First Name
Last Name
Email
NSPID number
What AmeriCorps program are you affiliated with? What AmeriCorps program are you affiliated with? Public Health AmeriCorps VISTA Healthy Futures AmeriCorps Seniors (Public Health Volunteers) Other (Please Specify)
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What is the name of organization or host site at which you serve/have served?
What is your current job searching status? Please select I am actively applying for jobs right now I plan to begin my job search in the next 1-2 months I plan to begin my job search in 3-6 months I plan to pursue further education after my service term I have already secured a position after my service term I'm undecided about my next steps Other (Please Specify) Other
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How much experience do you have in the public health field? How much experience do you have in the public health field? Less than one year of job experience in the public health field Between one and five years of job experience in the public health field More than five years of job experience in the public health field
For the event, will you have access to a device with a reliable internet connection capable of supporting video conferencing? Please select Yes, a computer or laptop Yes, a tablet or phone Yes, another device No
To ensure everyone can fully participate in this virtual event, please let us know if you require any accessibility accommodations (such as captioning, screen reader compatibility, sign language interpretation, or other assistive support).
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List three public health career pathways are you most interested in exploring.
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I feel confident in my resume. Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I know how to write effective cover letters Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I feel prepared for interviews Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I can clearly articulate my skills Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I know how to network effectively Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I can identify suitable job opportunities Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I know how to leverage my previous experience Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
On a scale of 1 to 5, where 1 is not accurate and 5 is very accurate, how would you rate this statement: I understand public health career pathways Please select 1 (Not Accurate) 2 (Slightly Accurate) 3 (Moderately Accurate) 4 (Mostly Accurate) 5 (Very Accurate)
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