THE STATE UNIVERSITY of NEW YORK NYCEDC/Levin JumpStart NYC Candidate Application Form Due March 26, 2010 Please submit your current resume and the contact information for 2 references (1 Peer/1 Professional) along with the completed application to JumpStartNYC@levininstitute.org. Personal Information (press TAB to toggle fields) Last Name First Name Home Address Phone Number Email Address Academic Employment Degree(s) Date(s) Institution(s) Most recent Employer Dates employed Position Date of Displacement Key responsibilities/duties of most recent position (50 words): 2 Essays (200-400 words each) *Please attach separately with application form 1: What are your career aspirations? Describe how your personal characteristics and the JumpStart NYC experience will help you achieve your goal. 2: Describe a time when you have had to make a dramatic adjustment to an important goal or objective. What were you thinking, feeling, and doing at each step of the change? 3 How interested are you in consulting for organizations in the following industries: 1= very interested; 2= somewhat interested; 3= not interested Arts & culture non-profits Green New Media Financial Services Real Estate Small service start-ups How did you find out about us? NYCEDC TENG/FENG Facebook Monster Right Management Lee Hecht Harrison Drake Beam Morin Ayers Spherion Goodrich & Sherwood Assoc. Mullin & Associates CareerBuilder Careerlinknyc LinkedIn Former Employer EFinancial Other: Career Services of: Thank you for your interest!