ROCKFORD HOUSING AUTHORITY

Assessment of Experience and Skills for Participation in the Section 3 Program

Please fill in the following:

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* 1. Please fill in the following:

I have children or dependents living with me.

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* 2. I have children or dependents living with me.

If yes please list children's ages (If no leave blank)

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* 3. If yes please list children's ages (If no leave blank)

Please select "I'm employed" if you are currently employed. If you are not employed, how long has it been since you've had a full-time job?

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* 4. Please select "I'm employed" if you are currently employed. If you are not employed, how long has it been since you've had a full-time job?

I have participated or am participating in a RHA Program: (Select all that apply)

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* 5. I have participated or am participating in a RHA Program: (Select all that apply)

I have participated in an employment or training program in the last 12 months state, local, or private: (Select all that apply)

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* 6. I have participated in an employment or training program in the last 12 months state, local, or private: (Select all that apply)

What type of work are you interested in? You may list more than one.

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* 7. What type of work are you interested in? You may list more than one.

What experience or skills do you currently have that will qualify you for your choice of work?

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* 8. What experience or skills do you currently have that will qualify you for your choice of work?

Do you have a resume?

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* 9. Do you have a resume?

Are there any barriers that interfere with your efforts to obtain a job. (Select all that apply)

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* 10. Are there any barriers that interfere with your efforts to obtain a job. (Select all that apply)

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