STEP Richmond
Event
For Gilpin Court Residents
Volunteer
Team
Contact
Donate
Event
For Gilpin Court Residents
Volunteer
Team
Contact
STEP Richmond
Donate
STEP Jobs for Life Participant Survey
Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Which Jobs for Life class did you participate in?
*
May-June 2021
Sept.-Dec. 2020
May-Aug. 2020 (online)
Sept.-Dec. 2019
Earlier
Did you graduate?
*
Yes
No
Current Employment Status:
*
Unemployed
Part-Time
Full-Time
Retired
If you are employed, please list your job field, name of employer, and job title:
Are you enrolled in an educational program, or have you completed one since you graduated from JfL?
*
No, I am not enrolled in an educational program, nor have I completed one since graduating from JfL.
I am enrolled in a GED program.
I have obtained my GED since graduation.
I am enrolled in a trade certificate program.
I have obtained a trade certificate since graduation.
I am enrolled in classes for an Associate's degree.
I have obtained an Associate's degree since graduation.
I am enrolled in or have completed an educational program not listed above.
Current Credit Score:
*
Current Income Level:
*
$0-$5,000
$5,000-$12,880
$12,880-$17,420
$17,420-$21,960
$21,960-$26,500
$26,500-$31,040
$31,040-$35,580
$35,580-$40,120
$40,120-$44,600
$44,600+
Number of people residing in your household:
*
Please list name, age, and school for each of your children, if applicable:
Housing Choice Voucher Status:
*
I am not on the waitlist for a voucher.
I am on the waitlist for a voucher.
I have received a voucher.
Please list any other programs in Richmond that you participate in (e.g. Urban Hope, Circles, HumanKind, Soar 365, etc.)
Please list your top two post-graduation vocational goals:
*
Thank you!