Goodwill
Industries of Wayne and Holmes Counties, Inc.
Community Orientation Checklist
Client Name
*
Orientation Checklist to be completed by Case Manager and Client
Application
Client Datasheet
Client Receipt of Policies and Procedures
Client Manual Provided to Client
Consent Form
Emergency Contact
Model Release
Participant Involvement & Informed Choice
Transportation Acknowledgement
Worksite Agreement Form
Program Start Date
*
/
Month
/
Day
Year
Date
Case Manager Signature
*
Orientation Checklist to be completed by Administrator
Client Datasheet
Consent Form
Client Receipt of Policies andProcedures
Emergency Contact Form
Model Release
Participant Involvement &Informed Choice
Transportation AcknowledgementPolicy
Worksite Agreement
Preview PDF
Submit
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