JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Job Status Due to COVID-19
Please fill out this form below. This will help us better understand the impact COVID-19 has had on our member coaches.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is your position at your institution?
Your answer
Have you been furloughed from your job due to COVID-19?
*
Yes
No
If Yes, were you previously furloughed or are currently furloughed?
Previously furloughed and now working again
Previously furloughed and currently still furloughed
Recently furloughed
Clear selection
If Yes, how long were your furloughed?
Still Furloughed
1-2 Months
3-4 Months
5-6 Months
Longer than 6 months
Clear selection
If Yes, have your benefits continued?
Yes
No
Clear selection
If you have not been furloughed, have your work hours been cut or reduced?
Yes
No
Clear selection
If your hours have been reduced, by how much?
Your answer
If your hours have been reduced, has it had a negative impact on your salary/pay?
Yes
No
Clear selection
Are you paid a salary wage or an hourly wage?
Salary
Hourly
Clear selection
If you are a CSCCa Approved Mentor, has COVID-19 negatively affected your ability to provide internship opportunities for SCCC candidates?
Yes
No
Clear selection
Have you had difficulty obtaining access to CEU opportunities due to COVID-19?
Yes
No
Clear selection
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
