Dress for Success Reno – Northern Nevada

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Thank you for coming to Dress for Success Reno – Northern Nevada! We are delighted to help you with your move into the working world.

Because of COVID-19, we can't style you in the boutique but we will style you virtually and ensure you receive the clothing and accessories you need for work. Please fill out this form first.

Today's Date *

Name *

First

Last

Street Address

City

State

Zip

Email *

Phone Number

What method of contact would you prefer we use to contact you? If possible, we will use that method.

Home Phone
Cell Phone
Work Phone
Email
Postal Mail

We'd like to know more about your interview/job.

Please check one of the boxes.

I have an interview and I need professional clothing. (Interview Suiting)
I have a job and I need clothes for my job. (Employment Suiting)

Do you have an interview or employment start date?

Yes
No

Interview Date or Employment Start Date

Company

Type of Work Experience

Position

Tell Us About You

Age Range

under 18
18-24
25-30
31-40
41-50
51-60
60+

Ethnicity

African-American
Asian
Black-African
Black-Caribbean
Caucasian/White
European
Hispanic/Latina
Multi-Racial
Native American
Pacific Islander
Other

Language Preference

English
Spanish
Other

Specify Language Preference

Education Completed

Some High School
Trade School
4- Year Degree
High School
Some College
Masters Degree +
GED
2 - Year Degree

Have you participated in Military Service or Law Enforcement??

Yes
No

Marital Status

Single
Married
Partnered

Is your household income: single or more than single?

Single
More than single

# of Children

Children in your care

Yes
No
Some

Number of your children under 18 years old

Currently Using Public Assistance?

Time Searching for Work

< 30 Days
1- 6 mos
7-12 mos
> 1 Year

Transportation

Public
Private

Tell Us About Your Style

Pant Size

0
2
4
6
8
10
12
14
16
1X
2X
3X
4X
5X

Top Size

XS
S
M
L
XL
1X
2X
3X
4X
5X

Shoe Size

Anything you'd like us to know about your style and/or needs?

Have you ever owned professional clothing?

Yes
No

Verification

Interview Suiting: Once you get the job (either this one or another one) you can come back and receive up to a week’s worth of additional clothing to help you with your professional wardrobe. Would you be interested in coming back for the second suiting for additional clothes?

Yes
No Thanks
Not Sure

Employment Suiting: Congratulations! You are eligible to join the Professional Women’s Group (PWG). The PWG is a group that meets once a month for 12 months and offers free seminars designed specifically to help women network and build their careers. Do you think you may be interested in joining the Professional Women’s Group?

Yes
No
Not Answered

Release for Publication: I agree to allow myself to be photographed or filmed for the purpose of publicity for Dress for Success Reno – Northern Nevada which will become the owner of this material. Checking "Agree" permits this organization to use my image without subsequent permission. *

Agree
Do Not Agree

Digital Signature: I hereby acknowledge that I will receive items from Dress for Success. I authorize Dress for Success Reno – Northern Nevada to follow up on my employment status either with me or the agency that referred me. I give permission to DFS Reno – Northern Nevada to share information on services received by me with the referral agency. *

Client Agrees

Type Full Name to Confirm Digital Signature *

Today's Date *

Phone

100 N. Arlington Avenue, Suite 105 Reno, Nevada 89501
775.846.9814
reno@dressforsuccess.org

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What a work of art and community Reno Public Marke

What a work of art and community Reno Public Market brings to the community. @dfsreno sends a huge thank you to Nettie Olivero and Doug Wiele, founder of Foothill Partners who made our 5 Year Anniversary happen, the first event in their space.

Volunteers are changing the landscape for so many

Volunteers are changing the landscape for so many women in northern Nevada....why get by when you can thrive? @dfsreno's Professional Women's Group celebrates 5 years. #bosslady #breadwinner #leadership #givingwithgrace #dfsreno

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