Interest Form
Please complete the short form below and a Career Center staff member will contact you.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Do you want to receive text message communication about connecting to Reemployment Services?
Yes I want to receive text messages
No thank you
Date of Birth
*
-
Month
-
Day
Year
Date
City of Residence
Zipcode
What is your preferred method of contact?
Phone
Email
Are you currently employed?
Yes
No
Were you impacted by the Federal layoffs?
Yes
No
Previous Job Title
Department/Agency
Length of Service in Federal Government
Reason for layoff (if known)
How has the layoff impacted you personally (select all that apply)
Financially
Emotionally
Professionally
Other
What support or resources do you feel you need most right now? (select all that apply)
Job placement assistance
Resume writing help
Mental Health support
Networking opportunities
Financial Advice
Other
What are your plans moving forward (check all that apply)
Seeking new employment
Exploring futher education or training
Starting a business
Other
What types of job opportunites are you most interested in? (check all that apply)
Similar roles within the Federal Government
Private sector positions
Nonprofit oganizations
Roles within state or local government
Other
What services are you interested in? (check all that apply)
Resume & Cover Letter Prep/Review
Job Search Assistance
Interview Preparation
Career Planning & Assessment
Essential Workplace Skills (Soft Skills)
Skills Training and/or Credentials
Other
Have you attended one of our Connecting to Career Services workshops?
*
Yes
No
What date did you attend the Connecting to Career Services workshop?
How did you learn about our services?
Social Media
Email
Community or Government Organization
Flyer or Advertisement
Robert Half
Other
Is there anything else you would like us to know to better assist you?
Submit
Should be Empty: