DVR Interest & Referral Form
We are excited you are interested in learning more about DVR. We work with people who have a documented disability to empower them to reach their employment goals through providing a variety of services. Please fill out the form below so that we can connect you with the office closest to you! A DVR staff person will respond to you within 2 business days. Please do watch our Orientation Video to see if our services are what you are looking for! Do know that if you are interested in our services, the next step is an application and an initial engagement meeting.

If you need immediate assistance, please contact us at CDLE_voc.rehab@state.co.us.
Email *
Orientation to DVR Video: Please watch first to see if we are the right program for you!
Name (first and last) *
Best phone number to reach you *
How would you prefer to be contacted: *
Your address: street, city, zip code *
If you know which DVR location would best work for you, please indicate below:
Are you: (Answering this will help us connect you with the right counselor. Many of our counselors specialize in working with youth, or with specific disabilities. Please check all that apply.) *
Required
How did you learn about DVR? *
Required
How can DVR help you with employment? *
Required
Please tell us your comfort level with various technology, including computer skills and virtual meetings. *
No experience
Highly experienced and comfortable
If you are completing this form on behalf of another individual, please tell us the best way to reach you if needed:
Do you have any questions for us?
Please tell us the best time of day to reach you. *
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