1. Employment Readiness Assessment & Documentation Verification
Date:
Client’s Name: Date of Birth:
Current Address:
Email Address:
Resume Employment Evaluation(s) Typing Certificate Work Samples:
Degree or Diploma Other (Specify)
Proper Identification
Check all documents below that you are in possession of
State Identification Card
State Driver's License
Social Security Card
Birth Certificate (Proof of Birth)
Proof of Education
High School Diploma or GED (Circle Appropriate Left)
High School or Grade School Transcript
College Degree/Technical Diploma
College Transcript or Academic Evaluation
3 Professional References:
Name Company Phone# Time
Known
3 Character References:
Name Relationship Phone# Time
Known
Certifications/Dates:
National Career Readiness Certification (NCRC): Date:
Bronze Silver Gold Platinum
Employment Counselor: