Luis Herrera

NY016927615 · Age 30 (07/15/96) · Male · Hempstead

Assigned to Nadine Ashby (Nassau Career Center)Prefers

luis.herrera@example.com

Eligibility

Income Info

Lower Living StandardYes / No / Not Disclosed — the two cannot BOTH be Yes; both may be NoIncome 70% LLSILYes / No / Not Disclosed — cannot be Yes if Lower Living Standard is Yes5% Rule/Local Priorityonly when the customer meets neither LLSIL testHigh Poverty Area*the guides stress it for Youth and customers 25 or younger

Disability Info

Disability Status*

Disability Category*self-attested; select all that apply

Financial Capabilityhas a receipt and has received:

Migrant Info

Migrant/Seasonal Worker*

Programs

HVRP — Homeless Veterans Reintegration Program

HVRP Grantee Svc Provider

HVRP Grantee Svc Provider #2ReasonHVRP Grantee Svc Provider #3Reason

INAP — Indian and Native American Programs

BearTracks Software Versiongreyed in the one capture that shows it clearlyTribal Codea Lookup button fills the affiliation in OSOSTribal Affiliationfilled from the code

Saved as you go — no Save button.

Saved