Development Specialist Career
Resume:
NMW Individual Responsibility Plan - IRP
Participant Name:
Alexandria Castillo
NM Works career Development Specialist (CDS) or SNAP Specialist: Crystal Valdez
Participant Phone Number:
NM Works career Development Specialist (CDS) or SNAP Specialist Phone Number: 505-***-****
Case Number:
120675519
Date:
12/14/2023
County Office:
Bernalillo
A. My Current Employment Skills/Education
1. My current job is: Unemployed
2. I have special training in the following: Personal Care : Home Health Aid, Food Service : Server, Computer : Email/Correspondence,Accurate,
Compassionate, Diplomatic, Has an Operating Vehicle 3. I can use the following equipment, machinery or tools: Can operate basic household equipment 4. I have following experience with computers: Computer skills are average 5. I have following licenses or certification: none 6. My best skills and abilities include: Analyzer,Computer Literate,Self Improvement,Organized 7. The highest grade I completed is: 11th grade
8. I have a current resume: o Yes o4 No I need assistance with my resume: o4 Yes o No 9. I have a special situation that needs to be considered before I become employed (specify): o4 N/A
With assistance from my CDS or SNAP Specialist, I will address this special situation as follows: o4 N/A
B. My Employment/Education Goals
My Employment/Education Goal(s) is (are):
Short Term goal: I would like to obtain part time employment with the possibility of Career Link within 3-6 months. Long Term goal: I would like to gain stability within employment in order to grow in a career within 2 years. Educational goal: I would like to obtain my HSE within 1 year. C. My work Activities to Complete
In order to reach my employment goal (s) my CDS or SNAP Specialist and I have chosen the following NMW activities
(specify)
DWP006 Printed on 14 Dec 2023 Page 1
Activities Support Services I need to Successfully Complete this Activities:
Job skills/Other Job search
Work Experience
Support Services
Work experience referrals
Participant Certification
This checkbox serves as a signature. If
marked, it indicates that the program
requirements and information above have been
read and explained to me.
o CDS or SNAP Specialist Certification
Crystal Valdez
o Date of Certification
12/14/2023
NOTE: I will complete 40 hours at 20 hours per week of job skills/ other job search for the month of December completing in person or online applications in order to obtain employment. I will complete 86 hours of Work Experience at 21.50 hours per week at DWS located at 4330 Cutler Ave NE 505-***-****. Support Service Resource List - Ask your career development specialist about more specific services that you need Support Service Important Contact Information (not all inclusive) Child Care NMW - discuss with CDS or SNAP Specialist Domestic Violence Services National Domestic Violence Hotline - 800-***-**** Substance Abuse Services NM Behavioral Health Services - 505-***-**** Mental Health Services NM Behavioral Health Services - 505-***-**** Food Programs (SNAP) 800-***-****; Commodities 800-***-****; Nutrition Education
Public Housing Call your local Housing Authority or local Public Housing Agency Tax Credits IRS - 800-***-**** - IRS
Education Costs Student Aid - www.studentaid.ed.gov or 800-***-**** or ask your CDS Energy Assistance HSD LIHEAP 888-***-****
Home Weatherization Toll free in New Mexico 800-***-**** Teen Pregnancy Prevention NM GRADS details at www.nmgrads.org New Mexico Teen Pregnancy Hotline
Parenting and/or Fatherhood Strengthening Families - 575-***-**** Disability / Rehabilitation Programs Division of Vocational Rehabilitation - www.dvs.state.nm.us or 800-***-**** Clothing for Work Ask your CDS or SNAP Specialist about this and other services in your community
Transportation Ask your CDS or SNAP Specialist about this and other services in your community
Women, Infants and Children (WIC) WIC details at www.nmhealth.org/about/fhb/wic or contact your local Department of Health office
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NOTICE OF RIGHTS
Special Needs Information If you are a person with a disability and you require this information in an alternative format, or require a special accommodation to participate in any public hearing, program or services, please contact the Human Services Department, American Disabilities Act (ADA) coordinator at
505-***-**** or through the New Mexico Relay System TDD at 800-***-**** or by dialing 711. The Department requests at least 10 days advance notice to provide requested alternative formats and special accommodations. (Revised 09/15/14)
Your Civil Rights / Nondiscrimination Statement
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, religious creed, disability, age, political beliefs, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at 800-***-****. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form,
(AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call 866-***-****. Submit your completed former letter to USDA by: Submit your completed form or letter to USDA by:
(1) mail:
US Department of Agriculture
Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington,
D.C. 20250-9410
(2) fax: 202-***-****
(3) email: *******.******@****.***
This institution is an equal opportunity provider. (Revised 10/14/15) To file a complaint through HSD of discrimination and/or rude treatment regarding a program receiving Federal or State financial assistance, a complaint form is available at the ISD office or you may write to: NM Human Services Department, ISD Civil Rights Director, P.O. Box 2348, Santa Fe, NM 87504-2348 or by fax 505-***-****. Confidentiality
All information you give to HSD is confidential. This information will be given to HSD employees who need it to manage the programs for which you have applied. Confidential information may also be released to other federal and state agencies. All information will be used to determine eligibility and/or to provide sevices. (Revised 07/15/14) This information may be given to other Federal and State agencies for official examination, and to law enforcement officials for the purpose of picking up persons fleeing to avoid the law. If you get benefits that you were not eligible for and have to pay them back, this is called a claim. If your household gets a claim against it, the information on this application including all Social Security Numbers, may be given to Federal and State agencies, as well as private claims collection agencies for claims collection action. You only have to give U.S. Citizenship and Social Security Numbers for those household members that you are applying for. You do not need to be a U.S. Citizen to apply.Receiving SNAP/food, energy or medical assistance will not prevent you from becoming a lawful permanent resident or U.S. Citizen. Non-citizen immigrants not requesting assistance for themselves, do not need to give immigration status information, Social Security Numbers, or other similar proofs; however, they must give proof of income and things they own because part of their income and things they own may count towards the household's eligibility for assistance. Certain benefits may be available for people without a Social Security Number; ask ISD.We also check with other agencies, the federal Income and Eligibility Verification Service (IEVS) and The Public Assistance Reporting Information System (PARIS) about the information that you give us. This information may affect your household eligibility and benefit amount. DWP006 Printed on 14 Dec 2023 Page 3
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