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Contact/Intake Form
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If you have any questions or require additional support, please feel free to reach out to us at 814-248-9576 or info@gogoodwill.org. Gogoodwill.org/mission
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Email
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County
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Blair
Bedford
Cambria
Huntingdom
Indiana
Somerset
*First Name
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*Last Name
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*Phone
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Education
High school (did not graduate)
High school graduate
Associate's degree
Undergraduate schooling
College Education
Other:
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Barriers to employment (check all that apply)
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In need of GED
Unemployed/Job searching
Criminal background
Documented disability
Public assistance
English as a second language
Substance abuse
Displaced homemaker
Low-income
Single parent
Pregnant or parenting
Lack of transportation
Mental health concerns
Homeless
Foster Care
Loss of identification
Elderly
Other:
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*How did you hear about us?
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Event
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