Placer School for Adults is interested in your success!
Placer School for Adults' goal is to help our students improve job skills for better employment opportunities. Please fill out this short question survey to help us keep class costs down and insure continued funding of our programs. Please note that this information is confidential.

Your Information
First Name *
Your answer
Last Name *
Your answer
Email Address
Your answer
Birthdate (mm/dd/yy) *
Your answer
Employment
Are you currently working?
Current Employer:
Your answer
Job Title
Your answer
Hire Date
MM
/
DD
/
YYYY
Has your salary increased (wage increase or more hours)
Education
Have you enrolled in a vocational school or college? (check all that apply)
If you graduated from a vocational school or college what certificate or degree did you earn?
Your answer
Is there anything you would like to share with us?
Your answer
Thank you for updating your employment and school status.
Submit
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