Employment Referrals

On this page, organizations may refer candidates for our catering positions, which are now open for applications. Please provide as much information as possible. All of this information goes through a secure portal that can only be accessed by the management team of Breaktime, LLC. Every referral helps us complete our mission of breaking the cycle of homelessness!

We prefer that our referrals come from organizations with whom we've partnered or from organizations who would like to partner with us. All of our partners are required to provide a point of contact to us for each individual referral, and if they are hired, this point of contact must stay in touch regularly throughout their term of employment. Active case managers are also preferred here, but they are not a requirement for the application.
Name of this Organization's Referral Representative *
Name of this Organization's Referral Representative
Who is submitting this application?
Name of Person You're Referring *
Name of Person You're Referring
We are only operating out of one location at this time.
Our primary goal and mission is to provide all of our employees with the best experience possible and with the proper flexibility to make that possible. Transportation can be an obstacle for many people, so this is a barrier that we want to collectively take down for every employee. Please let us know how best we could collaborate to attain a T pass for employees.
Breaktime will not discriminate on the basis of age. However, our programming is catered towards transitional-age young adults. Ultimately, this could mean people as young as 18 or as old as 24, but--again--this is NOT a requirement.
Would Your Referral Be Able to Present Class A and Class B/C Identification Documentation? *
Based on federal law, this is a legal requirement for employment. We want all partners and referrals to be aware upfront that this will be required in the interview process. This could include a combination of a passport, green-card, or birth certificate and a driver's license, school ID, or some other government-issued ID. More info can be found by copying and pasting this link into another tab: https://www.uscis.gov/i-9-central/acceptable-documents/list-documents/form-i-9-acceptable-documents?topic_id=1&t=b
Primarily, we need their phone number and email address.
Is This Individual Experiencing Homelessness? *
According to the National Health Care for the Homeless Council, "A homeless individual is defined in section 330(h)(5)(A) as ‘an individual who lacks housing (without regard to whether the individual is a member of a family), including an individual whose primary residence during the night is a supervised public or private facility (e.g., shelters) that provides temporary living accommodations, and an individual who is a resident in transitional housing.’ A homeless person is an individual without permanent housing who may live on the streets; stay in a shelter, mission, single room occupancy facilities, abandoned building or vehicle; or in any other unstable or non-permanent situation.” This information was directly sourced from Section 330 of the Public Health Service Act (42 U.S.C., 254b). As you know, the focus of our employment efforts revolves around the population of people experiencing homelessness. Thus, truthful responses to this question can only HELP an applicant.
We recognize that many employees will need mental health support, housing support, addiction support, help acquiring their GED, etc. Thus, we ask that referral organizations provide at least a point of contact but also--preferably--an active case manager who can help ensure that they have access to all the resources they need to succeed and thrive.
We hope to retain employees for around a year. We're interested in taking people with a wide array of career goals (not just retail). We look for responsible, confident, sociable initiative-takers who are ready and excited for job opportunities like ours.
We pair each of our employees with a one-on-one career advisor who can help them with everything from creating a resume to searching for a job to connecting them with helpful contacts in their network. Please describe the career interests, background information, and other things about this person that could help in this "match-making" process.
As mentioned previously, we require that any referral be paired with a point of contact from the referral organization, with whom we can discuss what resources the employee would need and what programming they'd benefit from throughout their time with us. We strongly prefer that our employees also have some sort of case worker paired with them throughout their entire time with us. With that in mind, please explain the relationship that your organization would be able to maintain with this referral throughout the application process and throughout all of their time employed with us (if they are selected).
Authorization for Release of Information Form *
Authorization for Release of Information Form
This form certifies your agreement to release information to the management team of Breaktime about the individual you're referring. If your referral is employed, this line of communication between our two organizations is considered applicable for the duration of their one-year tenure in our vocational training and career advising program (VTCAP). After that time, they may continue to work at Breaktime at a higher level, but your organization would no longer be responsible for this communication. Any information received by Breaktime, LLC (hereafter “Breaktime”) pursuant to this authorization is intended exclusively for the use of Breaktime and is not to be re-released to any person/agency not affiliated with Breaktime without my consent, except as provided by law. Some of this information will be used to create a case file that an employee’s Career Coach and direct employers can access to track progress on an employee’s goals, pursuant to their Performance Plan. By tying your name below, you agree to the following: I hereby release Breaktime and its officers, agents, employees, representatives, successors, and assigns, from any claims or liabilities arising out of release of information pursuant to this authorization. I understand that funding agencies review client files to ensure that funds are utilized in accordance with contracts. In the event that my file is selected for review, I grant access to the reviewers. I may withdraw this authorization by giving you written notification at any time. In the absence of my prior withdrawal, this authorization will expire one year after it is signed. I understand that a point of contact (preferably a case manager) must stay in touch with Breaktime about their specific referrals. I accept that this will continue throughout their term of employment if employed. I have read, understand, and agree to the above release of information.
Date *
To affirm your signature, please write today's date here. This will certify your acceptance of the Authorization for Release of Information Form.