Artisan Work Application
Personal Information
Because phone numbers often change, please provide an email address or contact information for your case worker so we can be sure to find you when your slot becomes available
Date *
MM
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DD
/
YYYY
Applicant Name *
Your answer
Applicant phone number *
Your answer
Applicant email address (if you have one)
Your answer
Referral Organization (if applicable)
Your answer
Case Manager name and contact information (phone and email)
Your answer
Financial Goal
Please give us some information about the financial goal(s) for which you want to work. You can have multiple goals so long as the total sum does not exceed the $600 limit. Remember, your goal will be paid directly to the payment organization you specify, e.g., Doctor's office, DMV, landlord, educational institution etc.
My financial goal is to pay for: *
Required
Please Describe your financial goal in more detail here: *
Your answer
How did you find out about Would Works?
Your answer
Thank you for submitting your application to Would Works!
Your name will be added to our work session waitlist and we will contact you as soon as your position comes up. If you have any questions about your application, feel free to email us at hello@wouldworks.com
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