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Mission Statement
Goals
About
Fast Facts
Contact Us
Mission Statement
Goals
About
Fast Facts
Contact Us
Menu
Mission Statement
Goals
About
Fast Facts
Contact Us
Contact Me with More Information about Westmorland County, Pa
More Information Questionnaire
What is your name
(Required)
Are you in the United States because of the Uniting for Ukraine program?
Yes
No
How would you rate your English proficiency?
Excellent
Good
Poor
No English
Please list the names and ages of anyone who will be traveling with you to visit Westmoreland County
(Required)
How would you rate their English proficiency?
Excellent
Good
Poor
No English
Do you have any school-aged children that are interested in attending school in Westmoreland County?
Yes
No
How would you rate their English proficiency?
Excellent
Good
Poor
No English
What is your current address?
(Required)
Date of Birth
MM slash DD slash YYYY
Do you have a valid United States driver’s license?
Yes
No
What is your cell phone number
(Required)
What is your e-mail address?
(Required)
What kind of work are you interested in doing in Westmoreland County?
(Required)
What kind of church are you interested in attending?
(Required)
Do you have a spouse or other family member that is interested in working here in Westmoreland County?
Yes
No
If yes, what kind of work are they interested in doing?
Please provide the name address phone number and e-mail address of your sponsor in the United States.
Where are you currently employed?
How long have you been employed there?
Describe your education, experience and training when you were in Ukraine.
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Email
This field is for validation purposes and should be left unchanged.
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