Occupational Support Program - Student Interest Form

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This form is establishing your interest in the GRCC Occupational Support Program. We will review your answers to determine whether you would benefit from our services. Please fill out all questions as best as possible.

Occupational Support can assist with:

* Academic Advising on all GRCC's Career Focused Programs
* Career Decision Making + Planning
* Financial + Academic Concerns
* Study Skills
* Child Care Assistance (limited slots available)
* Access to Part-Time Employment Opportunities in your field
* Financial Assistance (if you are Pell Grant eligible and still have great financial need)
* Partner together to collect Career 'Receipts'
* Future Job Preparation

Let's get you clear on your career plan, picking the right degree, help you sort out any tough spots, and get you graduating quickly and heading towards employment!

Email *

What is your first and last name? *

What is your preferred name (if applicable)

Please share the pronouns you use. Check all that apply.

she/her/hers

he/him/his

they/them/theirs

ze/hir/hirs

GRCC Student ID #

Best Phone Number

How did you hear about GRCC's Occupational Support Program?

My instructor

Educational Opportunity Center staff

Admissions staff

Advising staff

GRCC's child care center

A community resource

Website or on campus event

New Student Orientation

Other:

Clear selection

What of the services here do you think that Occupational Support might be able to help you with? Check all that you are interested in. *

Academic Advising on a career-focused program (like automotive, welding, nursing, business, computers, culinary, etc.)

Career decision making or exploring careers

Developing your long term career path

Managing financial or academic concerns

Study skills

Child Care Assistance or finding child care resources

Access to Part-time employment in your field of study.

Job Preparation (Resume, Linked In)

Financial Assistance for unpaid expenses (Tuition, Books, Parking, or Bus Passes)

A half day job shadow or discussion with someone in the field you are considering

Helping with my stress and worry about school

Other:

Required

Do you have an up to date resume? *

Yes

Required

What is your career plan and what are you studying at GRCC?

Have you previously completed a certificate program or associate's degree (at GRCC or any other educational institution)
*

Yes

Unsure

How confident are you in your career plan?

Not Sure At All

I'm Sure I'm on the Right Track

Clear selection

How confident are you in what you are studying at GRCC?

Not Sure At All

I'm Sure I'm on the Right Track

Clear selection

Do any of the following apply to you? Check all that apply.

I'm receiving Pell Grant

I'm in a career that isn't common for my gender (examples: men in nursing, women in welding)

I'm an English language learner (I am enrolled in ESL courses or have taken them previously)

I'm a student with a disability (any illness, learning disability, mobility difference, ADHD, etc)

I'm a single parent (including pregnant single parents)

I'm struggling with stable housing

I have previously been in foster care

I've been forced to go back into the workforce for personal reasons

If you receive the Pell Grant, do you receive any other grants, scholarships, or other funds?

Yes

I might, I'm not sure.

Clear selection

Please mark any of the areas below that you are worried might impact your current or upcoming semesters. We might be able to find you some support! (CHECK ALL THAT APPLY) *

TRANSPORTATION: Traveling to/from classes, parking, etc. is a challenge

HOUSING: I have concerns about current or future loss of housing

HEALTH: Health, mental health, or medical issues might be an issue

LEGAL: Court dates, criminal background, custody issues worry me

JUGGLING JOB WITH SCHOOL: Concerns about how to fit it all together

NEED A JOB: I really need help finding a job so I can afford to go to school

CAREER INDECISION: I need help exploring my career options more

COURSE PLANNING: I don't know how to choose the right classes

SUPPORT: My friends + family don't really know how hard college is.

FINANCES: I'm worried about paying my bills right now

LEARNING: Some subjects are hard and learning is sometimes tough for me

CHILDCARE: I don't have a reliable plan for child care

ALCOHOL/DRUG USE: In my home, substance use is an issue for at least one person

I DON'T HAVE ANY AREAS THAT I AM WORRIED ABOUT

Required

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