Work Works Initial Assessment
Is your community struggling with homelessness, criminal recidvism, and/or unemployment? Are you considering a work-based solution to address these complex and inter-related challenges?

We want to help! In order to proceed, please take the time to consider the following questions to help you evaluate your options and set goals. Once this form is received we will be in touch.

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Email *
About You and Your Community - Please tell us about your community and your role. Please include your Name, Affliation and Location *
What is your affliiation in your community? *
Required
What are the primary challenges you are seeking to address? Please check all that apply *
Required
Please elaborate on your choices: *
Who are the stakeholders in your community most concerned about the issues you identified? *
Required
What is your community's approach to addressing homelessness ? *
Required
What is your community's approach to addressing criminal recidivism? *
Required
What is your community's approach to addressing unemployment? *
Required
Please elaborate on your current needs *
What is most appealing to you about a work-based model *
Required
What community stakeholders play the biggest role in addressing the issues of concern in your community? *
Required
Please elaborate: *
What role does municipal and/or county government play in addressing these challenges? Select all that apply *
Required
Based on your experience please rate the following services in your community by how available they are to people experiencing homelessness, returning from incarceration and/or who are unemployed?   *
Doesn’t exist
Not enough
Right amount
Too much
Food
Shelter
Case management
Employment services
Permanent Housing
Behavioral health services
Other
What appeals to you about a work-based model and how can we help? *
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