  • Legal (from My legal history or involvement with the court system is holding me back to I have no current legal issues)*
  • Education and Training (from my education is off-track and I don't know how to get it back on track to my education is on track and I am gaining the skills I need)*
  • Career Path (from I don't know what my career path looks like, where to start, or have experience to I know what I want my career path to look like and I am making progress towards it.)*
  • Question 5 Prior work experience (includes military or volunteer experience) If YES, please describe.*
  • Question 7 Do you have transportation, child care, housing, clothing and other supports needed to enter your chosen career*

  • Stepping Stones to Success - Release of Information

    I give my approval for Ohio Job and Family Services (JFS) staff, Ohio Means Jobs Center staff, and partner agencies to exchange and disclose necessary information about me for services to be provided to me by all programs administered via the JFS, Ohio Means Jobs Center and/or partner agencies. I attest that the information stated above is true and accurate, and I understand that the above information, if misrepresented or incomplete,  may be grounds for immediate termination of services and/or penalties as specified by law.

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  • Note: As part of the new CCMEP program(s) in which you are participating, JFS is working with an independent evaluator (Ohio State University) to study the effectiveness of the program(s) and services being offered and to learn more about employment outcomes, including job placement. Ohio State University may contact you to gather information about your occupation, wages, working hours, and other feedback. The purpose of this contact will be to help JFS improve its program(s) and services. Your participation in the evaluation will be voluntary and any personal, identifying information about you that is obtained or shared by Ohio State University will be kept confidential.

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