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   MPACT
    Learning Center
        a division of the 21st Century Council

Individually Managed Personal Achievement and Career Training
Years Experience or Interest in Area
Accountant
Administrative
Bank Teller
Banker
Cashier
Claims Adjuster
Finance
Graphic Designer
Manager
Photographer
Procurement
Public Relations
Real Estate Broker
Supervisor
Sales
Support Staff
IMPACT Learning Center and Mountain Lakes Chamber of Commerce's 
                      Talent Development Database Input Form
From the listings below, select the number of years of relevant experience in each job sub-category where you have an interest in working. If you are interested in a job sub-category, but have no experience in the area, enter 0 for years of experience, but limit your interest to your top three.

You can select multiple entries. For example, if you have a degree in mechanical engineering with 5 years of work experience including working as a supervisor in that area for 2 years, you can put your experience in both mechanical engineering and supervisor job sub-categories if you are interested in working in those two areas. However, the total of all sub-category work experience must not be more than your total years of work experience, You may have to estimate the full-time experience for each job sub-category. For the example above, you would put a 3 in years of experience in mechanical engineering and put a 2 in the years of experience in supervision totaling 5 years of total work experience.  

When you have completed the form, click the submit button at the bottom of this page.
Community Service
Public Safety
Social Worker
Librarian
Principal
First Name:                                                                Last Name: 
Cell Phone #                                                              Land Line # 
Email Address:

What is your current mailing address including zip code? 
What is the highest level education degree you have received? 
Education
Support Staff
Teacher
Teacher's Aid
Engineering
Architect 
Agricultural
Biomedical
Chemical 
Computer Drafting
Environmental
Industrial
Maintenance
Mechanical
Software
Civil
Information Technology
Hardware
Help Desk
Security Analyst
Systems Analyst
Telecommunications
Human Resources
Health Care
Dental Hygienist
Dentist
Physician
Nurse
Pharmacist
Physical Therapist
Phlebotomist
Nurse Practitioner
Audiologist
Physician's Asst.
Medical Technician
Law
Lawyer
Paralegal
Military
Enlisted
NCO
Officer
Service & Hospitality
Chief or Cook
Hotel Staff
Hairdresser
Waiter & Waitress
Skilled Trades
Auto Body Repair
Carpenter
Cabinet Maker
Electrician
HVAC
Brick Mason
Machinist
Mechanic
Painter
Paving Operator
Pipe Fitter
Plumber
Rigger
Roofer
Septic Tank Service
Textile Worker
Truck Driver
Drywall Installer
Welder
Heavy Equip. Oper.
Are you continuing your education?            If Yes, are you interested in part-time employment? 
I want to: 
Leave a message for Talent Development. 
For example, I have changed my cell phone #.
Electrical
Development and Support
Pharmacy Tech.
Category
Sub-category
Farmer
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