* 1. Name

* 2. Email Address

* 5. Current Job Title

* 6. Length of Service with Company (check one)

* 7. Education Completed - Check highest level completed

* 8. My current level of computer proficiency from 1 to 10 with 1 meaning “not proficient at all” and “10” meaning “highly proficient” is:

* 9. TECHNICAL/JOB SKILLS
Please complete the following.

  Check the skills you use most often on your current job and upon which your job success depends most Check skills you need or want to improve for your current job. Check skills you need or want to learn for a future job/career.
Interacting with customers about billing/service
Achieving assigned customer retention, productivity, and customer satisfaction objectives
Selling products and services to meet or exceed sales objectives
Interpreting, preparing and reviewing billing or other technical records or documentation
Providing technical input and assisting in the implementation of complex services
Troubleshooting/testing service and equipment and resolving problems
Installing, disconnecting, or repairing, or changing equipment or service
Compiling, examining, analyzing or interpreting data
Operating/maintaining current systems
Operating/maintaining next generation systems
Preparing business correspondence, reports
Preparing, formatting, correcting service orders
Reading and understanding forms, diagrams, plans, maps, layouts or schematics
Updating, maintaining, and managing databases
Preparing, reviewing, updating and revising accounting and financial reports
Performing maintenance and repair –vehicles
Performing maintenance and repair – buildings
Operating and maintaining office and business systems and equipment including computers
Handling and assisting with broadband service and networks including testing, adjusting, and repairing
Communicating with customer, sales teams, and internal and external departments about internet services
Training other employees

* 10.
GENERAL/ESSENTIAL SKILLS I WANT TO BUILD OR IMPROVE
Check skills you want to build and/or improve for your current job or for a future job or career.

* 11. JOB SEARCH SKILLS I WANT TO BUILD OR IMPROVE
Check the job search skills you want to build or improve.

* 12. CAREER PLANNING SKILLS I WANT TO BUILD OR IMPROVE
Check the career planning skills which you want to build or improve.

* 13. PERSONAL DEVELOPMENT SKILLS I WANT TO BUILD OR IMPROVE
Check the personal development skills you need to build or improve.

* 14. GOALS OF TRAINING
Check any of the following types of training you feel you need or want.

I need and/or want training that:

* 15. For each of these categories of skills, choose a number from 1 to 4 with 1 meaning “I need to develop these skills the most” and 4 meaning “These are skills I do not need to develop further or do not require."

  1 2 3 4
Technical/Job Specific Skills
General / Essential skills
Job Search Skills
Career planning skills
Personal Development skills

* 16. BARRIERS TO MY ATTENDING TRAINING
Check any that apply.

* 17. TRAINING I WANT OR NEED
The training course I would enroll in first if available would be about this topic:

* 18. The training course I would enroll in second if available would be about this topic:

* 19. The training course I would enroll in third if available would be about this topic:

* 20. COMMENTS:

Thank you for taking the time to complete this survey and helping provide the most relevant and meaningful training for you.

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