Job Fair Survey - Digital@LR

Today's Date*
MM slash DD slash YYYY
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Location*
- Literacy Rochester Event
Who helped you today? (Volunteer's Name)
Customer Name*
First Last
Date of Birth*
Month
Day
Year
Gender*
Race*
Ethnicity*
Customer Zip Code*
Highest Education Level
Current Employment Status*
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Outcomes
- Located and/or used community agencies or services
- Awareness of local community information
- Interpret Signage
- Fill out job application
- Submit a Job application
Number of job application(s) submitted
Additional work done today
- Create, edit or save a digital document
- Create an email account
- Upload a document to email or Drive
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Event