PCUL Workforce Assessment Form

PCUL Workforce Assessment Form

Complete the optional workforce assessment details for the program review.
Participant Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is your reason for enrolling?
Examples include: SPC Line Worker Course, General Job Seeker, Internship, Career Advancement, Continuing Education, STEP Program, etc.
Please upload your resume in a PDF or Word form

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Current Employment

If you are currently employed, enter details of your employment here.
Employer/Business
Position
How Long at Employment?
# of Hours Per Week?
Location
Take home pay (per period) $
Salary (per hour) $
Pay Period for Take-home pay
Previous Employment

If you had any previous employment, enter it here.
Employer/Business
Position
How Long at Employment?
# of Hours Per Week?
Location
Salary (per hour) $
Take home pay (per period) $
Pay Period for Take-home pay
Explain any work-related skills here.
Please provide details here.
If employed, are you looking at additional hours or increasing hours at current job?
Are there any skills, trades, or education you want or need to improve your career?
Do you have barriers preventing you from working?
Use this space to explain any barriers you may have.
Are there any transportation methods you use, such as owning a car or using public transportation?
Explain more about all and any of the transportation methods you use here.
Career Goals

What are your career goals? Use the space to explain what you would like to accomplish and how we can help you within the next year.
Short term (1 to 3 months)
Mid term (3 to 6 months)
Long term (6 to 12 months)
Should be Empty:

PCUL Workforce Assessment Form

Participant Information

Current Employment

Previous Employment

Career Goals