Questionnaire

Thank you for your interest in Specialisterne USA.

This questionnaire is used to collect information from those interested in future work opportunities with one of our corporate partners. By completing it, it will be easier to notify you about work opportunities in your area of interest.

* Questions with an * are mandatory.

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* 1. Please complete the following:

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* 2. Street Address

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* 3. City

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* 4. State

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* 5. Zip Code

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* 6. Email

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* 7. Alternate Email

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* 8. Primary Phone

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* 9. Primary Phone Type

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* 10. Alternate Phone

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* 11. Alternative Phone Type

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* 12. Please select the statement that best describes your current situation.

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* 13. Date of Birth

Date

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* 14. What is your gender?

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* 15. What education level have you completed?

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* 16. Graduation or expected graduation year. (YYYY format)

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* 17. In which field have you completed an education?
Note: If you are still in High School please do not answer this question.
If you are currently in school, please indicate your expected graduation date.

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* 18. Upload Resume

PDF, DOCX, DOC file types only.
Choose File

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* 19. Would you be willing to relocate for full time employment?

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* 20. I understand that my participation in any Specialisterne Assessment Program is completely voluntary and travel expenses may not be reimbursed. Our team works with businesses to explain the Autism Advantage. All participants in Specialisterne Autism@Work programs will benefit from their ASD disclosure.

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