Cuesta College Career Connections
The heart for aligning students and employers with quality employment services.
INTAKE FORM
Student ID: _______________ DOB: ____________ Age: ________ Male ( ) Female ( )
Name: ________________________________________________________________________
(First) (Middle) (Last)
Mailing Address: _______________________________________________________________
(Street) (City) (State) (Zip) (County)
Telephone: Work ( )___________________ Home ( )____________________________
Best Time to Reach You: __________________ Email: ________________________________
HOW CAN WE HELP YOU?
What services do you need help obtaining at Career Connections?
What type of work / technical skills do you already have and what would you like to develop?
Are you seeking opportunity to volunteer, have a paid/unpaid internship, or employment?
Is there a specific company you would like to work for or career you would like to pursue?
What is your availability? Part-time or full-time? Temporary or long-term?
Are you interested in Professional Skill Development or Cooperative Work Study Courses?
Have you registered on Cuesta Jobs Link to view Career Connection’s current local job postings?
Go to https://cuesta-csm.symplicity.com/students/ and create a username and password.
Then you can access details included in every job posting, upload your resume and related
documents, and submit applications for jobs. If you need help with your resume and/or interview
preparation, make an appointment to see one of our specialists at (805) 546-3252.
