ME ISD NMW Site Evaluation Form.doc

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Attached to
New Mexico Temporary Assistance to Needy Families (TANF) / NM Works Program Providers
Solicitation number
11-630-9000-0010
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Form used in ME for NMW Site Review

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Text version

ISD/NMW SITE EVALUATION

INCOME SUPPORT DIVISION

NMW Contractor

NMW Office

ISD Office

Reviewer

Date Reviewed

REVIEW ELEMENTS
YES
NO
N/A
Comments/Description

General – review and comment of both ISD and NMW offices

1.
What are the ISD hours of operation?
2.
What are the NMW office hours of operation?
3.
Are hours of operation prominently posted?
4.
Is there a drop-slot for applications and other information during non-working hours?
5.
Is the office site ADA Compliant?

· Wheelchair access?

· Handicap parking?

· Access to goods and services?

· Access to building?

6.
Is access to public transportation readily available to/from office?
7.
Is the reception area welcoming and clean?

Specific to NMW office or ISD/NMW in-office staff area

8.
Are brochures for community/supportive services posted in the lobby area for:

· HSD Program Pamphlets and posters

· HSD Program Applications

· DV Providers

· Housing

· Civil rights

· Childcare

· Transportation

· Substance abuse services

· Social security

· Other (identify)

9.
Is there a separate waiting area for parents meeting with NMW?
10.
What is average length of time parents wait to be seen by a Career Development Specialist?

· 0-15 minutes

· 16-30 minutes

· 31-60 minutes

· Longer than an hour

11.
Are applicants seen by appointment or by same day service?
12.
Are there designated times when parents can see a CDS without an appointment? Explain
13.
Are there bilingual services readily available? Which languages?
14.
Do parents have interview privacy when meeting with their CDS?

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