Do you currently reside in Martinsville or Henry County?
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No
Do you plan to relocate to Martinsville or Henry County in the next 12 months?
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Yes
No
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Are you currently working in Martinsville or Henry County?
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Yes
No
Have you gained employment in Martinsville or Henry County with a future start date already set?
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Yes
No
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Please select the position in which you are (or will be within the next 12 months) licensed/credentialed and employed in Martinsville or Henry County:
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Classroom Teacher/Counselor
School Psychologist/School Social Worker
Community College Faculty (Full-Time)
Engineer
Medical Doctor/Veterinarian
Nurse (RN,LPN)
Physician's Assistant/Nurse Practitioner
Optometrist/Ophthalmologist
Pharmacist
Dentist
Physical Therapist/Occupational Therapist/Speech Therapist
Licensed Mental Health Professional (Psychiatrist, LPC, LCSW)
Is your license provisional?
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Yes
No
Will you meet the provisions and be fully licensed by June 30th?
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Yes
No
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Were you employed in any of the following positions in Martinsville or Henry County prior to July 1 ,2024?:
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Classroom Teacher/Counselor
School Psychologist/School Social Worker
Community College Faculty (Full-Time)
Engineer
Medical Doctor/Veterinarian
Nurse (RN,LPN)
Physician's Assistant/Nurse Practitioner
Optometrist/Ophthalmologist
Pharmacist
Dentist
Physical Therapist/Occupational Therapist/Speech Therapist
Licensed Mental Health Professional (Psychiatrist, LPC, LCSW)
I was not employed in any of these positions in Martinsville or Henry County prior to July 1, 2024.
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