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Home / CalWORKs Forms

CalWORKs Forms

 

CalWORKs Orientation

New and continuing CalWORKs students should call the office to schedule a CalWORKs Orientation. Orientations are conducted in person or via Zoom with a CalWORKs Staff member. Educational supplies will be provided at the orientation.

Click Here for the Make-up Orientation Session

 

Intake Forms

Each semester (fall, spring and summer) you must complete a new intake appointment to keep your information up-to-date. The appointment includes an Intake Form, Needs Assessment, and Student Contract.

Fall 2022

  • Click here for the Intake and Needs Assessment form for Fall 2022
  • Click here for the Student Contract for Summer 2022

Summer 2022

  • Click here for the Intake and Needs Assessment form for Summer 2022
  • Click here for the Student Contract for Summer 2022

 

Click here to view your Civil Rights Information

Click here to view our Know Your Rights document

 

Monthly Attendance Reports (GN6365)

For students that need assistance in filling out their Monthly Attendance Reports, please review the PDF below for general instructions.

Click here to download a fillable blank PDF of a Monthly Attendance Report

Click here to download the instructions for Monthly Attendance Reports

Daily Schedule

You must submit a new Daily Schedule each semester and also if you change your schedule. This is used to verify your GAIN participation hours, to complete your MAR (Monthly Attendance Report), and to complete your Training Verification form for childcare.
Click here to download the daily schedule template.

View this sample to help you fill out the Daily Schedule correctly.

 

 

Ancillary Request  

Use this as a guideline for Student fees, the purchase price of some common school supplies and the request of books. You must provide your worker with original receipts. GAIN will not pay for excessively priced supplies or any supplies unrelated to the courses for which you are registered.
Click here to download a copy of the Ancillary Request

 

 

 

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About RHC

Rio Hondo College, serving the communities of El Monte, Pico Rivera, Santa Fe Springs, South El Monte, and Whittier for over 50 years.

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Rio Hondo College
3600 Workman Mill Road
Whittier, CA 90601

Phone: (562) 692-0921
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