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Contact Information

STEP Administration Office
501 West 6th Street
PO Box 206
Browerville, MN 56438

Phone: (320) 594-6423
E-mail: coryl@stepstaff.org

STEP
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Purchase Fire Starters

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STEP Referral Application

Program of Interest *

Day Training and Habilitation (DT&H)

Employment Service (ES, ED, EE)

Structured Day Program (SDP-TBI)

Pre-Vocational Services

Referred By

First Name *

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Age

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Height *

Weight *

Gender *

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Which of the following documents are you able to provide as identification? *

Identification Card

Social Security Card

Birth Certificate

Please have these documents available at the admission meeting.

Will you be including a Social History?

Yes - I will attach it to this application.

Yes - I will mail it separately.

Social History Upload

Maximum file size: 516MB

Application for Employment

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Are you more than 18 years of age? *

Yes

Have you ever applied for employment with STEP? *

Yes

When did you previously apply?

List month and year

Position Desired

Employment Desired *

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Are you legally entitled to work in the United States? *

Yes

Are you willing to work overtime?

Yes

Date available to begin work?

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Yes

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