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Intake form
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Name
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What type of support are you seeking?
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Business startup assistance
Legal help
Housing support
Licenses and permits
Training and education
Financial assistance
What is your current employment status?
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Employed
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Self-employed
Student
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What is your highest level of education completed?
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High school diploma
Associate degree
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Do you have any prior experience in starting a business?
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What specific legal assistance do you need?
What is your preferred method of communication?
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Email
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What challenges are you currently facing in rebuilding your life?
How did you hear about rsr rebuild foundation?
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Social media
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What services are you interested in?
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Business counseling
Legal advice
Housing resources
Training programs
Workshops
Networking opportunities
What is your availability for a consultation?
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