Caregiver Orientation Forms (post-hire)

Work Opportunity Tax Credit

This company participates in the federal government's Work Opportunity Tax Credit program and/or other federal and state tax credit programs. The information you supply will be used by or on behalf of this company to complete its federal and/or state tax returns and may assist members of targeted groups in securing employment. Your responses to the questions are voluntary and will be confidential to this company's management and third-party service providers, federal, state and local agencies, and other third parties as necessary to determine eligibility.

Please answer all of the questions. The interview takes about 3 to 4 minutes to complete. Thank you!

Work Opportunity Questionnaire