Register for My Next Career Move Online Fall 2018, Sept. 19 - Oct. 31
If you require accommodations to participate in this class, please contact Suzanne Senechal-Jandreau at 207-768-9635 or senechal@maine.edu

​Thank you for providing the following information. Your name and contact information will not be shared. Aggregate data is used for the pu​rposes of reporting to our funders and measuring the success of our programs.

​All fields are required on the registration form. Please contact Suzanne Senechal-Jandreau at 207-768-9635 or senechal@maine.edu if you prefer a paper copy or have any questions​. If you have taken a class with NVME recently, contact the trainer. Your registration information may already be on file.​

​​You may be contacted in the future to provide feedback on your experience with NVME.​

Name - First *
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Name - Last *
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If you are of Franco-American heritage, please check here.
If you consider yourself Hispanic or Latino, please check here.
In addition, check one or more of the following racial categories to describe yourself- *
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I have a disability that limits my work *
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I receive SSI, SSDI, or veterans disability? *
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I am a veteran, active duty military or reservist *
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I am looking for work *
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Education Information *
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If you are currently a student, what kind of program are you enrollled in?
Major field of study?
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Are you a University of Maine Augusta student? *
Number of people in your household including you *
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Total monthly Income for your household (from all sources) *
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Health Insurance coverage (choose one) *
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Are you a single parent? *
My household receives food stamps. *
My household receives TANF. *
I have savings. *
I have retirement savings. *
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