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Career Interest Survey โ€” Dallam-Hartley Region

Dallam-Hartley Counties Hospital District โ€” Career Interest Survey

Rural Texas Strong Initiative 4 ยท Workforce Pipeline Program ยท Confidential

โš™๏ธ GoHighLevel Webhook Configuration

Paste your GHL Workflow Webhook URL below. Go to GoHighLevel โ†’ Automation โ†’ Workflows โ†’ New Workflow โ†’ Webhook Trigger, copy the webhook URL, and paste it here. Each survey submission will POST a JSON payload to GHL, creating or updating a contact and applying tags automatically.

These tags will be added to every contact record in GHL alongside auto-generated tags from survey answers.
How the webhook works: The form uses fetch() with mode: 'no-cors' โ€” a fire-and-forget POST that bypasses browser CORS restrictions. GHL receives the full JSON payload; your workflow maps it to contact fields and triggers automations. You won't see a response in the browser (that's normal), but the data arrives at GHL within 1โ€“2 seconds. To verify, check your GHL contact list after a test submission.

If your GHL webhook requires CORS headers: host this form on your own domain and add a simple server-side proxy route, or use GHL's built-in form embed instead.
Step 1 of 6 โ€” About You 0% complete
๐Ÿ“‹ Takes about 5 minutes

Tell us about your future โ€” we want to help.

This survey helps Coon Memorial Hospital and our community partners understand what students in the Dalhart area are thinking about after high school โ€” and connect you with real opportunities close to home.

Please fill in all required fields before continuing.
Section 1

About You

Tell us a little about yourself so opportunities reach the right people.

Please enter your first name.
Please enter your last name.
Please select your school.
Please select your grade.
Please select your age.
Section 2

Life After High School

What are you thinking about doing after you graduate? There are no wrong answers.

Please select an option.
Please select an option.
Please select an option.
Section 3

Career Interests

Open any category that interests you and pick your top 5 careers across all categories. Picking fewer is totally fine โ€” just be honest about what excites you.

0 / 5
No selections yet
Tap a category below to explore careers
โœ‹ You've picked 5 โ€” deselect one to swap it out.
Please select at least one career that interests you.
NAICS 62 ยท Health Care & Social Assistance
NAICS 11 ยท Agriculture, Forestry, Fishing & Hunting
NAICS 23 ยท Construction ยท NAICS 48 ยท Transportation & Warehousing
NAICS 61 ยท Educational Services
NAICS 92 ยท Public Administration & Justice
NAICS 21 ยท Mining / Oil & Gas ยท NAICS 22 ยท Utilities
NAICS 52 ยท Finance & Insurance ยท NAICS 54 ยท Professional Services
NAICS 51 ยท Information ยท NAICS 54 ยท Computer Systems & Design
NAICS 44 ยท Retail Trade ยท NAICS 72 ยท Accommodation & Food Services
NAICS 71 ยท Arts & Entertainment ยท NAICS 62 ยท Social Assistance
No idea yetVery confident
Please select a rating.
Section 4

Healthcare & Local Opportunities

These questions help us match you with real programs, scholarships, and job shadows available right here in Dalhart.

Please select an option.
Please select an option.
Section 5

How Can We Reach You?

Your contact information is confidential and will only be used to share local opportunities โ€” scholarships, job shadows, and career events. We never share or sell your information.

Please enter a valid email address.
Some scholarship and program communications are also sent to parents with your permission.
Please select an option.
Please select an option.
If you are under 18, a parent/guardian will receive a follow-up consent notice if you select "Yes."
Section 6

Review & Submit

Take a look at your answers. When you're ready, hit Submit.

โœ… Ready to submit?

Click Submit to finalize your survey.

Sending to GoHighLevelโ€ฆ
โœ… Contact created in GoHighLevel โ€” tags applied.
โš ๏ธ GHL webhook could not be confirmed. Your local record is still saved โ€” copy it below or email it to your coordinator.
๐ŸŽ‰

Thank You!

Your survey has been submitted. The Dallam-Hartley Counties Hospital District team will be in touch with opportunities that match your interests โ€” scholarships, job shadows, internships, and more.


Questions? Call (806) 244-4571 or visit dhchd.org

Staff Use Only

Survey Record & GHL Payload

Copy the plain-text record below into your tracking sheet, or use the buttons to email it or re-send the GHL payload manually. The GHL JSON Payload tab shows exactly what was sent to GoHighLevel.

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