Tompkins County Workforce Development can provide funding through the Workforce Innovation and Opportunity Act (WIOA) for employment-related training in jobs listed on the Tompkins County In-Demand Job List to Tompkins County residents who meet our priority-of-service requirements. If you are not a Tompkins County resident, please contact the Career Center or Workforce Development office in your county of residence. This survey is strictly for our office use and is not an official document. This survey will take approximately 15 minutes to complete.

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* 1. Full legal name (first and last)

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* 2. Preferred name

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* 3. Preferred pronouns

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* 4. Email address (Please note that you MUST have access to and regularly check your email to move forward in our training funding process.)

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* 5. Cell phone number

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* 6. Alternate phone number

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* 7. Preferred method of contact

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* 8. Please indicate the best days and times to contact you during our office hours: Monday-Friday 8:30am-4:30pm. Our office is closed on Federal holidays.

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* 9. What is your date of birth?

Date

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* 10. Are you a community service provider or organization reaching out on behalf of someone? For example, a parole officer or caseworker.

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* 11. How did you learn about training funding opportunities?