Exit this survey Career Advantage for VIPs Information Form Thank you for your interest in our employment preparation program. This program is available for use free of charge, but we would like to gather some information about you before you begin. Please provide the following information. We will be in touch with you as soon as possible with information about how to log in and access the Career Advantage for VIPs program. Question Title * Name Question Title * Email Address Question Title * Please enter the login and password you would like to use for the Career Advantage for VIPs program. Login Password Question Title * What is your age? Question Title * Please indicate your gender Male Female Question Title * What is your education level? Less than High School High School Degree Some College Bachelor's Degree Master's Degree Professional Degree or Ph.D. Question Title * Number of years of work experience less than 1 year 1 2 3 4 5 6 7 8 9 10 more than 10 years Question Title * What is your vision level? Totally blind Legally blind Other visual impairment Not visually impaired Comments Question Title * Are you interested in using this program for: Yourself Your students Your clients Other Other/Comments Done