AZ Dept. of Corrections SRCCC Online Enrollment Form

Arizona Enrollment

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Candidate Information

 

Offense Information

 

Parole Information

 

Employment Information
If yes, who is your current employer?

 

Acknowledgement of Terms

"By my signature affixed below, I authorize the Arizona Department of Corrections and representatives to release my employment information to The Next Step, Inc. and/or WOTC Solutions, LLC for the express purposes of providing me with access to “felon-friendly” employer leads from the CoFFE! database to assist me in finding employment despite my felony record, and to help an employer who elects to hire me obtain the tax benefits to which they are entitled for hiring me. I further agree to report any employment I obtain to the Arizona Department of Corrections within 48 hours of obtaining employment."

 

 

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