Password Application

A password is required to access the Self-Sufficiency Calculator. The Calculator is provided free of charge to counselors in NYC who are doing direct service with clients to help them attain self-sufficiency and available work supports. If you do not provide direct service but are interested in more information please indicate in the text box below. If you are interested in a screening for yourself please contact us directly at 212.964.8934.

Please fill in the form below and a password will be emailed to you (Items in bold are required.)

Name


Organization

Site/Program (for example: Single Stop, NYC Works)


Job Title


Address


City


State


Zip


Phone


Fax


Work Email Address

I attended a Self-Sufficiency Calculator training

I do not have an Internet connection at work.

Additional comments or information:

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