Community | Workforce Partner Intake Form
Help us learn about your organization, the populations you serve, and opportunities to collaborate in empowering our communities, strengthen career pathways and workforce training outcomes.
Organization Name
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Which category best describes your organization?
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Non-Profit or Community-Based Organization
Educational Institution (School, College, University)
Other
What is your organization's primary focus area?
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Organization Address
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County/Region Served
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Website
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Mission Statement
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Vision Statement
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Primary Contact Name
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Title
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Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Brief Description of Services
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Populations Served
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Public Assistance Recipients
Low-to-Moderate Income Individuals
Youth (14–24)
Adults
Senior Citizens
Justice-Involved Individuals
Individuals Experiencing Homelessness
Survivors of Domestic Violence
Veterans
Individuals with Disabilities
Single Parents
English Language Learners
Refugees/Immigrants
Other
Services | Resources Currently Offered
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Case Management
Housing Assistance
Skilled Training
Food Assistance
Transportation Assistance
Childcare Support
Mental Health Services
Substance Use Recovery
Financial Coaching
Adult Education/GED
ESL Services
Digital Literacy
Career Coaching
Employment Readiness
Job Placement
Life Skills Training
Youth Development
Family Stabilization
Other
Workforce | Career Development Training Needs
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Professional Soft Skills
Career Exploration
Career Pathway Planning
Personal Development
Interview Preparation
Financial Empowerment
Digital Professionalism
Workplace Professionalism
Employer Connections
Executive Coaching
On-The-Job Training
Job Market Navigation
Supportive Services Coordination
Other
Additional Information
Submit
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