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Work Experience/Professional Assessment Form
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Name
*
First
Last
Date of Birth
Nationality
Email
*
Phone (add prefix)
Current Location (City and Country)
Preferred Language(S) for Communication
Are you a statushouder, an expat or refugee?
Statushouder
Expat
Refugee
What is your current employment status? (Unemployed, employed, student, etc.)
What is your highest level of education completed?
Do you have any previous work experience? If yes, please provide details.
What type of job, training, or coaching are you seeking? (Please provide specific details.)
Are you interested in full-time, part-time, or flexible work?
Full-time
Part-time
Flexible
Do you prefer being employed or self-employed?
Employed
Self-employed
No preference
What industries or fields are you interested in? (e.g., healthcare, IT, construction)
Are you looking for a job in a specific city or region? (If yes, please specify)
What skills do you possess that are relevant to your desired job or field?
You can mention as many as you want.
Do you have any certifications or licenses related to your desired job? (If yes, please specify)
Are there any languages you speak fluently? (If yes, please list them)
Are you comfortable using computers and technology?
Yes
No
Have your skills been validated by an independent auditor?
Yes
No
Do you have any specific challenges or barriers you're facing in your job search or career development?
Are you interested in receiving coaching or mentorship? If yes, what areas would you like assistance with?
Would you like assistance with resume building and interview preparation?
Yes
No
When are you available to start a new job, training, or coaching program?
Do you have any scheduling restrictions or preferences?
Is there anything else you would like to share or mention that could help us understand your needs better?
Submit