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Assistance Request Form
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
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