Please fill out this information to make a referral The Smart Workforce Center. County - Select -Del NorteShastaSiskiyouTrinity Referral From: CalFresh CalWORKS Castle Rock Charter School Child Support College of the Redwoods Department of Rehabilitation EDD/Veterans Services Del Norte Child Care Council Health and Human Services NCIDC (Northern CA Indian Development Council) Probation/Parole/DRC Other… Enter other… Referral From: AARP/SCSEP American Career Training CalFresh CalWORKS Changing Tides Family Services Child Support College of the Redwoods CR Truck School Department of Rehabilitation EDD/Veterans Services Family Resource Centers Health and Human Services Healthy Moms Program Humboldt County Alcohol and Other Drugs Humboldt State University Tribal TANF Probation/Parole/DRC Other… Enter other… Referral From: American Career Training CalFresh CalWORKS Child Support CIMC College of the Redwoods Department of Rehabilitation EDD/Veterans Services Head Start Child Development Health and Human Services Institute of Technology Parent Partners Probation/Parole/DRC Public Health Shasta College Simpson University Trinity Office of Education West Harbor Training Center Other… Enter other… Referral From: Adult Education Services CalFresh California Conservation Corps CalWORKS Child Support College of the Redwoods College of the Siskiyous Community Resource Centers Economic Development Center EDD/Veterans Services Head Start Child Developement Health & Human Services Housing Authority Humboldt State University Jefferson Economic Development Institute Karuk Human Services/TANF Probation/Parole/DRC Other… Enter other… Referral From: American Truck School CalFresh CalWORKS Child Support Department of Rehabilitation EDD/Veterans Services Head Start Child Development Health and Human Services Human Response Network Probation/Parole/DRC Public Health Shasta College Tribal TANF Trinity County Office of Education Trinity Together Other… Enter other… Customer Being Referred: Customers Name Phone Email The customer being referred is aged 18-24 Yes No The customer being referred is unemployed Yes No Employment Goals (check all that apply): Full Time Part Time Paid On-the-Job Training Attend College Vocational School Other… Enter other… Referring Staff Referring Staff Staff Name? Referring Agent Phone? Referring Agent Email? Referring Agent Fax? Referral For: Truck School CA Training Benefits Info Employment Development Department (EDD) GED Referral Job Referrals Resume Assistance Special Grants - Disaster Special Grants - Opioid Unemployment (eligible or exhausted) Workforce Innovation and Opportunity Act (WIOA) Program Information (Young Adult/Adult/Dislocated) Workshops Other… Enter other… Referral For: American Truck School CA Training Benefits Info Employment Development Department (EDD) GED Assistance/Referral Job Referrals Resume Assistance Special Grants - Disaster Special Grants - Prison to Employment (P2E) Typing/10 Key Certificates Unemployment (eligible or exhausted) Workforce Innovation and Opportunity Act (WIOA) Program Information (Young Adult/Adult/Dislocated) Workshops West Harbor Training Center Other… Enter other… Additional Information About Referral: CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
