Digital@LR
Digital@LR

Interaction Form

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  • Please enter a number from 0 to 120.
  • 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 NAME, DATE OF BIRTH 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.
  • Section 2: What Was Accomplished Today

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  • Please enter a number from 1 to 10.
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  • 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.
  • Some ideas: Job searches and employment opportunities, education goals achieved, learning a new language, finding better housing, applying to a program or service and being accepted, community involvement, etc.

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