Form SNA-1066A "Voluntary Participation Agreement" - Arizona

What Is Form SNA-1066A?

This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2021;
  • The latest edition provided by the Arizona Department of Economic Security;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SNA-1066A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.

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Download Form SNA-1066A "Voluntary Participation Agreement" - Arizona

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SNA-1066A FORFF (10-21)
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
Supplemental Nutrition Assistance Program Career Advancement Network (SNAP CAN)
VOLUNTARY PARTICIPATION AGREEMENT
Welcome to the Supplemental Nutrition Assistance Program Career Advancement Network (SNAP CAN),
Arizona’s Supplemental Nutrition Assistance Employment and Training (SNAP E&T) Program! By volunteering to
participate in this program, you will have the opportunity to receive services that will better prepare you to get a job or to
get a better job if you are already employed.
In cooperation with other state and local agencies and community-based organizations, SNAP CAN offers you the
opportunity to receive services which could include case management, assistance with job searching, and:
● Job Readiness
● Job Retention
● Vocational Training
● Education Advancement
Volunteering for this program greatly increases your chances of getting a job. Participation in this program
does not affect your Supplemental Nutrition Assistance Program (SNAP) benefits (also known as food stamps).
These services will be provided at no cost to you. SNAP CAN services are funded by SNAP and by participating
community-based organizations. Should you choose to take advantage of this opportunity, you may also be aided with
transportation, clothing assistance, and other costs related to participation.
This is a voluntary program. You are not required to participate to continue receiving SNAP benefits.
If you would like to participate in this program, please sign the statement below:
● I understand that this is a voluntary program and does not affect my SNAP benefits.
● I understand that, while this is a voluntary program, I agree to fully participate to increase my chances of finding
employment or getting a better job.
● I consent to the release of my program activity information for reporting purposes, as needed.
Signature:
Date:
Print Full Name:
The USDA is an equal opportunity provider and employer • Auxiliary aids and services are available upon request to
individuals with disabilities • TTY/TDD Services 7-1-1
SNA-1066A FORFF (10-21)
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
Supplemental Nutrition Assistance Program Career Advancement Network (SNAP CAN)
VOLUNTARY PARTICIPATION AGREEMENT
Welcome to the Supplemental Nutrition Assistance Program Career Advancement Network (SNAP CAN),
Arizona’s Supplemental Nutrition Assistance Employment and Training (SNAP E&T) Program! By volunteering to
participate in this program, you will have the opportunity to receive services that will better prepare you to get a job or to
get a better job if you are already employed.
In cooperation with other state and local agencies and community-based organizations, SNAP CAN offers you the
opportunity to receive services which could include case management, assistance with job searching, and:
● Job Readiness
● Job Retention
● Vocational Training
● Education Advancement
Volunteering for this program greatly increases your chances of getting a job. Participation in this program
does not affect your Supplemental Nutrition Assistance Program (SNAP) benefits (also known as food stamps).
These services will be provided at no cost to you. SNAP CAN services are funded by SNAP and by participating
community-based organizations. Should you choose to take advantage of this opportunity, you may also be aided with
transportation, clothing assistance, and other costs related to participation.
This is a voluntary program. You are not required to participate to continue receiving SNAP benefits.
If you would like to participate in this program, please sign the statement below:
● I understand that this is a voluntary program and does not affect my SNAP benefits.
● I understand that, while this is a voluntary program, I agree to fully participate to increase my chances of finding
employment or getting a better job.
● I consent to the release of my program activity information for reporting purposes, as needed.
Signature:
Date:
Print Full Name:
The USDA is an equal opportunity provider and employer • Auxiliary aids and services are available upon request to
individuals with disabilities • TTY/TDD Services 7-1-1