CNC Membership Demographic 2021-22

CNC Member Demographic

Thank you for becoming a Career & Networking Center member. As a non-profit agency that relies on community, corporate, and foundation support, the below information is required from all individuals who wish to utilize the Career & Networking Center's resources as a member. Please note, the reports generated are on the collective demographics of our members, therefore, your personal information will not be shared with any third party that would identify you with specific responses. Thank you for trusting CNC to assist you in your job search!
Membership Level *
Membership Date *

Month Day Year
Date
E-mail *
example@example.com
Phone Number *
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
County *
Township *
Do you live in: *
Employment Status *
Birthdate *

Month Day Year
Date
Gender *
Race/Ethnicity *
Marital Status *
Head of Household *

Yes No
Number of individuals in household *
Current Total Household Income *
Recent Graduate (Within the last 5 years) *

yes no
Military Veteran *

Yes No
How did you hear about us? *
Referred By (Individual or Agency)

My Products *

CNC Membership

$ 100.00

CNC + ENG Membership

$ 150.00

Total

$ 0.00

Please check you email upon completion, for our mandatory Member Agreement Form, which highlights our fees and expectations.
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CNC Member Demographic