Adult Workforce Referral Tracker FY21
Thank you for inquiring about Commonpoint Queens Adult Workforce program.
In order to assist you, please fill out this referral tracker. Based on your answer, we will invite you to a VIRTUAL or IN PERSON orientation and assign an employment coordinator to assist you with the enrollment process and job placement.
Client's Full name:
Client's phone number
Client's email address:
Date of Birth
How did you hear about us?
Walked in/ Saw a flyer in the community
Friend or family member
Social Media - Facebook, Linkedin, Instagram
Community partner referral : Samaritan Village
Community partner referral: New Life Fellowship
Community Partner referral: Career Compass/HRA/ Grant Associates
Preferred Spoken Language
Program of Interest
Job Search Assistance/ Job Placement Program
ESOL - English as a Second Language
Basic digital literacy/ computer classes for career development
Not applicable - I just want to find a training
Vocational Training Interest
Vocational training in Allied Health ( Nurses Aide, EKG/Phlebotomy, Pharmacy Technician, Certified Medical Admin Assistant)
Vocational training in Culinary Arts/ SafeServ Certification
Vocational training in IT Training (Comp TIA, A+, Cybersecurity)
Vocational training as a Licensed Security Guard
Not applicable- I just want to find a job
I am registering for
a Virtual Orientation - Tuesdays at 2:30pm
I prefer to meet in person and will attend an orientation at the Hub located at 77-17 Queens Boulevard, Queens, NY
Is there anything else we can help you with? Feel free to share any additional information or concerns you may have regarding your participation in our programs.
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