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Cal-SAFE Program Needs Assessment / Support Services Form Student Name: Interviewer Name: (Name or 3-digit code) NO SERVICES NEEDED () Student ID: Interview Date: School of Record: / / 20 Instructions:
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How to fill out cal-safe program needs assessment
How to fill out cal-safe program needs assessment:
01
Gather all necessary documents such as identification, income verification, and proof of pregnancy or children's birth certificates.
02
Complete the personal information section, including your name, address, contact information, and household composition.
03
Provide information about your current living situation, including details about your housing, utilities, and any special circumstances.
04
Fill out the income section, including all sources of income for your household, such as employment, public assistance, or child support.
05
Detail your expenses, including rent or mortgage payments, utilities, childcare costs, and any outstanding debts or loans.
06
Answer questions about your education, employment history, and job skills.
07
Provide information about any enrollment in other government assistance programs, such as CalWORKs or Medi-Cal.
08
Complete the health and nutrition section, including any medical conditions, dietary needs, or access to health services.
09
Submit any additional supporting documents requested by the program.
Who needs cal-safe program needs assessment?
01
Pregnant or parenting students who are receiving CalWORKs cash aid.
02
Students who are eligible for CalWORKs child care services.
03
Students who are facing financial hardships and need support with housing, food, transportation, and other basic needs.
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What is cal-safe program needs assessment?
The Cal-SAFE program needs assessment is a tool used to assess the needs of pregnant and parenting students in order to provide them with supportive services and resources.
Who is required to file cal-safe program needs assessment?
School districts and county offices of education that operate Cal-SAFE programs are required to file the program needs assessment.
How to fill out cal-safe program needs assessment?
The Cal-SAFE program needs assessment can be filled out online through the designated platform provided by the California Department of Education. It requires inputting information about the students' demographics, educational needs, and support services required.
What is the purpose of cal-safe program needs assessment?
The purpose of the Cal-SAFE program needs assessment is to identify the specific needs and challenges faced by pregnant and parenting students in order to tailor the supportive services and resources provided through the Cal-SAFE program.
What information must be reported on cal-safe program needs assessment?
The Cal-SAFE program needs assessment requires reporting on various aspects, including the number of pregnant and parenting students enrolled, their demographic information, educational goals, support services needed, and any barriers to their academic success.
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