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New Client Survey

Tailored for Success, Inc. - Career Closet Program

This form is for job seekers interested in receiving free business clothing for an upcoming interview, internship or new job. Our Career Closets are located in MassHire Metro North Career Centers by appointment only.

Questions with * are required to receive services. Feel free to skip past questions regarding clothing types that do not apply to you.
1.First and Last Name:(Required.)
2.Email(Required.)
3.Mobile Number (needed to confirm or reschedule appointment)(Required.)
4.Street Address(Required.)
5.City(Required.)
6.Age(Required.)
7.Ethnicity(Required.)
8.Household income(Required.)
9.Gender(Required.)
10.Employment Status(Required.)
11.Were you referred by an agency?(Required.)
12.If you are a MassHire customer please fill in your Job Quest Number.
13.Please indicate which Career Closet location you prefer to visit. Kindly note that confirmed availability and schedules may be subect to change.(Required.)
14.For women - Please indicate approximate blouse size (i.e. small, medium large) .
15.For Women - Please indicate approximate pants size.
16.For Men - Please indicate approximate dress shirt size
17.For Men - Please indicate approximate pants size (length x width)
18.How can we help?
Please select those that apply to your needs.(Required.)
19.Would you be comfortable allowing us to take a before and after photo of you to share on our website and social media to raise awareness for those who may benefit from this service?

This is completely optional and not mandatory, and your decision will not affect your appointment in any way.(Required.)
20.VETERAN SERVICES
If Veteran - Possess Copy of DD 214
Thank you for completing the form.
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