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Intake formulier
Intake form
Name
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Email address
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What is your current employment status?
Select
Employed
Unemployed
Student
Self-employed
Retired
What languages do you speak?
What type of assistance are you seeking?
Please select at least one option.
Job placement
Language courses
Cultural orientation
Emotional support
What is your highest level of education?
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No formal education
Primary education
Secondary education
Vocational training
Bachelor's degree
Master's degree
Doctorate
How did you hear about Wederstart?
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Referral
Social media
Website
Community center
What are your career interests?
Please select at least one option.
Healthcare
Construction
Hospitality
Education
Technology
What is your availability for training and work?
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Full-time
Part-time
Flexible
Not currently available
Do you have any previous work experience?
Select
Yes
No
If yes, please describe your previous work experience.
Which service or services are you interested in?
Please select at least one option.
Werkgelegenheid
Taalcursussen
Culturele Oriëntatie
Additional questions or comments
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