South Grundy Resource Center

Social service agencies, organizations, and support groups are invited to use the new South Grundy Resource Center in Gardner to meet clients closer to their homes or work. Please complete this survey to help us get everyone scheduled and ready to start March 2, 2020. This is just a survey, not a commitment. After we receive your survey responses we will send a Memorandum of Understanding to your executive director to sign. Thank you!

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* 1. Agency/Organization Information

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. How many times per month do you expect to have office hours in Gardner?

More than 4

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* 3. Which days of the week?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 4. What time of day?

Morning

Afternoon

Evening

South Grundy Resource Center

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* 1. Agency/Organization Information

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* 2. How many times per month do you expect to have office hours in Gardner?

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* 3. Which days of the week?

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* 4. What time of day?

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* 5. What services do you expect to provide?