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Referral for Grant Funded Reentry Employment Services

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GRANT ELIGIBILITY REQUIREMENTS

Does your agency have a Community Partnership Agreement with Career Support Systems?
Does the person being referred have a custodial or non-custodial child under 18?
Does the person have income that is at or below 200% of the Federal Poverty Guidelines?

PERSONAL DATA

Name
Address

DISABILITY INFORMATION

Does the person being referred have a diagnosed disability?

REFERRING AGENCY INFO

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