Career Connections: West Coast Career Connections Event Interest Form Interest Forms must be submitted by April 1st, 2020 Thank you for your interest in the Career Connection event, hosted by Disability:IN Inclusion Works. This form is to solely express interest in attending the event and does not guarantee admission. All admitted candidates will be contacted by April 1, 2020. Please email [email protected] if you have any questions. Event Details: 2020 Career Connections Event (West Coast) EligibilityAre you a job candidate that identifies as having a disability, apparent or non-apparent? Please note, this information is considered private and confidential, it will not be shared with the participating employers and will only be seen by members of the Disability:IN Inclusion Works team. * RequiredYesNoMay the Disability:IN Inclusion Works team share your resume with prospective employers? * RequiredYesNoContact InformationFull Name * Required(first and last name) Last Name * Required(for alphabetical purposes)Email * Required PhoneCity * RequiredState * RequiredAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsOtherCountry * RequiredAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweAcademic and EmploymentSchool Name * RequiredInput N/A if the school is unknownGraduation YearAcademic Major * RequiredAre you currently employed? * RequiredPart TimeFull TimeNot EmployedDo you require visa sponsorship for U.S. employment? * RequiredYesNoWilling to relocate? * RequiredYes, to most locationsYes, but only to the following locationsNoRelocation DetailsAre you currently working in a STEM, Business, Finance, Sales, and/or Customer Service occupation? * RequiredYesNoIf no, what field/industry do you currently work in?Please select the years of work experience you have in the STEM, Business, Finance, Sales, and/or Customer Service. * Required0 to 1 years of work experience2 to 5 years work experience5 to 10 years work experience10 plus years work experienceI do not have any work experience in the STEM, Business, Finance, Sales and/or Customer Service fields.Describe your career objective. (Include the type of jobs or industries that you are interested in). * RequiredList any activities, volunteer work or any special skills that you feel make you stand out from other applicants. * RequiredHow did you hear about the Career Connection event? Select all that apply. * Required Facebook Twitter Linkedin A Friend A Company's Career Site Disability:IN Website Bender Consulting Employment Service Provider Other (please specify) Other (How I heard about this event)Resume Database DetailsPlease complete the below section so that we may input your resume into our online resume database; participating Career Connections: West Coast event employers will have access to your resume via this database prior to the event. Disability:IN NextGen Leader or Alumni? * RequiredYesNoNextGen Program Year20202019201820172016OtherUpload Resume File * Required File uploadUpload your resume as a DOC, DOCX, or PDF. Please see Microsoft's "Improve accessibility with the Accessibility Checker" for more information. Education * RequiredAssociates DegreeBachelor's DegreeCertificate/DiplomaEnrolled, Degree Seeking StudentMaster's DegreePhD/DoctoratePostsecondary non-degree awardProfessional CertificationSome college, no degreeOther Education LevelTotal Years of Experience, non-STEM and STEM related * RequiredNone0 to 1 years of work experience2 to 5 years work experience5 to 10 years work experience10 plus years work experienceEmployment Type * Required Full or Part-Time Full-Time Only Part-Time Only Freelance Internship Temp to Permanent Career Field/Area of Expertise * RequiredSelect all that apply Biomedical Engineering Business Chemical Engineering Civil Engineering Communication/Journalism Computer Engineering Computer Science Customer Service Diversity and Inclusion Economics Electrical Engineering Engineering Finance/Accounting Graphic Design/Web Development Healthcare Human Resources Industrial Engineering Information Technology: Other Information Technology: Programming and Software Development Law Management/Entrepreneurship Manufacturing Engineering Marketing/Public Relations Mathematics Mechanical Engineering Medical/Clinical Techs Psychology Public Policy Public Service/Social Service Sales Science Security/Cybersecurity Social Science Software Engineering STEM Supply Chain Talent Acquisition/Recruiting Other Other Career Field/Area of ExpertiseSocial MediaInclude your social media information if you would like to be connected with other alumni and Disability:IN staff.LinkedIn profile: - enter a valid website URL for example https://www.google.comFor greater visibility and to facilitate connections with employers, please provide the link to your LinkedIn profile. Instagram usernameTwitter usernameLink to Facebook profile - enter a valid website URL for example https://www.google.com ConsentBy submitting this interest form, you’re allowing Disability:IN to share your resume with Disability:IN corporate partners and allowing Disability:IN to contact you with future career opportunities. * Required I agree. EmailThis field is for validation purposes and should be left unchanged.