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Referral
Daniel Veliz
2024-10-21T23:43:31+00:00
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First Name
Last Name
Date of Birth
Email
Phone Number
Borough
--None--
Brooklyn
Bronx
Manhattan
Staten Island
Queens
Not in one of the five Boroughs
Zip Code
How did you first learn about OBT?
--None--
Friend
I saw an ad about OBT online (such as social media, Craigslist, or Google search)
A family member, friend, teacher, counselor, and/or another organization told me about OBT
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Soulful Synergy
Other, please specify
Other Specify
Check all services that apply:
Construction Trainings
ESOL + Construction Training
Cloud Engineering
Digital Marketing
Security
Hospitality
Health Care Training
Paid Internships
GED classes
ESOL
Basic Computer Classes
Do you have a HS equivalency or diploma?
--None--
Yes
No
Currently enrolled in HS or College?
--None--
Yes
No
Are you eligible to work in the US?
--None--
Yes
No
Do you have a job or currently employed?
--None--
Yes
No
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