Rhode Island Telephone Screening Form is a document used by organizations and agencies in Rhode Island for conducting phone screenings of individuals seeking assistance or services. It is designed to collect relevant information about the caller or applicant to determine their eligibility and needs. The form helps to streamline the screening process by ensuring that the right questions are asked and pertinent information is documented consistently. The Rhode Island Telephone Screening Form typically includes the following sections: 1. Personal Information: This section collects basic details about the caller, such as their name, address, phone number, and date of birth. It helps to establish their identity and contact information for further communication. 2. Household Composition: Here, the form gathers information about the household members residing with the caller, including their names, ages, and relationship to the caller. This section helps assess the size of the household and understand the applicant's family situation. 3. Income and Employment: This section aims to gather information about the caller's income sources, employment status, and any other financial assistance they may be receiving. It helps determine the applicant's financial need and eligibility for specific programs or services. 4. Housing and Utilities: This section collects information about the caller's housing situation, including details about their current residence, rent or mortgage payments, and utility expenses. It helps assess their housing stability and potential need for housing assistance. 5. Health and Disability: This section focuses on gathering information about the caller's health conditions, disabilities, and any specific healthcare needs. It assists in identifying appropriate healthcare services and ensuring that individuals with disabilities receive appropriate support. 6. Program-Specific Questions: Depending on the organization or agency using the form, there may be additional sections tailored to specific programs or services. These sections aim to collect information relevant to the particular assistance being sought, providing a comprehensive understanding of the caller's needs. It is important to note that different organizations or agencies might use variations of the Rhode Island Telephone Screening Form to suit their specific requirements. For instance, a housing agency might have a modified version focused primarily on housing eligibility criteria, while a healthcare provider might emphasize health-related questions. Overall, the Rhode Island Telephone Screening Form serves as a valuable tool for efficiently collecting and organizing essential information during phone screenings. It helps determine the eligibility of callers for various services, ensures consistency in data collection, and enables organizations to provide appropriate assistance to those in need.