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* 1. What is your name?

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* 3. What is your phone number?

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* 4. If you were evacuated from a city in Alaska, which city?

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* 5. What city do you currently reside in?

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* 7. Are you interested in temporary employment focused on cleanup and recovery efforts in the Western Alaska communities affected by the disaster?

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* 8. Do you require, and are you interested in, training in order to accept temporary employment focused on cleanup and recovery?

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* 9. Do you need training to seek employment in...

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* 10. What communities are you willing to attend training in?

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* 11. What type of training are you interested in?

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* 12. Do you require housing, transportation, or other support to attend training or accept a job?

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* 13. Do you need assistance with a resume or interview skills?

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