Congratulations on your new position!

Please use this form to report employment if you are an enrolled Candidate in The Next Step. It is very important that you complete this form in full and within 72 hours of obtaining employment. Please report any employment gained whether it came from a CoFFE! lead or the result of your own efforts. You may also call 1-888-998-7227 ext 704 to report employment.

Thank you for your participation,

The Next Step Team

Candidate First Name *
Your answer
Candidate Last Name *
Your answer
Name of Employer *
Your answer
Employer Address
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Employer City *
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Employer State *
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Employer Zip Code *
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Employer Phone Number *
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Employer Industry *
Date you were hired *
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Name of person who hired you
Your answer
Name of Case Manager, Parole Officer or Probation Officer
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