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Intake form
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Name
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Email address
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What is your current employment status?
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Employed
Unemployed
Freelancer
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What industry do you currently work in or wish to transition to?
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Technology
Healthcare
Finance
Education
Manufacturing
Retail
Hospitality
Others
If Others, please specify:
What skills do you currently possess?
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Programming
Project Management
Data Analysis
Customer Service
Marketing
Sales
Design
Others
If Others, please specify:
What skills are you interested in acquiring?
How soon do you wish to start reskilling?
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Immediately
Within a month
Within 3 months
Within 6 months
No specific time frame
What challenges do you face in your current job or career path?
Additional questions or comments
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