STNA Training Questionnaire
Personal Information:
Full Name
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First Name
Middle Name (Optional)
Last Name
Age
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Phone Number
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Please enter a valid phone number.
How did you hear about us?
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Sex
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E-mail
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example@example.com
Questions and Details:
Are you a current Cuyahoga or Lake County resident?
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Yes, Cuyahoga
Yes, Lake
No, neither
Do you currently receive government resources, like SNAP, TANF, medical, or other income eligible benefits?
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Are you interested in taking a FREE STNA Training course that could jumpstart your career within 3 weeks (3 days/week) with a job immediately upon completion?
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By signing here, I acknowledge all information given before and during each session is completely confidential, and that all information provided in this document is true to the best of my knowledge.
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