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Career EDGE

2. 
   Career EDGE Registration and Survey
   
   Please use the interactive online form below to register for the 2021 Spring Career Edge Program .

4. First Name*

5. Last Name*

7. Address*

8. City*

10. State*

11. Zip*

12. Phone Number*

14. Email Address*

15. Do you have access to the Internet that will enable you to participate in a zoom meeting or workshops?*

17. How did you hear about the program (agency, email (from who), town of Brookhaven, friend or relative)?*

19. If you are currently working, please tell us about your job (position, how long you’ve been in this role, how long you have been at the company/organization).*

21. If you are not employed, and are seeking employment, please tell us about your situation and Job search activities:

23. Are you looking for full time work? *

    1. Yes
    2. No

24. Part time work? *

    1. Yes
    2. No

26. When did you last work?*

27. How long have you been looking for work?*

29. How much time do you spend each week on your job search?*

31. What type of work are you seeking?*

32. Are you actively interviewing at this time?*

34. Do you have a resume and cover letter at this time?

36. Resume*

    1. Yes
    2. No

37. Cover Letter*

    1. Yes
    2. No

39. On a scale of 1-10 (10 being highest), what is your confidence level in interviewing? *

41. What is the best way to reach you? *

43. Thank you for taking a few minutes in answering these questions. Your information will help us as we move ahead with pre-course registration steps. We will be in touch shortly to confirm moving ahead with registration.

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45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

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