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* 1. In which workforce development area do you work?

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* 2. With which program(s) do you work (Check all that apply)?

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* 3. What information about a customer/student, if you had it in advance, would help you efficiently assess their eligibility for the program(s) with which you work?

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* 4. If you had it in advance, what information about the customer/student would help you to make good referrals?

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* 5. Is there any other information, if you had it in advance, that would help you better serve a customer/student (beyond determining eligibility or referrals)?  Please explain what information you would like and how it would help.

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* 6. What information do you typically receive now about a customer/student who has been referred from a different provider or organization? (If you don't get any, leave it blank)

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* 7. How do you get this information? (Check all that apply)

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* 8. What information do you wish you would get about a customer/student being referred from a different provider or organization? Please rank from 1 (most important) to 7 (least important).

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* 9. Is there other information you wish you could get about a customer/student being referred from a different provider or organization that wasn't on the previous list?

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* 10. What information do you currently exchange with other providers or organizations to help coordinate services about a shared customer/student?

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* 11. How do you exchange this information? (Check all that apply)

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* 12. If you don't exchange information about a customer/student, why not? (Check all that apply)

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* 13. What information do you wish you could get from other providers or organizations about a customer/student you share that would help you coordinate services?

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* 14. If you were sharing multiple customers/students across multiple service providers, what additional needs for information or updated information would you have?

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* 15. Please list the names of the assessments you regularly use for any of the programs listed below.

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* 16. What tools do you use to track customer/student progress of a career plan?

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* 17. How do you use that tool to track customer/student progress of that career plan over time?

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