Get The Resource Training Center Doh Health Workforce Retraining Initiative Casac Program Intake Form

Filling out The Resource Training Center DOH Health Workforce Retraining Initiative CASAC Program Intake Form online can be a straightforward process. This guide will provide you with step-by-step instructions on completing the form accurately and efficiently.

Follow the steps to complete the intake form with ease.

1. Click the ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by entering the date of your application submission in the designated field.
3. Fill in your name, address, and contact information including your cell phone and email address.
4. Select your preferred training location by checking the appropriate box for either Brooklyn or Staten Island and indicate whether you will attend a day or evening program.
5. Complete the intake interview date, training start date, and anticipated completion date.
6. Provide your Student File ID number if applicable.
7. Indicate how you learned about the program by selecting the appropriate option or specifying another source.
8. Fill in gender, birthdate, ethnicity, marital status, and primary language in the provided fields.
9. Answer questions related to your citizenship status, employment status, and previous healthcare experience.
10. Indicate your highest level of education completed and specify if you have any applicable CASAC hours.
11. Disclose any past or present felony charges, incarceration, or probation status as required.
12. Provide information about any history of alcohol or substance use, including treatment programs attended.
13. List any medical issues that may affect your training, and provide mental health history if applicable.
14. Answer the questions prompting you to express your interest in the 350-hour CASAC course.
15. Review your responses for accuracy. Once completed, save your changes and prepare to email or fax the document to the specified contact.

Start your application process online today to take the next step in your career.