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MEMBERSHIP FORM
POR FAVOR RESPONDA TODAS AS PERGUNTAS , POIS SUAS RESPOSTAS SÃO CONFIDENCIAIS E
SÃO USADAS SOMENTE PARA DETERMINAR AS NECESSIDADES DA POPULAÇÃO
PLEASE ANSWER ALL THE QUESTIONS . ALL THE INFORMATION WE KEEP IS CONFIDENTIAL AND IT IS USED TO ASCERTAIN THE NEEDS OF THE COMMUNITY
PRIMEIRO NOME / FIRST NAME
SOBRENOME / LAST NAME
ENDEREÇO NOS EUA / ADDRESS IN THE UNITED STATES
CEP / ZIP CODE
TELEFONE / TELEPHONE
EMAIL *POR FAVOR ESCREVA COM LETRA DE IMPRESA / PLEASE WRITE LEGIBLY
DATA DE NASCIMENTO / DATE OF BIRTH - POR FAVOR ESCREVA O MÊS /
PLEASE WRITE OUT THE MONTH
IDAGE / AGE
SEXO/GENDER
FEMININO / FEMALE
MASCULINO / MALE
FILHOS/CHILDREN
SIM / YES
NÃO / NO
SE SIM , QUANTOS TEM MENOS DE 18 ANOS ? / IF YES , HOW MANY ARE YOUNGER THAN 18 ?
STATUS DE IMIGRAÇÃO/ IMMIGRATION STATUS
CIDADÃO AMERICANO / AMERICAN CITIZEN
RESIDENTE LEGALIZADO / LEGAL RESIDENT (GREEN CARD)
SEM DOCUMENTOS / UNDOCUMENTED
OUTRO / OTHER
HÁ QUANTO TEMPO MORA NO EUA ? / HOW MANY YEARS HAVE YOU BEEN LIVING IN THE U.S?
NATURALIDADE (CIDADE / ESTADO) / HOMETOWN / STATE
ATIVIDADES E INTERESSES NO CG / ACTIVITIES AND INTERESTS IN CG
AULA DE INGLÊS / ESL - PORTUGUESE CLASSES ( LANGUAGE EXCHANGE )
ESCOLA / SCHOOL
IMIGRAÇÃO / IMMIGRATION
SERVIÇOS SOCIAIS / SOCIAL SERVICES
ATIVIDADES INFANTIS / YOUTH ACTIVITIES
INSERÇÃO NO MERCADO DE TRABALHO / WORKFORCE DEVELOPMENT
QUAL A PROFISSÃO QUE VOCÊ EXERCE AQUI NOS EUA ? / WHAT DO YOU FOR A LIVING IN THE U.S ?
VOCÊ É UM(A) TRABALHADOR(A) DOMÉSTICO(A)
FAXINEIRO(A) / HOUSE CLEANER - HOUSE KEEPER
BABÁ / BABYSITTER , NANNY
COZINHEIRO(A) / COOK
CUIDA DE IDOSOS / CARE FOR THE ELDERLY
OUTRO TIPO DE TRABALHO DOMÉSTICO / OTHER TYPE OF DOMESTIC WORK
GOSTARIA DE PARTICIPAR COMO VOLUNTÁRIO(A) / WOULD LIKE TO PARTICIPATE AS A VOLUNTEER
SIM / YES
NÃO / NO
A DATA DE HOJE / TODAY’S DATE
**NOTES
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