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1. Business Name

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2. Contact Person Name and Email or Phone

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3. Are you aware of any available employment tax incentive programs to hire low-income or disabled individuals? If yes, please indicate if you participate in the comment field.

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4. What do you see a our community's biggest employment need?

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5. Do you regularly hire low-income individuals, senior citizens, teenagers? If yes, please describe the population you hire.

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6. Does your business partner with any organizations for any type of employment programs.  If yes, whom?

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7. Is your business interested in partnering with Community Action for any type of workforce development effort?  If yes, please describe:

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8. What do you see as the biggest barriers to employment?

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9. Do you currently hire individuals with criminal histories?  If yes, please state what you will allow.

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10. What do you consider as the ideal components of a workforce development program that will yield the best candidates?

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11. What are your top three reasons for not hiring someone?

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12. What other challenges do you think people face while seeking employment?

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13. What are two things you think Community Action can do to help improve employment opportunities for the working poor?

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14. Are you willing to hire individuals in recovery?

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15. What services do you need to support individuals in recovery from substance abuse to work at your organization?

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16. What is your process for dealing with an employee for suspected substance use?

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17. Would you consider referring an employee to Pathways to Recovery and putting them on an employee improvement plan if they are working with an individual in long term recovery for addiction on connecting to and maintaining treatment in lieu of firing?

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