Help Needed Form Submission

  • Contact Information

    For privacy reasons, we will only ask that you share an email address for companies to respond to. Once they reach out, you can give your phone, mailing and/or social information.
  • Preferred email for businesses to respond to
  • Optional - Share your LinkedIn Profile URL so potential employers can get to know you better
  • Job Search Information

    To help prospective companies, please share the following details about your career search
  • For example: Accountant, Truck Mechanic, Waiter/Waitress
  • Share any professional certifications/licensing, skills applicable to your ideal position, volunteerism, etc.
  • This field is for validation purposes and should be left unchanged.

P.O. Box 1179
Burlington, CT 06013
Tel. (860) 506-7789