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Starkloff Job Registry
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Application Form
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First Name *
Last Name
Email *
Phone *
Resume *
Address *
Linkedin Profile
Website / Blog / Portfolio
Indeed Profile
Willing to relocate?
--Select--
Yes
No
I am interested in working in the following market(s) - choose up to three *
Arizona
Arkansas
California
Florida
Georgia
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Mississippi
Missouri
New Hampshire
Ohio
South Carolina
Texas
Washington
Wisconsin
Cell Phone
Preferred Method of Contact *
--Select--
Phone
E-mail
Text
Mail
Job field(s) of Interest for which you are qualified (list up to three)
Job position(s) of Interest for which you are Qualified (list up to three)
Highest Level of Education
--Select--
Some High School - did not graduate
Graduated from High School or GED
Some College - did not graduate
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate
Technical or other Certification
I have a college degree, some college coursework completed, or a technical certification/license
--Select--
Yes
No
Academic Degree or Area of Technical Expertise
Certifications or Licenses
What are your skills, knowledge and abilities related to the career you have chosen or are pursuing?
Years of Experience in Career Field (Employment, Internships, Volunteer Work, etc.)
How do you choose what to wear to a job interview?
How do you prepare for a job interview?
How do you make a good impression in an interview?
What do you do after a job interview?
What do you do if you are not chosen for a job?
Computer applications you are familiar with (list three and your level of proficiency for each)
Describe how you operate a computer on a daily basis
Insert in the space below a link to your favorite blog, newsletter, YouTube video, TED talk video or a link to a web page of your favorite author or admired person
Explain each specific step involved in the process of providing the link above
Salary expectations
How would you feel about accepting a position below your education or salary expectations?
Describe the climate of the current job market for the job you want.
Why do you want to work?
If you have been interviewing but not getting job offers what do you see as the roadblocks?
What do you believe will get you hired?
What are your career goals?
Where do you see yourself in 5 years?
Describe a time when you received negative feedback on your performance, how did you perceive the feedback and what did you learn from the experience.
Describe a time when you had a project or an assignment and other team members did not do their part. What did you do and why did you choose to do it?
In 90-100 words tell us what makes you the ideal job candidate.
Organization affiliations, clubs, recreation, and hobbies
I saw the registry listing on:
--Select--
LinkedIn
Indeed
Careerbuilder
Monster
Other - see below
I hear about Starkloff Disability Institute from:
Why are you interested in posting your resume in the resume registry?
I would like my application and resume included in the Starkloff Disability Institute job registry.
--Select--
Yes
No
Thanks for your time
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