Project Self Sufficiency Interest Survey - English |
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Name:_______________________________________ Address:_____________________________________ City:______________________Zip:_______________ Phone:______________________________________ I would like to see the group work on the following
issues (please rank 1 - 7): ____Improving services at the welfare office (worker
attitudes, reducing paperwork, verification, etc.) ____Increasing access to affordable, quality child
care ____Improving access to quality education and job
training programs for women (improving self-sufficiency
program, JTPA, etc.) ____Improving the child support collection process ____Increasing the availability of affordable housing
for single people as well as families ____Sexual harassment and personal safety ____Educating the public about welfare and other
women's issues ____Other
issue_________________________________________ I want to: ____be on the core committee (and attend the biweekly
meetings) ____be on an issue action committee ____help recruit other women ____help write newsletters and action alerts ____help with fundraising What kind of activities do you (would you) enjoy? ____talking with other people ____public speaking ____reading ____working with computers ____writing ____planning action on issues |
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