Career Links Program Application

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Home > Students > Counseling Career Service/Job Assistance > Career Links > Career Links Program Application

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Career Links Program Application

Program Application
For NEW Students ONLY

Contact Information - (Please Update Any Changes)

Your Name (First, MI, Last):*

HCC Student ID#:*

Birthdate:*

Street Address:*

City, State, Zip Code:*

Preferred Telephone:*

Email Address:*

Alternate Telephone:*

Demographics Information

Marital Status:

Single

Widowed

Divorced

Legally Separated

Married (if check, complete following):

Spouse Disabled

Spouse Unemployed

Names of Dependent Children & Birthday (dd/mm/yy)

Child #1:

Name of Child #1

Birthday for Child #1

Child #2:

Name of Child #2

Birthday for Child #2

Child #3:

Name of Child #3

Birthday for Child #3

Employment Information

Part-time or Full-time:

Part-time

Full-time

# of Hours per Week:

Unemployed since:

Hourly Wage:$

Last Employer:

Position Title:

Job Search

Complete only if seeking employment.

Are you seeking employment?

Do you need help with your job search?

Do you have a current resume?

Do you need help creating a resume?

Type of job(s) your are seeking

Desired Hourly Wage:$

Monthly Income

Salaries/Wages: $

Alimony: $

Social Security Benefits: $

TCA: $

TCA Expiration Date:

Child Support: $

Unemployment Benefits: $

VA Benefits: $

Food Stamps: $

Other: $

HCC Status

Declared Major:

Projected Graduation Date:

Do You Plan to Transfer?

Transfer School:

Continuing Education Students

Continuing Education Non-Credit Course:

Have you applied for Continuing Education Course Financial Assistance?

Projected Completion Date:

I verify the information provided on this application is true.*

Student Name:*

Date of Application:*

Counseling and Career Services             Room: RCF 302
Phone: 443 518 1340                              Fax: 443 518 4499
Email: CCS@howardcc.edu                      Facebook: www.facebook.com/counselinghcc

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