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Document Number: DVR-19899-E
Description: This questionnaire is designed to help the consumer to think about and explain how their skills, abilities, and access to resources may lead them toward a successful self-employment outcome. The questionnaire will assess the consumers management experience, industry/technical experience, personal credit and financial solvency, commitment/desire/persistence, and family/community support.
The questionnaire should be completed by the consumer (with supports/assistance as needed) and upon completion, reviewed with the consumer and DVR staff member to determine if additional information is needed.
This information will then be used to complete the Business Assessment Scale.
Comments: Form is protected from modification and enabled for form fill (includes tabbed fields for form completion).
Content Contact: DVR Forms
Document Attachment: DVR-19899-E (Electronic version - Word/36 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
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