New Client Intake Form / Terms & Conditions - Telehealth / Online Logo
  • Supported Employment Department Pre-Screening Form

    Thank you for your interest in our employment services. We’re excited to learn more about you and to help you achieve your career goals! This pre-screening form is the start of us better understanding your unique skills, interests, and any specific support you may need along the way. Completing it should only take about 10-15 minutes, and each question helps us tailor our services to best suit your needs. Once you’ve submitted the form, our team will review your information, and we’ll reach out within 3-5 business days to discuss next steps and get you started on your path to success. We look forward to working with you!
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  • General Service Agreement

  • I have read and understood this Intake Form, and agree to the above conditions for being interested in receiving services from Reaching Maximum Independence.

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  • Thank you for choosing Reaching Maximum Independence to support you in your employment journey. If you have any questions, please do not hesitate to contact the Director of Supported Employment via email - ses@rmihomes.org

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