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Our Programs
Explore our 6 program focus areas
About
Learn about our leadership team & history
Our Impact
Read about the impact we have in our communities
Careers
See how you can fulfill your calling & make a difference
Get Involved
Join us as we help our community realize its full potential
Ways to Give
We can help, give & love more, together
First Name
Middle Name
Last Name
Date of Birth You must be at least 18 years old to be eligible for this program.
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Country
Primary Phone
Primary Phone YesNo
Alternate Phone
Email
Preferred Language
Communication assistance required? YesNo
Contact's First Name
Contact's Last Name
Contact's Phone
Relationship to contact?
Briefly share how the COVID pandemic has affected your ability to seek and maintain meaningful employment.
Compassionate Caregivers assists participants by linking them with training to become Certified Nursing Assistants and Geriatric Nursing Assistants. Briefly share why you are interested in this training.
The training is virtual and requires participants to have a laptop and access to WiFi. Do you have these items? Check all that apply. I have a working laptopI have access to WiFi
The training is 5 hours a day, 5 days a week and lasts 6-10 weeks. Missing a training session may make you ineligible to receive certification. What barriers or issues do you foresee with completing the training? Check all that apply. ChildcareScheduling conflict with current employmentChallenges working with technology/digital devices
Which services do you need assistance with? Check all that apply. Occupational trainingHousingFoodBehavioral healthFinancial empowermentLegal services
Are there other services that we might be able to assist with?
What professional skills can we help you build? Check all that apply. Resume preparationInterview SkillsMaintaining professional presentation and appearance
Gender YesNo
Marital Status Single (never married)Married/Domestic partnershipWidowedDivorcedSeparated
Race/Ethnicity Black/African AmericanWhite/CaucasianAsian (not Pacific IslanderHispanic/Latino(a)Native American/Native AlaskanHawaiian Native/Pacific Islander
Employment Status Full-timePart-timeTemporary full-timeTemporary part-timeUnemployed
Are you a military Veteran or actively serving? YesNo
Do you have children of your own ages 0-17 who reside in your household? YesNo
Do you have children of your own ages 0-17 who reside outside of your household? YesNo
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