Career Centers
Career Consultant Enrollment Form
Name:
Business
Organization:
Division:
Job Title:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Web URL:
Home
For internal use only. This information will not be viewable by students unless you indicate below to allow otherwise.
This information is for Career Center staff only
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Make home phone viewable to students.
Make personal email viewable to students.
Preferred Method of Contact:
Business Phone
Home Phone
Email
All Methods
If by phone what time of day would you prefer to be contacted:
How did you hear about the Career Consultant Network?:
Received Mailing/E-mail from Palm Beach State
Brochure
Staff/Faculty Referral
Palm Beach State Business Development Group
My Employer
Other
If you chose "Other" please explain:
Job Description:
( Please Explain In Detail )
Years in the Field
:
Career History:
List other fields in which you can advise, or other information you may want students to know about you.
Education:
College:
Major:
Degree:
College:
Major:
Degree:
College:
Major:
Degree:
I can help Palm Beach State students in the following ways: (Please check below)
Accept inquiries from students wishing to learn more about my job specialty/career field.
Provide job search advice about my field and/or employer.
Visit campus to speak to groups of students about my job and career field.
Help a student develop an internship or locate volunteer opportunities with my organization.
Encourage my employer to post jobs online with Palm Beach State.
= Mandatory Fields