return2work | register for a workshop

Please fill in the form to register for our workshop.

It is really important to us at return2work that we deliver a course that truly addresses your needs, please help us to achieve this by providing as much information as possible.

Required fields are marked (*)

Personal Information

First Name: *		Last Name: *
Postal Address: *
Town/City: *		Postal Code:
Phone (Daytime):	Please include an area code
Phone (Evening):	Please include an area code
Mobile:
Email: *

Do you have a current resume?	Yes No
Attach your resume here: (This is optional)	Please ensure your resume is in word or pdf format. Maximum size 500kb.
Do you have internet access at home?	Yes No

When did you last work in a paid position?

	Less than 6 months ago		A year ago
	A year to 18 months ago		18 months to 3 years ago
	3 to 5 years ago		More than 5 years ago

Have you applied for any jobs recently?	Yes No
If yes, what jobs have you applied for?

Have you attended an interview recently?	Yes No
If yes, how many in the last 3 months?
If yes, how did you think you performed?

Have you taken part in any courses in the last 18 months?	Yes No
If yes, please detail below:

Are there any particular roles or industries that you are interested in at this stage?

Objectives

What are your main objectives or motivations for attending the return2work course?

(please tick as many as appropriate)

	To meet like-minded people in similar or the same situation
	To revive an existing career
	To establish a new career
	Assistance determining which direction your career could take
	Action planning
	Creating a resume
	Learning about training courses
	Learn interview techniques and take part in interview practice
	Assistance in finding a job and understanding advertisements
	Market overview - how returning to work will impact you
	Looking the part at interviews and in the workplace

How did you hear about us?

Referral Type:
	If other, please specify below...