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NMRC — New Participant Form
If you are an internationally trained professional who wants to participate in the New Mainers Resource Center services, please complete the intake form below. Thank you!
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I'm looking for career advancement and assistance services for: *
Required
What is your email address? *
First Name *
Last Name *
Home Address (include apartment #, if needed) *
City *
Zip Code
Phone Number *
Date of Birth *
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Gender  *
What is your country of origin? What other countries have you lived in? *
When did you arrive in the USA? *
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What country (or countries) have you been educated in? *
What kind of degree do you have? *
Required
What is the last year you attended school or graduated? *
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What was your subject of study? *
Are you currently in school? If so, where? *
Have your English skills been tested at any Adult Education location in Maine? If so, what is your ESOL/English Level?
 *
What languages are you fluent in (please include English if you are fluent)?  *
Do you have current work authorization? *
What type of work experience do you have?
 *
How many years of work experience do you have? *
Do you hold any licenses or certifications? *
What is your immediate (within 1 year) employment goal
 *
What is your employment goal in the next 5 years? *
How did you hear about the New Mainers Resource Center
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Is there anything else you would like to share about your background or how we can help you?
Applicant Release of Information:  As an applicant for NMRC employment services I understand that my referral agency may share the information on this form as well as information related to my training and employment goals with partners of NMRC and Bangor/Lewiston/Portland Adult Education. I understand this may include local and regional workforce initiative providers and, in some cases, individuals at schools, social service agencies, or employers.  I understand that this exchange of information will help providers to coordinate the best possible services for me. 

This authorization will be effective for the period of time I am enrolled as a participant in NMRC programming and throughout a follow-up period, which I understand may occur up to 24 months after completing a program.


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Do you give permission for NMRC to use your photograph in publications, on the NMRC and Portland Adult Education websites, Facebook or LinkedIn page,  or any other use considered helpful to promote NMRC programs. *
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