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Language Survey Tally Sheet - California

Public Contact Employee Information and Language Survey Tally Sheet OCR 3/2014 Department/Agency Name: _____Year: _____ (Enter the Language Survey year) PUBLIC CONTACT EMPLOYEE INFORMATION: Survey Dates Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Public Contact Employee Name: Title/Position: Time Base Equivalence Full-Time: Part-Time: hrs/month = Intermittent: hrs/week = English Only Bilingual Language : Certified Bilingual: YES: NO: Reporting Group: Local Office (Unit): City: Zip Code: PUBLIC CONTACT TOTALS: Language : English (ENG) Spanish (SPA) Vietnamese (VIE) Cantonese (YUH) Mandarin (CHN) Tagalog (TGL) Korean (KKN) American Sign Lang.

Public Contact Employee Information and Language Survey Tally Sheet OCR 3/2014 * Write the name of other language with contact. English Spanish

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  Language, Sheet, Survey, California, Tally, Language survey tally sheet

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