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.
Section 2: What was Accomplished Today
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