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Participant Database Template Future Makers Project February 3, 2022
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NoNameLocationDate of birthGenderContact #Email AddressHighest education levelEmployment status at entry Impairment dataHas the consent form been signed by the participant? Most relevent type of support to be provided
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Town / area that participant residesWhat is your year of birth?What is your gender?
Select from male, female or other
What is the highest level of education you have completed?
Select from the following
* No education
* Pre-primary
* Primary
* Secondary
* Vocational training - meaning you trained for a specific job
* Diploma / associate degree
* First degree
* Postgraduate
* Other
Specify if 'other' selectedEmployment status of participant at entry into the programme
What is your employment status?
Paid employment
Self-employed
Actively seeking employment
Actively seeking self-employment
Unemployed
Other (please specify)
If other please specifySelect from the following:
* Person with physical impairment
* Person with visual impairment (blind or low vision)
* Person who has hearing impairment (Deaf or hard of hearing)
* Person with deafblindness
* Person with intellectual impairment
* Person with psychosocial impairment
* Person with multiple impairments (please specify)
* Other (please specify)
Specify if 'person with multiple impairment' or 'other' selectedSelect yes/no*Accenture training *Enrollement in VTC * induct in employeement
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