Assistance Request Form

ONE-STOP CAREER CENTER
ASSISTANCE REQUEST FORM

Customer Information

Customer's Name: *

Email Address: *

Last 4 of Social Security Number: *

Zipcode: *

Job Search Information

How long have you been looking for employment? *

What are your work related skills and strengths? *

How did you apply for employment opportunities? *

What types of jobs (titles) have you been applying for? *

How many jobs have you applied for within the last 12 months? *

How many interviews have you had in the last 12 months? *

What is the minimum hourly wage that you will accept? *

What difficulties or challenges are you experiencing in your job search? *

Have you attended any workshops to assist with your job search?

Resume Writing

Online Application Process

Interviewing Techniques

Job Clubs

Other

Please what what other workshops you attended: *

Leave this field blank

Submit