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* 1. What is your Full Name?

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* 2. At what email address would you like to be contacted?

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* 3. What is your phone number?

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* 4. Are you a current Placer County IHSS Provider?

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* 5. Are you a current Placer County IHSS Recipient?

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* 6. Have you already signed-up for online timesheets through the Electronic Service Portal (ESP)?

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* 7. Do you have access to a laptop, smartphone, or tablet that you can bring to the training?

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* 8. Do you know how to use a computer, smart phone, tablet or laptop?

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* 9. Which IHSS office do you live closer to?

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* 10. Are you seeking additional training to help assist your Recipient in the enrollment process of Electronic Service Portal (ESP)?

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