Inspire Southeast Wisconsin Online Career Coach Registration Form
Thank you for becoming an Online Career Coach for Inspire Southeast Wisconsin. By completing and submitting this form you give your permission for a background check to be conducted. Any adult using communication tools on Inspire Southeast Wisconsin is required to pass a background check - the safety of students is always a top priority!

Once your background check has been completed, we will build your profile in the system. When your profile is ready (allow 10 business days) you will receive an email notification with log in instructions so that you can view the profile. Remember, you can make changes to your profile anytime you'd like!

Don't hesitate to contact us at any time, with any questions or concerns. Our staff is here to help you make this a rewarding experience for both you and our partner schools/students!

If you need assistance during the registration process, please contact inspire@mke7.com

First Name *
Your answer
Full Middle Name *
Please provide your FULL middle name - not just the initial. This is needed for the background check. If you do not have a middle name, type "no middle name"
Your answer
Last Name *
Your answer
Company Name *
You can also type in options such as "retired" or "volunteer" or "independent consultant" if you are not currently working for a company
Your answer
Title/Position *
You only need to list your current title/position here
Your answer
Email address *
Your answer
Re-enter email address *
Your answer
Phone Number *
Your answer
What triggered you to register today with Inspire? *
Please specify source (e.g., Business Alliance, Chamber of Commerce, Presentation, Website, Invited by)
Your answer
Company Address
Your answer
Company City *
Your answer
Company State *
Your answer
Company Zip Code
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
I would like to be an Online Career Coach *
If "yes" please answer the following questions.
Your Careers - Career Title #1
You can tag your profile with multiple careers to show students the various fields you have experience in.
Your answer
Years in the Field
Your answer
Roles and Responsibilities
400 Character Max
Your answer
Your Careers - Career Title #2
You can tag your profile with multiple careers to show students the various fields you have experience in.
Your answer
Years in the Field
Your answer
Roles and Responsibilities
400 Character Max
Your answer
Your Careers - Career Title #3
You can tag your profile with multiple careers to show students the various fields you have experience in.
Your answer
Years in the Field
Your answer
Roles and Responsibilities
400 Character Max
Your answer
Your Careers - Career Title #4
You can tag your profile with multiple careers to show students the various fields you have experience in.
Your answer
Years in the Field
Your answer
Roles and Responsibilities
400 Character Max
Your answer
Your Careers - Career Title #5
You can tag your profile with multiple careers to show students the various fields you have experience in.
Your answer
Years in the Field
Your answer
Roles and Responsibilities
400 Character Max
Your answer
Career Path History
400 Character Max
Your answer
Other Jobs You've Had
200 Character Max
Your answer
Association Memberships
200 Character Max
Your answer
Hobbies & Interests
200 Character Max
Your answer
I would like to offer/engage in Career-based Learning Activities *
If "yes" please answer the following question. To see descriptions for all the CLAs, go to: https://m7talentpartnership.files.wordpress.com/2017/02/cble-menu.pdf
Select all of the Career-based Learning Activities you would be interested in offering/engaging in - Group 1
You can select as many as you would like. You will also be able to go back and make changes as needed once your profile has been built.
Terms and Conditions *
Inspire Southeast Wisconsin Region makes it possible for students/career seekers to explore careers with guidance from professionals and employers. Company Contacts and Career Coaches communicating with users must pass a 7-year criminal background check and sex offender check and agree to abide by these Terms and Conditions. Results of background checks can be shared with partner school districts if requested by the school administration. Under these terms and conditions, you authorize the complete release of records or data pertaining to you which an individual, company, firm, corporation or public agency may have. Further, you authorize and request any present or former employer, school, police department, financial institution or other persons having personal knowledge to furnish Inspire Southeast Wisconsin Region, its designated agents, and partner school administrations, with any and all information in their possession regarding your background in connection with an application. You understand that, pursuant to the federal Fair Credit Reporting Act, if any adverse action is to be taken based upon the consumer report, a copy of the report and a summary of the consumers right will be provided to you. Although you will be able to communicate with students based on their career interests, our office will not release any "identifying" personal information about you or the users. The following guidelines are intended to maintain the privacy of all Inspire Southeast Wisconsin Region users: 1. You will only be identified by your nickname on all web portals. 2. Messages sent by a Company Contact will be visible to users once approved by an Inspire Southeast Wisconsin Region administrator. 3. All discussions and postings are public and can be viewed by any and all Inspire Southeast Wisconsin Region users. Any inappropriate postings should be reported using the “flag inappropriate posting” box. 4. Career Coaches and Company Contacts are not to communicate or meet with any student outside of the Inspire Southeast Wisconsin Region web portal without permission from the student’s parent(s). 5. You must comply with all school and local requirements relative to meeting or work activities involving students. Contact the school counselor to obtain this information. Inspire Southeast Wisconsin Region understands that ultimately users are responsible for their own future. All parties involved understand that any information given is personal experience or opinion and is not meant to exclude exploration of any other possibilities or guarantee a specific outcome. If you have questions regarding volunteering, please contact us at: Susan Koehn, (414) 287-4136, skoehn@mke7.com
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