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SEED Job Training Interest Form
Thank you for your interest in Narika's SEED Job Training Program! We will update you as soon as we have our new dates/registration links that you can sign up for.
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Email
*
Your email
Option 1
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Name:
*
Your answer
Email:
*
Your answer
Confirm Email:
*
Your answer
Phone Number:
*
Your answer
Area of Interest
Career Development
Financial Literacy
Basic Computer Training
ESL
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How did you hear about Narika?
*
Friend/family member
Internet
Another organization
Social Media
Email list
Other
Required
If you wrote other, where did you hear about Narika?
Your answer
City of Residence:
*
Your answer
Are you from Livermore/Pleasanton/Dublin CA? (This will not affect your placement in this program and is purely for data recording purposes)
*
Yes
No
I am also interested in:
Domestic Violence Case Management Services
Domestic Violence Support Groups
Wellness Programs
Emergency Rental Assistance Program
Domestic Violence Advocate Trainings
What is your general 2022 availability?
*
Weekdays only
Weekends only
Weekdays and weekends
Mornings
Midday
Evenings
Required
Anything else you'd like to share that you think we should know? (EG- your availability, accessibility, subjects you would like to learn, etc)
Your answer
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