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Click ‘Get Form’ to open it in the editor.
Begin by entering your Participant Name and Social Security/Case Number at the top of the form. This information is crucial for identification purposes.
Fill in the NMW Career Development Specialist (CDS) Name and Phone Number. This ensures that you have a point of contact for any questions or assistance.
In section A, outline your Work Activities and Monthly Hours. Specify your Core and Non-Core hours, ensuring you accurately calculate your total monthly hours based on the activities listed.
Proceed to section B to indicate any Support Services you may require. Check all applicable boxes and provide details where necessary.
Finally, review section C carefully. Sign and date the agreement to confirm your understanding and acceptance of the terms outlined in the document.
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