Goodwill
Industries of Wayne and Holmes Counties, Inc.
Client Name
Orientation Checklist to Be Completed by Case Manager and Client
Client Data Sheet
Client Involvement & Informed Choice
Client Manual Provided to Client
Consent Form
Emergency Contact
GED Program
Model Release
Receipt of Policies and Procedures
Transportation Acknowledgement
Worksite Agreement Form
EmployeeClient Signature
Program Start Date
/
Month
/
Day
Year
Date
Case Manager Signature
Orientation Checklist to Be Completed by Case Manager and Client
Client Data Sheet
Client Involvement & Informed Choice
Consent Form
Eligibility Form From JFS
Emergency Contact
Model Release
Receipt of Policies and Procedures
Transportation Acknowledgement
Worksite Agreement Form
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