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Rebuildin g Ca reers <br />( __ c_L_IE_N_T_R_E_FE_R_R_A_L_Fo_R_M_) <br />Working Wardrobe s' Cli e nt Se rv ic e s Team supports w orking age indi v idua ls w ith a v ariety of <br />wo rkforce re adiness serv ices and lin k ages t o community resource s in an e n vironment of dignity <br />and re sp e ct. You can re fer so m eo ne you know or fil l out the info r m ati o n b e low for y ourself. A <br />member of our team w ill follow up w ith you regard i ng next steps. <br />Client Type :□ Vetera n □ V e tera n □ Justice □senior (55+) □Young Adult □ Adult <br />Spouse I nvolved <br />I <br />, PARTICIPANT INFORMATION <br />Participant Name: ___________________ _ Date: <br />D Check if ok to t ext Phone Number: ---------------------------------Em a ii: <br />Address: <br />REFERRING AGENCY /PROGRAM (If applicable) <br />Name of Referring Agency/Program: <br />Contact Person: -------------------------------- <br />Phone Number: ______________________________ _ <br />Email: <br />Address: <br />D Career Nav igatio n /Ma nagem e nt <br />D New/Updated Resu m e <br />Do you have a r es ume?O Yes O No D Job Leads/Pla c eme n t <br />D Mock Inte rview Pract ice <br />HOW CAN WE HELP? <br />D Fina n cia l Ass istance <br />D Commu n ity & Su ppo rtive <br />Se rv i ces D Le g al Servic es Re ferr a l <br />D Hou si n g Ref e rra l <br />D Skill s Tra ining (indic ate any sp ecific sk ill s y ou w ish t o d evelop) <br />VETERAN SERVICES <br />(proof of m ilitary service a n d /or <br />spou se s t a t us required) <br />Po ssess Copy of DD 214: O ves[]No <br />Co py of Marria g e Certifica te o r <br />DEERS enroll ment: □Yes ~o <br />D Ve t eran Ho usi ng Refe rral <br />□ VA/VS O Refe rral (C l ai m ) <br />D Behav ior al Hea lt h Couns eling <br />D Certifi c ation Tra ining (indicate any specific cert ifi c ates y ou w ish t o c ompl et e ) <br />JOB/INDUSTRY INTEREST <br />D I a m u n sure about wha t t ype of job/in d u st ry I want. <br />D I have a good idea w h a t type o f job/i ndustry I wan t. (j ob/in dustry): ____________ _ <br />D I am l ooki n g to tra n sit io n from o n e job/in d u st ry t o anoth e r. <br />D (cu rr e nt job/in dustry): <br />D (d es ired job/industry): <br />Email Referral To: <br />clientreferral@workingwardrobes.org <br />Worki ng Wardro bes Career Succ ess Center <br />2000 E. McF adden Ave, Santa An a , Cali forni a 92705 <br />(714)210-24 60 (p) I www.workingwardro bes.org <br />EXHIBIT 2 <br />  <br />  <br />City Council 10 – 237 7/1/2025