Day Worker Intake Form
Welcome to the Day Worker Center! Hours of operation are 7am to 2pm / seven days a week. Participants are required to register, meet with a case manager and be available to work from 8am - 11am. If you require special accommodation please see the DWC manager for more information.
The DWC assists participants with the following resources:
Robert Green, DWC Manager - (408)993-0837
Hours of availability - Mon-Fri. 7:00AM - 2:00PM
Emergency Contact Info
Please read carefully:
The undersigned agrees to be bound by all the rules governing the CTC Day Worker Center and in addition agrees to the following:
1. Waive any and all claims against the CTC Day Worker Center, its Board Members, employees, and agents for any liability or loss (including but not limited to bodily injury arising out of the operation of the CTC Day Worker Center).
2. Indemnity to hold harmless the CTC Day Worker Center employees and agents from any and all claims, demands, liability or loss (including, but not limited to, legal expenses or court costs which may arise from or be incurred as a result of any referral of a worker or workers through the CTC Day Worker Center). This includes all claims of malfeasance or nonfeasance on the part of the CTC Day Worker Center, its board members, employees, and agents.
By my electronic signature below, I agree to the CTC Day Worker Center governing policies and the agreement above.