Step 1 of 4 25% Your InformationWelcome! We appreciate you taking the time to answer the following registration questions as they are a critical part of our workshop planning. By understanding each participant’s unique background and career goals, we are able to customize workshop discussion topics that are relevant and applicable. Name First Last Email Phone What is your current employment status?*-- Select --Employed full-time but not in my occupational area of interestEmployed full-time in my occupational area of interest, but exploring other outside opportunitiesEmployed part-time but not in my occupational area of interestEmployed part-time in my occupational area of interest, but searching for full-timeNot currently employed but seeking full-time/part time employment in my occupational area of interestHow long have you been unemployed, underemployed or attempting to find a new/different job?*-- Select --0 – 6 months6 – 12 months12 – 24 monthsOver 24 monthsAre you exploring an industry change? (healthcare, manufacturing, transportation, education, etc)*I prefer to stay in my current or previous industryI am open to switching industries if my skills/background could transfer to my field of interestPlease list current industry*Please list current and industry of future interest*Which best describes your formal educational background?*-- Select --Earned a bachelor’s degreeEarned a graduate degreeEarned an associate’s degreeCompleted some college course workEarned a high school diplomaWhich best describes your work experience either in your occupational area of interest or overall combined?*-- Select --30+ years20 – 30 years10- 20 years5 – 10 yearsLess than 5 yearsWhat is your current occupational area of interest?*-- Select --Customer service operationsHuman resource operationsSales & business development operationsFinance related operationsMarketing operationsPatient care and/or overseeing patient careResearch and developmentProject managementInformation technology services/operationsTraining and/or educationGeneral business operationsOtherIf other, please list*Are you exploring a change in occupational interest?*-- Select --No, I am happy in my chosen areaYes, but not sure how or if that is possible When thinking about career change and finding the right job, what has typically been your biggest struggle(s)?Please rate each option belowKnowing what type of occupation best fits my personality and strengths*Big struggleStruggleNot much of a struggleWhere and how to search for jobs*Big struggleStruggleNot much of a struggleHow to create an effective resume*Big struggleStruggleNot much of a struggleHow to successfully interview and negotiate offers*Big struggleStruggleNot much of a struggleCompleting job applications*Big struggleStruggleNot much of a struggleUnderstanding if your current skills/experience can be transferrable to other jobs of interest*Big struggleStruggleNot much of a struggleDeciding if you need to go back to school and/or pursue a certification/continuing education*Big struggleStruggleNot much of a struggleUsing social media (like LinkedIn) for networking*Big struggleStruggleNot much of a struggleHow to prioritize my time & goals during the job search process*Big struggleStruggleNot much of a struggleIf there are any not yet listed, please list here.* Payment InformationTo complete your registration, please provide your payment information below.Registration FeeRegistration Fee $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name
