Back to Work Form
If you have found employment, Congratulations! We appreciate you providing information so we may continue to receive federal funding for our programs. We will also update your records so that we will not continue to contact you for future events unless you want us to.
ALL INFORMATION IS KEPT CONFIDENTIAL! Filling in this form is your contribution to enabling other unemployed people to continue to have our services available.
Thank you for completing this survey.
For questions, comments, or suggestions about this form, please e-mail
