This form is designed to collect information that will help program coordinators in deciding how the Succeeding at Work Program might meet your current needs. We will use the information that you provide on this form to understand what types of assistance might be of most benefit for you, and to highlight specific skills and areas of potential interest for you.
Please answer all questions. If you don’t understand a question or are not sure what to write, please let your coordinator know and he or she will be happy to help you.