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Former Offender Pre-Service Strength Assessment
Client Name: Date Completed:
Yes No Unsure N/A
I have an adequate and stable place to live
I have proof of my current address
I have resources to provide food for myself and my family
I have reliable transportation to get to work
I have access to medical care for chronic conditions
I am receiving treatment and or support for substance abuse
I have a physical or mental disability of some kind
I have made arrangements for child care while I work
I have reviewed my criminal record and am aware of any outstanding
fines of court costs
I have official copies of my Birth Certificate and social security card
I have a valid driver’s license or state identification card
I have copies of all training certificates and diplomas from
educational courses that I have completed including
I have my High School Diploma or GED
I know how to create a budget and manage my money and credit
I have an up to date resume and know how to prepare resumes for
future use
I know three people who would give me a good PROFESSIONAL
reference
I have prepared a statement explaining my conviction and can answer
questions about my criminal record
I know how to fill out a job application
I know what kind of job I would like to have
I have researched the career field I want to get into
I have the training and skills to get the type of job I want
I know how to adequately explain gaps in my work history
I have the right clothing and tools for the job I want
I feel confident during job interviews
I am ready and able to go to work today
Obstacle Action to Overcome

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Ex_Offender_Preservice_Assesment

  • 1. Former Offender Pre-Service Strength Assessment Client Name: Date Completed: Yes No Unsure N/A I have an adequate and stable place to live I have proof of my current address I have resources to provide food for myself and my family I have reliable transportation to get to work I have access to medical care for chronic conditions I am receiving treatment and or support for substance abuse I have a physical or mental disability of some kind I have made arrangements for child care while I work I have reviewed my criminal record and am aware of any outstanding fines of court costs I have official copies of my Birth Certificate and social security card I have a valid driver’s license or state identification card I have copies of all training certificates and diplomas from educational courses that I have completed including I have my High School Diploma or GED I know how to create a budget and manage my money and credit I have an up to date resume and know how to prepare resumes for future use I know three people who would give me a good PROFESSIONAL reference I have prepared a statement explaining my conviction and can answer questions about my criminal record I know how to fill out a job application I know what kind of job I would like to have I have researched the career field I want to get into I have the training and skills to get the type of job I want I know how to adequately explain gaps in my work history I have the right clothing and tools for the job I want I feel confident during job interviews I am ready and able to go to work today Obstacle Action to Overcome