Back2Work Hub Intake Form Please complete this form to enroll in the chamber's Back2Work Hub. We will contact you as soon as possible! Full name: * Phone # * E-Mail Address: * 1) In what industry are you looking for employment? (click all that apply) * Construction/Manufacturing Healthcare Retail Technology Finance Warehouse Education Construction Outdoor jobs Tourism/Hospitality/Restaurant Other: If other, please explain: 2) What type of employment are you seeking? (Check all that apply) * Full-time Part-time Remote/Hybrid Flexible Schedule Nights/Weekends 3) What Salary/Hourly range are you seeking? 4) What is important to you when seeking new employment? (Check all that apply) * Competitive salary and benefits A positive company culture and work environment Opportunity for career advancement and skill development Job security and stability Flexible schedule Good training upon hire Other If "Other", please explain: 5) How do you typically search for job opportunities? (Check all that apply) * Hiring company websites Social media platforms (Facebook, LinkedIn) Online job boards (Indeed, Monster, LinkedIn) Job fairs or career expos Recruitment agencies Newspaper classifieds Other If "Other", please explain: 6) What are your greatest challenges when seeking employment? (Check all that apply) * Competition Resume and cover-letter writing Lack of experience or qualifications Limited job listings within your skill set Reliable transportation Nervous or anxious before/during interviews Not knowing where to start your search Lack of competitive wages in your area Lack of appropriate clothing/shoes Other If "Other", please explain: 7) What is the highest level of education you have completed? Select option... High School/GED Associate's Degree Bachelor's Degree Master's Degree Trade Program Certification/Education 8) Are you interested in furthering your education? * YES NO 9) Do you have a valid driver's license? * YES NO 10) Do you have a reliable form of transportation? * YES NO 11) How far are you willing to travel for work? * Within 10 miles of my home Within 30 miles of my home Within 50 miles of my home No transportation, remote work only 12) How do you prefer to work? * Serving the public No public interaction With a team Independently 13) When are you available to start working? * Immediately Within 1-2 weeks Within 1 month 14) What do you want potential employers to know about you? * 15) What are your long-term career goals? We need your permission to share the information you provided with potential employers. Please type your initials in the space provided granting us that permission. * If you have a resume, upload it here: If you would like to include a cover letter, please upload it here:
