Apply to Workability IV Program
To apply for the Workability IV Program, all students and alumni must complete and submit the following forms:
- Workability Referral form
- DOR Consent to Release and Obtain information (PDF)
- DOR Employment Record (PDF)
- DOR Health Questionnaire (PDF)
Completed forms should be brought to your first Department of Rehabilitation appointment.
If you are a current Fresno State student, you can meet with a DOR counselor at the Services for Students with Disabilities Office. Please contact Troy Polnitz at 559.278.2811to schedule an appointment.DOR Orientation Fresno -Tuesday 10:00 am Visalia - Wednesday 10:00 am Merced - Wednesday 10:00 am
After your eligibility has been reviewed, you will be contacted to schedule a meeting with a DOR and WorkAbility Counselor.
Workability IV, Executive Director