Career Services Referral Form
Lincoln Hall 104
217.443.8597


Student Name: ___________________________     Phone Number:  (_____)____________________

Address:

___________________________

SSN:

___________________________

___________________________

Major:

___________________________

Recommended Service(s):
 
____  Career Interest Assessment (Assessment Center - Cannon Hall - 443-8708)
        
____  Career Exploration Resources ____  "JOBLINE"/Job Information
       
____  Personality Analysis ____  Career Counseling/Planning
       
____  Computerized Employment Services ____  Resume Writing Assistance
       
____  Labor Market/Local Employer Information     ____  Career Information

Counselor Notes:
 
___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Staff Signature: ____________________________   Date: __________________

Career Services Action Taken:
 
___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Staff Signature: ____________________________   Date: __________________


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Academic Advisement and Counseling