Building Bridges Ent.
Personal ID sheet
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Email *
Full name *
Phone number *
Which course would you like to take? *
Marital Status *
Are you on parole, probation or any other government supervision? *
Do you have any Children? if so, how many. *
What is your highest level of education? *
Do you have medical Insurance or heath assistance? *
Do you have any open court cases? *
Are you taking any illegal substances? *
Rate your social skills From 1-10 *
Do you receive any type of government assistance? *
What state and country where you born in? *
Have you been diagnosed by a doctor, with any mental illnesses?
What is your religion or culture (optional)?
Would you be interested in furthering your education?
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