Career Pathway Plan: Intro

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Today's Date:

YYYY

First Name

Last Name

Email:

Phone Number:

What's your WHY? I decided to visit the adult education center because: (select all that apply)

I want my GED

I need a job or I want a new job

I need help choosing a career

I want to improve my English

I have my diploma/GED, but I want to improve my skills for postsecondary.

I want a short term certification in: Ready for Industry, ServSafe

I am going into the military and want to improve my ASVAB score

Please select any that apply to you:

At Risk for being homeless

Drug Court

Probation and Parole

Commitment Statement

I commit to consistently and actively participate in the Campbell County Adult Education program to successfully reach my educational and career goals.

I cannot commit at this time.

Clear selection

My Goal is to attend class _______ days per week.

Clear selection

These are the days of the week that I am available for class:

Monday

Tuesday

Wednesday

Thursday

I can attend class (in person or online) in the:

mornings

afternoons

evenings

Clear selection

How can we help you?

I would like to be connected to resources to help with the following issues:

Addiction

Child Care

Clothing

Disability

Food

Paying Bills

Housing

Internet

Kid's Clothing / school supplies

Mental Health

Personal Safety

Transportation

Career Exploration

Learning about careers is an important step in finding a job that will be a good fit for you in terms of your desired work environment, work/life balance and salary requirements.

What sector of work are you interested in? (select all that apply)

Healthcare

Technology

Education

Finance

Trades (construction, manufacturing, transportation, agriculture)

Retail

Food Services

Other:

3 jobs I would like to know more about:

Colleges or Trade Schools (Post-Secondary) that I'd like to know more about:

Credential I am interested in:

Not interested in Post-Secondary

Not sure

Credential (short term)

Associated Degree

Bachelor's Degree

Trade certification

Initials

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