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If you are
interested in attending one of POAC's JumpStart programs, just contact
us to schedule an appointment or use the handy online form. Please be sure
to enter a response in each field. An example of the format to use for
most fields is included immediately after the field. Below you will find
instructions that may assist you when completing the form.
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| Personal
Information: |
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| First Name
(required
field) |
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- Enter your first name. |
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| Last
Name
(required
field) |
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- Enter your
last name. |
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| State
(required
field) |
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The form will default to
Maryland as the state for your mailing address. If the you are located in a state
other than Maryland, click on the arrow to
the right of the word, Maryland, and a drop down menu will appear. Click
on the state of your mailing address. |
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| Telephone
(required
field) |
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- Enter the telephone
number where you can be reached during the day, including area code.
Enter the phone number with dashes, like this 410-555-1212. Please
do not use parentheses. |
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| E-mail
(required
field) |
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- Enter
your e-mail address. |
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| Employment: |
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Profession
(required
field) |
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- Enter
the profession for which you are seeking employment. |
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| Previous Job Title (current or last job)
(required
field) |
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- Enter your
most recent job title with your current or most recent employer. |
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| Previous Employer (current or last employer)
(required
field) |
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- Enter your most recent employer. |
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Others Laid
Off? (required
field) - |
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- Click on the arrow to
the right of the sentence and a drop down menu will appear. Click
on either Yes or No on the drop down menu, indicating if other employees
were laid off or will be laid at the same time. |
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Number of Others Laid off (required
field) |
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- The form will
default to 0 (zero) for the number of others laid off. If
others were laid off or will be laid off, enter the
approximate total number of employees affected. |
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| Click on Enroll and an e-mail message
containing all the information that you entered will be sent to POAC. Someone will get back to you as soon as
possible. |