OhioMeansJobs Lucas County Orientation Video Survey
Hello! It is the goal of OhioMeansJobs-Lucas County to provide the highest quality vocational training and job ready services. To further enhance our quality and effectiveness, we invite you to provide feedback about the video you watched today. To receive credit for having viewed the OMJ Orientation video, you must complete this survey. 
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Full Name *
Last 4 of SSN *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Street Address *
City *
State *
Zip Code *
Mobile Phone Number *
Other Phone
Email Address *
Eligible to work in the U.S. *
Race *
Ethnicity *
Have you served in the military? *
Has your spouse served in the military? *
Highest level of education *
Citizenship *
Are you currently receiving any state benefits? 
Choose all that apply
 *
Required
Are you interested in training in any of the following areas? *
Required
Would you like to be contacted for more information on our training program? *
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