Orange County NC Website
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County Worker Su <br />i~ <br />Thank you for taking the time to complete this short survey. Your answers will help us to identify the types of services <br />needed to help Orange County residents find good jobs. Note that your participation in this survey is completely <br />voluntary. You may choose not to participate at any time. <br />Directions: Please answer each of the questions below to the best of your ability. If you are unable to answer any <br />question, feel free to move on to the next question, When you have completed the survey, please return this sheet to any <br />attendant. <br />Male Female <br />American Native Hawaiian mite <br />Indian/Alaskan Asian Black or Pacific Hispanic Other <br />„ -__ r , ao_ (non-Hispanic) <br />I am employed <br />full-time <br />Did not complete High High School <br />School Diploma or GED <br />Less than one yeaz <br />Transportation <br />1-2 yeazs <br />I am employed <br />part-time <br />I am unemployed <br />I have been looking for work <br />for vears and months <br />Some College Two-year Four-yeaz <br />College Deb~ee College Degree <br />av_eynu been enrployed~ (Circle 0ue)_., ._ _, <br />2-3 yeazs 3-4 yeazs <br />No permanent <br />mailing address <br />Criminal Record <br />Limited Interview Skills <br />Disability <br />Credit Report <br />No permanent phone <br />number <br />Health Problems <br />OTHER (please <br />Limited English <br />Language Skills <br />Child Caze <br />Graduate School <br />4-5 yeazs <br />Don't have proper interview <br />clothes <br />Substance Abuse <br />Please Continue on Other Side <br />