Kate’s Training Academy Intake Form

  • Kate’s Training Academy Intake Form

    Help us understand your needs so we can connect you with supportive services, workforce training, and community resources. Your responses are confidential and help us provide the best support possible.

  • Personal Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Preferred Method of Contact*

  • Workforce Development Interests

  • Are you currently seeking employment?*
  • Employment Status:*
  • Areas of Workforce Training Interest:*
  • Do you need assistance with any of the following?*

  • Recovery Support Services

  • Are you currently seeking recovery support services?*
  • Indicate the services you are interested in:

  • Justice-Involved Support

  • At Kates Training Academy, we are committed to supporting individuals who are returning to the community after involvement with the justice system. The following questions help us connect you with appropriate workforce training, reentry support, and community resources.

  • Have you been involved with the justice system?*
  • Current Status:
  • Are you currently working with a case manager, parole officer, or probation officer?

  • Name of Agency Contact Person             

  • Do you need assistance with any of the following reentry services?
  • Are there any employment restrictions we should be aware of?*

  • Additional Support Needs

  • Please indicate if you need assistance with any of the following:*
  • How Did You Hear About Our Services?*

  • Additional Comments

  • Date*
     - -

  • Workforce Development Interests

  • Are you currently seeking employment?*
  • Employment Status*
  • Areas of Workforce Training Interest
  • Do you need assistance with any of the following?

  • Recovery Status

  • Are you currently seeking recovery support services?*
  • If yes, please indicate the services you are interested in:

  • Justice-Involved History

  • Have you been involved with the justice system?*
  • Current Status (if applicable):
  • Are you currently working with a case manager, parole officer, or probation officer?
  • Do you need assistance with any of the following reentry services?
  • Are there any employment restrictions we should be aware of?

  • Support System

  • Please indicate if you need assistance with any of the following:
  • How Did You Hear About Our Services?

  • Consent and Information Sharing

  • Date*
     - -

  • Availability and Preferences

  • Interests and Goals

  • Current Life Situation

  • Should be Empty: