Customer Referral Form

Customer Referral Form

This form allows for inter-agency referral of customers and self referral. If you are an individual interested in referring yourself to Workforce Solutions Lower Rio or any other partner agency in the region, you may submit this form to schedule an appointment. If you are a Workforce Solutions or partner agency staff member, you may use this form to refer a customer to Workforce Solutions or any other partner agency.
Email-Sender
Customer Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
County of Current or Future Residence in TX*
If you are looking for services outside these three counties (Hidalgo, Starr and Willacy), please use the link below to locate the correct location (based on the county where you reside) where you can apply for services. It will provide you with additional information on services in other Workforce Solutions Board areas outside the Lower Rio Grande Area.

Please find your Workforce Development Area here.
Customer Status*
Hold Ctrl key for multiple selection.
Preferred Contact Method*
Customer Phone #
Format: (000) 000-0000.
Customer E-mail
example@example.com
Agency Referred To*
GED ServicesESL ServicesCareer Training
AARP Foundation - Senior Community Service Employment Program (SCSEP)

AARP works to end senior poverty by providing resources and assistance for older adults (50 and over) living with low income.
BCFS Health and Human Services

BCFS’s mission is to help at-risk youth adults and foster youth transition into independent adulthood and self-sufficiency and provide a safe place for youth to access community resources.
GED & ESL Services - Region One Adult Education & Literacy

GED & ESL Services - Region One Adult Education & Literacy offers a variety of instructional programs to help adult students acquire the skills and knowledge needed to be productive workers, family members, and citizens. Focuses on providing GED and English as a Second Language (ESL) Instruction.
Texas Veterans Commission

The Texas Veterans Commission advocates for and provides superior service to veterans that will significantly improve the quality of life for all Texas veterans, their families, and survivors.
TWS- Vocational Rehabilitation Services

Texas Workforce Solutions Vocational Rehabilitation (TWS-VRS) serves to help people with disabilities prepare for, find, or retain employment and helps youth and students prepare for post-secondary opportunities.
Workforce Solutions

Workforce Solutions provides services that help workers find a job, keep a job, and find a better job. Assistance for job search, work, and educational expenses are available for those who qualify.
Motivation, Education, and Training (Migrant, Seasonal, Farmworkers)

Motivation, Education, and Training’s mission is to empower and inspire rural and other populations by providing employment and training services, such as migrant and seasonal farmworkers.
Job Corps

Job Corps is a no-cost education and vocational training program that helps young adults ages 16-24 improve the quality of their lives by empowering them to get great jobs and become independent.
ESL Services – South Texas College (STC)

ESL Services – South Texas College (STC) offers a variety of instructional programs to help adult students acquire the skills and knowledge needed to be productive workers, family members, and citizens. Focuses on providing English as a Second Language (ESL) Instruction.
Behavioral Health Solutions

Behavioral Health Solutions of South Texas (BHS) is dedicated to fostering a culture of behavioral wellness by providing age-appropriate, consumer-driven, and evidence-based services. Through prevention, education, and intervention, BHS works to reduce substance use and strengthen mental wellness across the southernmost Texas communities. Committed to enhancing quality of life across the lifespan, BHR integrates core behavioral health and wellness services with other essential human domains, empowering individuals, families, and communities to thrive.
SNAP E&T Third-Party Partnership (TPP) Initiative - South Texas College

The SNAP E&T program is a vital federal initiative that equips SNAP recipients with the skills and resources needed to obtain sustainable employment. The SNAP E&T Third-Party Partnership (TPP) Initiative expands these efforts by allowing collaboration with local entities including colleges, nonprofits, local governments, and other organizations to extend services beyond what a state agency can deliver alone while leveraging reimbursement to enhance training and support opportunities. South Texas College (STC) has agreed to be our partner and training provider for the SNAP E&T TPP Initiative by providing vocational and nonvocational education, career training, and participant support services. This partnership with STC aims to increase employment outcomes into meaningful employment and economic self-sufficiency for SNAP E&T participants.
Are you seeking Adult Education Services?
Customer's Date of Birth

MonthDayYear
Date
Which Adult Education Service will you be requesting?
WFS Office of Preference*
Name of Agency*
Reason for Referral*
List all services the customer needs from the agency referred to.
Reason for Referral to WFS*
Hold Ctrl key for multiple selection.
Other Reason*
YesNo
Please specify*
If you are submitting a referral for Region One Adult Education & Learning, you will be redirected to their website to complete the referral process after selecting the Submit Button
DateTime
Current URL

Customer Referral Form

AARP Foundation - Senior Community Service Employment Program (SCSEP)

BCFS Health and Human Services

GED & ESL Services - Region One Adult Education & Literacy

Texas Veterans Commission

TWS- Vocational Rehabilitation Services

Workforce Solutions

Motivation, Education, and Training (Migrant, Seasonal, Farmworkers)

Job Corps

ESL Services – South Texas College (STC)

Behavioral Health Solutions

SNAP E&T Third-Party Partnership (TPP) Initiative - South Texas College

Confirm Referral