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* 1. Are you an AFSCME member?

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* 2. Do you have student loan debt?

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* 3. If yes, is the debt:

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* 4. Have you heard of the Public Service Loan Forgiveness or Income Based Repayment Programs that are administered by the federal government?

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* 5. Do you know if your loan is:

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* 6. Is your student loan debt a financial burden (account for a significant portion of your monthly budget)?

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* 7. Rank your ability to pay your student debt on time: (Reminder: individual survey results will remain confidential.)

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* 8. How many years do you have left before your loan is paid off?

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* 9. Is your student loan payment preventing you from: (Choose all that apply)

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* 10. There are federal programs available specifically to help public service workers pay their student debt. Would you be interested in learning more? If so, provide us the following info below:

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* 11. Would you be willing to:

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* 12. Age: What is your age?

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* 13. What industry do you work in?

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* 14. Does your job require you to have an Associate's degree or higher (Bachelor's degree, Master's degree, Ph.D, etc.)?

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* 15. Please include any additional comments here:

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