YCAN would like your input to better serve you.

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* County Where You Live

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* Check one or more of these choices to let us know who complete this survey:

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* Please check any of the following Community Strategies you would like to see added or continued in your county, or add your suggestions.

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* Please check the box that reflects your opinion on how grant funding is allocated in your county.

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* Compared to 2016, is the employment rate in the county better, worse, or about the same?

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* Please check the answer that reflects your opinion for each individual and family Assistance item.

  Not Available, but Needed Needed Rarely Needed Not Needed Don't Know N/A
Referrals to Community Programs
Emergency Assistance (one-time housing/utility/medical/dental/transportation)
Child Care Subsidies/Payments
Transportation (bus passes, repair/purchase assistance, emergency services)
Legal Assistance
Assistance obtaining Identification Documents
Emergency Clothing Assistance
Customer Advocacy Interventions
I need a case manger

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* Do you feel that you should be mandated to participate in Case Management in order to obtain one-time services such as emergency assistance, rent assistance, medical or dental assistance?

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* Do you volunteer for a charity or non-profit organization?

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* Over the next three years please check the top 5 most essential services we can provide the community with grant funding.

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* Please check the answer that reflects your opinion for each individual and family Housing Service items.

  Not Available, But Needed Needed Rarely Needed Not Needed Don't Know N/A
Rent Deposit Payment
Short Term (motel) assistance for the homeless
One Time Rent Assistance
Rapid Permeant Rehousing (rent+deposit) for those with employment
Ongoing housing subsidies (Section 8)
Help with utility bills (non LIEAP eligible)
Help with utility deposit
Home Repairs 
Indépendant Living home improvements (ramps, grab bars, etc)
Healthy Home Services (reduce hazards)
Energy Efficiency Improvements

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* How interested are you in receiving newsletter updates on our services, programs, outcomes, etc.?

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* Please check the answer that reflects your opinion for each providing financial assistance for Education & Cognitive Development item.

  Not Available, but needed Needed Rarely Needed Not Needed Don't Know N/A
Application Assistance, text book, etc.
Before and After School Activities 
Summer Youth Recreation Activities 
School Supplies
Scholarships
Behavior Improvement Program 
Transportation Assistance for educational purposes

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* Please check the answer that reflects your opinion for each Employment Service item.

  Not Available, But Needed Needed Rarely Needed Not Needed Don't Know N/A
Workshops 
Workforce Services Programs
Resume Development Workshop
Job Fairs
Interview Skills training 
Employment Supplies (prepaid phone card to receive call backs, clothing, testing)

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