New Applicant Survey

1.Would you like assistance with job search or employment placement?(Required.)
2.Are you interested in enrolling in career training classes?
3.Are you over 65 and need assistance with daily living activities such as meals, laundry and housekeeping?
4.Do you have anyone in your household between the ages of 16 and 24 who dropped out of high school at any time?
5.If you are under the age of 64 and receiving SSI or SSDI benefits, are  you interested in going to work?