simpleCTS
Spend time serving clients, not counting them. VAST
Enter Results for New Client Survey
 
Person Referred by:

 
Organization referred by:

 
Contact phone number:

 
Contact email:

 
Referral Date:
 
Client Name:

 
Gender
 
Preferred Pronoun:

 
Client Phone Number:

 
Client Phone Number 2:

 
Client email:

 
Client current address:

 
Client current postal code:

 
Client current city:

 
Entry Pathway:
 
Client Status:
 
Status of Hearing?
 
Type of Hearing?
 
Refugee Hearing Date?
 
Does this client require a letter?
 
Is there any deadline for the letter?
 
Client Date of Birth
 
Client Age:
 
Client Country of Origin:
 
Date of Arrival in Canada:
 
If a Claimant - Hearing Date:
 
If a Claimant - attended Ready Tour?
 
Name of Lawyer:

 
Lawyer Phone:

 
Lawyer email:

 
Client Primary Language:
 
Interpreter needed?
 
Reason for Referral:


 
Referring to:
 
Has this person received received any VAST services in the past?


 
Other Notes/ Important details: