Job Fair Survey
Hiring Event Questionnaire
Today's Date
*
MM slash DD slash YYYY
Hidden
Location
*
Literacy Rochester Event
Who helped you today? (Volunteer's Name)
Customer Name
*
First
Last
Date of Birth
*
Month
Day
Year
Gender
*
Choose
Female
Male
Non-binary
Race
*
Choose
African American
African Native
Afro-Carribean
Alaska Native/Pacific Islander/Other
Asian
Caucasian
Native American
Ethnicity
*
Choose
Hispanic/Latino/a
Non Hispanic/Latino/a
Customer Zip Code
*
Highest Education Level
Choose
Elementary
Some High School, diploma not received
High School/GED/TASC
Some college, degree not received
2-yr college
4-yr college
Advanced Degree (PHD, MBA, MS, etc.)
Did not respond
Current Employment Status
*
Choose
Working/Employed
Self-employed
Student
Retired
Unemployed, seeking work
Unemployed, NOT seeking work
Unable to work, disability or illness
Did not respond
Hidden
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
Choose
1
2
3+
Additional work done today
Create, edit or save a digital document
Create an email account
Upload a document to email or Drive
Hidden
Event
Username or Email Address
Password
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