SPONSORS:

Work Incentives Public Information Sessions

UPCOMING SESSIONS There is no cost to participate.

January 23, 2018 SSI: 2:00-3:15 pm

SSDI: 3:30-4:45 pm

East Bay—Middletown Public Library

700 West Main Road

Middletown, RI

February 27, 2018 SSI: 12:30-1:45 pm

SSDI: 2:00-3:15 pm

Sherlock Center on Disabilities at

Rhode Island College

600 Mt. Pleasant Avenue

Providence, RI

Register or View Session Schedule at:

http://bit.ly/2vZR5UU

You may register online, by phone, or complete the form and submit by fax or mail.

Requests for Reasonable

Accommodations (i.e., ASL Interpreter, large

print, etc.) should be made as soon as possible.

QUESTIONS? Contact Elaine Sollecito at

esollecito@ric.edu or 401-456-2764.

Spanish via RI Relay: 711 or 866-355-9241

TTY via RI Relay: 711 or 800-745-5555

Do you receive SSI? If you could earn more than $30,000 per

year and keep your Medicaid would you

consider working?

Do you receive SSDI? Would you work if you knew that you could

continue to receive your SSDI check for at

least one year?

Social Security Administration offers a variety

of work incentives and support services to help

individuals go to work.

A Certified Work Incentive Benefits Counselor

will review available Social Security work

incentives for SSI and SSDI Beneficiaries.

These sessions are for individuals already

receiving SSI or SSDI benefits or those

supporting them.

This is not a job fair or a session on

“how to apply for benefits”.

www.sherlockcenter.org

JOIN OUR MAILING LIST

http://bit.ly/2xvYGtL

If you answered YES to either

of the above questions, consider attending a

Work Incentives Public Information Session!

Work Incentives Public Information Sessions Registration Form

TO REGISTER: There is no cost to participate.

Step 1. Select Session (date, location, time). Session details available online at http://bit.ly/2vZR5UU

Step 2. Submit a completed registration form to the Sherlock Center. (See instructions below.)

SESSION DATE/s: _________________

LOCATION (Agency & City/Town):_________________________________________________

SELECT TOPIC/S: ___SSI ___SSDI ___ Overview

COPY THIS FORM TO REGISTER MORE THAN ONE PERSON.

First and Last Name:

Mailing Address:

City: _______________________________State: _____Zip:

Phone:

Email:

How did you learn about this session?

___Sherlock Ctr.

___High School

___College

___DD Provider

___MH Provider

___Donley Ctr.

___Corliss Ctr.

___RIPIN

___NRIC

___OSCIL

___Library

___Office of Rehabilitation Services

___Dept. of Labor and Training

___Other:______________

Check all that apply:

_____I am a Social Security Beneficiary

_____I am a Representative Payee for a Social Security Beneficiary

_____I am a family member or guardian or Rep Payee for a SS Beneficiary

_____I am a professional that supports individuals going to work

_____Other: ____________________________

DEMOGRAPHICS (optional): The Sherlock Center includes demographic data in state/federal reports and grant applications.

RACE: ___White ___Black or African American ___American Indian or Native Alaskan ___Asian ___Native Hawaiian or Other Pacific Island ___More than one race

ETHNICITY: ___Hispanic ___Non-Hispanic

EDUCATION: ___High School Diploma/GED ___Associate Degree ___Bachelor Degree ___Master Degree or higher ___Other

Reasonable Accommodations: If you need a reasonable accommodation (i.e., interpreter services or

materials in an alternate format) to fully participate in this training, please make your request below and

submit as soon as possible.

____________________________________________________________________________________

____________________________________________________________________________________

NOTE: Confirmation will be sent to email address provided upon registering. If no email address is provided,

the confirmation will be sent by mail to the address provided prior to the workshop date.

Submit completed form by fax to: Elaine Sollecito at 401-456-8150.

Or Mail form to: Sherlock Center, RI College, 600 Mt. Pleasant Avenue, Providence, RI 02908.

Questions? Contact Elaine Sollecito at esollecito@ric.edu or call 401-456-2764. TTY RI Relay: 711 or 800-745-5555 Fax: 401-456-8150 Spanish via RI Relay: 711 or (866) 355-9241 ONLINE REGISTRATION: http://bit.ly/2vZR5UU

2018 SCHEDULE - WORK INCENTIVES PUBLIC INFORMATION SESSIONS

Target Audience: ALL AGES

DATE SESSION/TIME LOCATION:

JANUARY 23, 2018 East Bay-Middletown Public Library700 West Main RoadMiddletown, RI 02842

Sessions for MARCH through JUNE 2018 To Be Announced

To Register & View Session Schedule http://bit.ly/2vZR5UU

SSI: 2:00-3:15 PM SSDI: 3:30-4:45 PM

FEBRUARY 27, 2018 SHERLOCK CENTER ON DISABILITIES at Rhode Island College600 Mt. Pleasant AvenueProvidence, RI 02908

SSI: 12:30-1:45 PM SSDI: 2:00-3:15 PM