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CUNY LEADS Referral Form
CUNY LEADS is a unique individualized career development program that empowers CUNY students with disabilities to acquire the skills and confidence to define their path and launch successful fulfilling careers.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
EMPLID #
*
Your answer
Email Address
*
Your answer
Phone number
*
Your answer
Did you transfer from a Community College?
*
No
Yes
If yes, which college did you transfer from:
Have you declared a major?
*
Option 1
Yes
If yes, what is your Major:
Do you have a resume?
*
Yes
No
Have you written a cover letter?
*
Yes
No
Do you need assistance with interview skills
*
Yes
No
Maybe
Do you have work experience? This includes volunteer work or internships.
*
Yes
No
Are you currently working?
*
Yes
No
Please indicate if you are affiliated with any of the following departments or agencies:
ACCES-VR
NYS Commission for the Blind
SEEK
CUNY Edge
ASAP
CUNY LEADS (different campus)
Do you have any specific questions or concerns regarding employment?
Your answer
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