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  • Intake Assessment

  • The South Dallas Employment Project Serves Opportunity Populations

  • Consent to Serve

  • The personal information that we collect during this Intake Assessment will be shared with service providers only within our network, and only to provide services upon request of the participant. We will not use or share your information with anyone outside of our network of referral partners, employer partners, and service providers.

    Completion of this form grants the South Dallas Employment Project permission to share your information with Partner and Referring Organizations through our Referral Procedure.


    By agreeing to these terms you understand and confirm that,
    • I am an individual whose circumstances fall under the description of Opportunity Populations listed above.

    • I will be responsive to communications whether it be by phone call, text, or email.

    • If I am not responsive to communications for more than 14 days, my application will be deactivated and I will need to contact South Dallas Employment Project to reactivate it.

    • I am responsible for being responsive to any South Dallas Employment Project partners attempting to contact me to provide a service requested.

    • I understand that the questions asked in this application are for the purpose of the South Dallas Employment Project Navigators to understand my current circumstances and assist in determining assistance I may be eligible for.

    • I understand that services are subject to availability & funding.

    Your consent to share personal information is entirely voluntary and you may withdraw your consent at any time.
    Should you have any questions about this process or wish to withdraw your consent please contact:


    (214) 432-3436 
    I understand and agree.

  • If you are assisting the applicant:

  • I am not the applicant and am completing the application on their behalf

    ONLY CHECK THIS BOX IF YOU ARE FILLING OUT THE APPLICATION FOR ANOTHER PERSON

  • Applicant Information

    Please give us your name and your relationship to the applicant.

  • Required Required

  • Please note the relationship you have to the applicant (Case Manager, Parole Officer, Family, etc.)

  • Please provide your number if you are assisting the applicant

  • Please check this box if you will be the main contact between SDEP and the applicant.

    Only check this box if you would like SDEP to contact you, and only you regarding services to be rendered for the applicant.

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