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Self-disclosure Form for Program Participants

Self-disclosure Form for Program Participants 2025

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The document outlines the Self-Disclosure Form for participants in the City of Richmond's 'Free Rides to Work' program, funded by the VTA TANF Fare-Free Grant. It details eligibility criteria for the program, which is aimed at individuals who meet certain income requirements related to TANF (Temporary Assistance for Needy Families). Participants must authorize the City of Richmond to access their financial information to verify eligibility. The document also includes a Uniform Authorization to Use and Exchange Information form, allowing agencies to share necessary information for service coordination and eligibility determination.

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What is a self-disclosure form?

Self-disclosure in this context means individuals providing an employer with details about their criminal record. This is in contrast to official disclosure, which means carrying out criminal record checks using the appropriate government agency in England Wales, the Disclosure and Barring Service (DBS).

What are the four types of self-disclosure?

There are four different types of self-disclosures: deliberate, unavoidable, accidental and client initiated. Following are descriptions of these types. Deliberate self-disclosure refers to therapists intentional, verbal or non-verbal disclosure of personal information.

What are examples of self-disclosure?

Self-disclosure is the process of passing on information about yourself to someone else whether you intend to or not! The details can range from the superficial, such as your favorite food or TV show, to deeply personal information, such as religious beliefs, and big turning points in your private life.

What are the 5 principles of self-disclosure?

To navigate the complex terrain of self-disclosure, several guiding principles must be adhered to, ensuring that every revelation serves the clients best interest. Relevance to Clients Needs. Timing is Key. Purpose-Driven Sharing. Maintain Professional Boundaries.

What are the four main categories for disclosure?

Four main categories for disclosure include observations, thoughts, feelings, and needs (Hargie, 2011). Observations include what we have done and experienced.

What is an example of a self-disclosure statement?

It is important, however, that I disclose my unspent conviction to you. Just over two years ago, I received an eight month prison sentence for an overpayment of benefits. At the time of my conviction, I was going through a very difficult divorce from my husband which meant I had to leave my job and move to a new area.

What are the 4 types of self-disclosure?

For example, self-disclosure includes accessible information about the social worker that is available on the internet. There are five types of self-disclosures: deliberate, unavoidable, accidental, inappropriate and client- initiated.

Self-disclosure Form for Program Participants 2025

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