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CUSTOMER APPLICATION AND INFORMATION SURVEY
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CUSTOMER APPLICATION AND INFORMATION SURVEY
CUSTOMER APPLICATION AND INFORMATION SURVEY
Carlos Lopez
2020-06-26T10:51:15-04:00
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Email
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Limiting English Speaking?
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US Citizen:
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Disability
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High School Graduate GED/HiSET
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Start Date
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Release Date
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Salary
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Are you collecting Unemployment benefits
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How many weeks?
Exhausted
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When Claim Started?
Do you have a Recall Date?
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Services
Please Check Off(✓) Any Services/Workshops You May Be Interested In
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Obtaining HiSET
English Second Language (ESL)
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Interviewing Techniques
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