Get Intake Form Examples

Filling out the Intake Form Examples online is a straightforward process that helps gather essential information. This guide will provide clear instructions on how to complete each section of the form with accuracy and ease.

Follow the steps to successfully complete your intake form online.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Begin by entering the date of the interview, along with the interviewer's name and confirmation of any identification copied.
3. Fill in your name, address, city, state, and zip code in the designated fields.
4. Indicate your ethnicity, gender, and birth date.
5. Specify your native language and indicate whether you can speak, read, and write in it.
6. If applicable, fill in details for any other languages you speak, read, or write.
7. Provide your home phone number and any other phone numbers, selecting the appropriate category for each.
8. Indicate your employment status and provide your occupation if you are currently employed.
9. Select your interest in obtaining public assistance and indicate your birthplace and citizenship status.
10. Select the program you are interested in, such as ABE, GED, ESL, Pre-GED, or Citizenship.
11. If currently enrolled in an educational institution, provide the name along with the schedule you are committed to.
12. Fill in your education level, degree, and marital status.
13. Provide the number and ages of your children, along with any dependents.
14. Disclose your family income by selecting the appropriate category.
15. Enter the name and contact information of an emergency contact along with your relationship to them.
16. Specify your preferences for a tutor and meeting location, including transportation details.
17. Indicate preferred days and times for meetings, if any.
18. Add any notes or special considerations that may be relevant.
19. Mention how you learned about the Marion County Literacy Council.
20. Articulate your short-term and long-term goals for improving your reading skills.
21. Finish by signing the form and indicating the date for office use.
22. Finally, save your changes, download, print, or share the form as necessary.

Complete your intake form online today to take the next step in your educational journey.