Career Coaching Registration Form

To be eligible for Career Development services, you must be a regular, full-time employee who has completed their 3-month orientation period in good standing. Do you meet these requirements? *

yes

Name *

Best phone number to reach you *

What type of phone number is that? *

work

home

cell phone

other

Your email address *

May we contact you at this email address? *

yes

Employee ID # *

Total years of employment at UK *

year(s)

Please select the Sector below which best represents the area of the University for which you work *

Specific department where you are currently employed *

Current job title *

Start date in current position *

Month

Day

Year

Current position pay grade

Current salary

Are you an exempt or non-exempt employee? *

Exempt (salary)

Non-Exempt (hourly)

Office number and building name (or street address) *

Department name *

City *

State *

Zip Code *

Fill in the details below about other jobs held at UK, if applicable. Leave blank if not applicable.

Job #1 (leave blank if not applicable)

Title & position grade

Department

Approximate dates worked

Job #2 (leave blank if not applicable)

Title & position grade

Department

Approximate dates worked

What is the highest level of education you have completed? *

Briefly list any other relevant continuing education, certification, SAP, supervisor or professional development training you have completed or are working towards.

What outcomes do you have hope to achieve as a result of career counseling and/ or job search coaching? *

What are your current career goals? *

However uncertain, list any thoughts that you might have.

If you could obtain any specific position(s) or types of jobs at U.K., what are some examples? *

Do you have a preference for working on campus or in the health care Enterprise? *

Is there anything else you would like your career coach to know in order to help you? *

Career Coaching Registration Form

Please note:

Grow in your career with us

University-wide trainings

Learn with us

HUMAN RESOURCES

Contact Us