Register below and tell us if we can connect you to employment services. (30 seconds - 10 minutes)

Please register for the Employee Help Event by providing the required information fields below (your name, employer name, etc.). We will use this to report anonymous totals of employees affected by layoffs. And if you want more services, let us know below, too.
CONFIDENTIALITY ALERT: Your name, contact info and other personal information will ONLY be shared with the Humboldt Smart Center's Director Angela Dennis with your permission and so they can reach out and offer help with job search, re-employment, free training, etc. We will otherwise keep your identity private.
LAYOFF HELP EVENT REGISTRATION (REQUIRED INFO)

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1. You

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2. Contact methods

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3. Employer

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4. Last Day at Work (lay-off date)

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INFORMATION TO PROVIDE TO THE SMART CENTER FOR RE-EMPLOYMENT SERVICES (EVERYTHING BELOW IS OPTIONAL)

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5. Do you want the North Coast SBDC to share the information you provide on this online form to Angela Dennis at The Smart Center of Humboldt so she can contact you about how to access the services below?

LAST JOB

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6. What is/was your job title?

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7. Employment Status before layoff (check one)

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8. What was your wage before taxes? (Specify whether your $ below is hourly, weekly, monthly, yearly)

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9. How frequently were you paid? (Daily, Weekly, Every two weeks, Twice a month, Monthly, Other)

FUTURE EMPLOYMENT PLANS

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10. What is your next step?

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11. If you are looking for another job or to start a business: in what industry or field?

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12. How many miles are you able to commute one way for employment?

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13. Are you able / willing to relocate to be closer to employment?

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14. How many full years of service do you have with the company?

RE-EMPLOYMENT HELP

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15. How can The Smart Center be helpful to you in your job search?

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16. Do you want help with additional schooling, certificates, etc? (Select all that apply)

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17. Where have you looked for a new job in the past?

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18. Do you use any of these social media sites?

SCHOOLING

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19. What is your highest level of education completed?

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20. What trade or vocational certificate or license do you have?

PERSONAL DETAILS (OPTIONAL)

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21. Gender

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22. Are you a veteran?

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23. Gender

Thank you for registering for the next Humboldt Employee Layoff Help Event on Friday, April 24th 2-3:30 pm. You will receive a access instructions for the virtual Zoom meeting by or before 9 am on Friday 4/24. Please contact layoffhelp@northcoastsbdc.org or call 707-445-9720 if you have questions.

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