S3P-2_Sample_Employment_Survey_.pdf
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- Solicitation number
- 2025-IFB-017
- Issued by
- Mohave County, Arizona
About this file
The document is a Sample Employment Survey (Form S3P-2) from the Arizona Department of Housing (ADOH) related to a federal housing and community development funding project. The survey is designed to gather potential employment and training information from individuals interested in construction and related work for an upcoming project. The form allows respondents to indicate their current skills, experience levels, and training interests across various job categories including plumbing, carpentry, roofing, painting, landscaping, electrical work, and other construction-related trades. Participants can also specify support services they might need to accept employment, such as child care, transportation, or language assistance.
The survey is part of a broader initiative by a recipient of state housing funds to hire additional staff and contractors for community improvement activities. It provides an opportunity for potential workers to express interest in both current employment and future training opportunities across a wide range of construction and maintenance skills. The form enables the recipient to build a pool of potential workers with varying levels of experience and to understand the support services that might be necessary to facilitate employment for different individuals. By collecting this comprehensive information, the agency can better match potential workers with job opportunities and training programs while addressing potential barriers to employment.
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Text version
Sample Employment Survey (Form S3P-2)
NOTE: Consult the ADOH to determine if this form should be translated into another language.
The [recipient] anticipates receiving federal housing and community development funds from the State of Arizona Department of Housing to undertake activities to improve the community.
As a result of this funding, the [recipient] will be hiring additional staff and/or contractors in the near future to do various types of construction and related work. The [recipient] and/or contractors will be employing people with various types and ranges of skills. If you are interested in this type of employment, please complete the form on the reverse side and return it to the address indicated below. This form also asks whether you would be interested in training in any of these occupations and any special work-related needs you may have. You may be notified at a later date as to any further action you must take to be considered for employment, training or work-related services.
If you have further questions or special accessibility needs, please contact [name] at [phone number or TTY].
Return this form to: [recipient name and address]
Name
Address
City, State, Zip Code
Phone Number
E-mail Address
Please indicate any services you would need to enable you to accept employment or participate in job training:
Child care Transportation Clothing English as a second language Other:
Please indicate office skills that you have:
Typing. Words per minute:
Filing Software programs (list):
Please indicate construction skills that you may have or would like training for in the table on the following page.
Job Category
I would like training in this area √
Length of Experience
0 – 3 Months √
4 – 6 months√
7 months – 1 year √
More than 1 year √
Plumbing
Carpentry
Roofing
Painting
Interior
Exterior
Sewer
Landscaping
Sprinklers
Plants
Lawns
Tree Pruning
Tree Cutting
Stump Removal
Drywall
Tile Flooring
Carpet Laying
Insulation
Brick Layer
Electrician
Residential
Commercial
Laborer
Cement Mason
Sample Employment Survey (Form S3P-2)
File details come from the government source that posted it. Updated .