Digital@LR
Digital@LR

Interaction Form

MM slash DD slash YYYY
Minutes

Section 1: Customer Information

This information is to track the effectiveness of our work in the community and to demonstrate the need for our services. The personal information below is not viewable by outside individuals or agencies. We need birth year and ZIP code for these forms to help support the funding and continuation of the program. If you do not wish to share, please place an X in those fields so that the volunteer may still record their work with you today. All the questions with drop-down answers have a "prefer not to say" option as well.
Name
I am a(n)...
Hidden

Section 2: What was Accomplished Today

Which areas were worked on?
Computer Literacy
Briefly describe
Social Services
Briefly describe
Applied for Services
Briefly describe
Workforce Readiness
Briefly describe
Northstar Digital Literacy
Citizenship
Briefly describe
Consumerism
Briefly describe
Financial Literacy
Briefly describe
Health Literacy
Briefly describe
Legal
Briefly describe

Section 3: Overall Experience

Section 4: Sharing Your Success

We would like to highlight the work our program and our volunteers are doing to support the individuals in our community. Please consider sharing your success to help others see why we do what we do. You measure your own success; we are here to help you get there.
E.g. job searches, employment opportunities, education goals achieved, learning a new language, finding better housing, applying to a program or service, community involvement

© 2023 Digital@LR • Privacy Policy