Questions/Comments
  
 

Please take a few moments to answer the following questions. Your input is very important to us and will be used in helping to improve our services.

  
       
   
        Yes No
1..   Do you have any job training skills?  
2.   Would you like to gain more job training skills?  
3.   Do you need help budgeting?  
4.   Are you on the budget billing plan?  
5.   Do you have a High School Diploma or G.E.D.?  
6.   Do you receive Temporary Assistance for Needy Families (TANF)?  
7.   Are you interested in doing volunteer work?  
8.   Does the lack of transportation prevent you from seeking employment?  
9.   Do you have any future goals?  
     
10.   What steps do you feel you need to take in order to become completely
self-sufficient?
   
     
.   Your Email Address: (optional)
     
    Additional Comment(s)/Question(s)?
   
     
         
 
     

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