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River Valleys Coordinated Entry System (CES) Assessor Request Form
Form should be used to request access to become a CES assessor in the River Valleys coordinated entry system. After approval of the request, you will schedule CE assessor training with the CE referral specialist.
Form should be filled out by the worker requesting access.
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* Indicates required question
Name:
*
Your answer
Email:
*
Your answer
Organization:
*
Your answer
Organization Type:
*
Your answer
Location of Organization:
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Your answer
Are you replacing a past assessor?
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Yes
No
How many assessors are at this organization?
*
Your answer
Have you taken Clienttrack training and received a log in?
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Yes
No
Name and contact information of supervisor:
*
Your answer
Expectation of assessors are as follows:
Assessors must agree to follow all CoC guidelines including processes, documentation of ROI, and reporting requirements.
Assessors must be dedicated to data quality and providing housing problem solving to each client as an invaluable part of CES.
*
I agree
Narrative section for explanation of need (not required):
Your answer
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