Confidential Survey

ManifestWorks is a workforce development and job placement organization, so you must be eligible for work upon submission of your application. 

The information in this survey will be kept confidential – it is for our internal purposes only. None of the information that you provide will affect or limit your acceptance, so please be honest with your answers so that we can best serve you. 

What's your current living situation?
Are you currently on
If so, please note which ones.
Mark all that apply:
We're you discharged in the past year from:
Have any of the following presented difficulties at work?
Mark all that apply. And again, these are not disqualifiers.