Please enter the department / division and name of the program(s) that you are involved with. If you are involved in more than one program, please be sure to separate each program name with a comma.

(a)	Department / Division:

* (b)	Name of Program(s):

(c)	Program / Organization's Website:
		http://

Contact Information:

* Mailing Address:

P.O. Box:
Street:
City / Town:
Province / Country:	/
Postal Code:

* School District:

ie. In which of the 5 school district regions is your base of operations (school, community group,office, home, etc ) located ?

(Click here to see the regional map)

* Your Name:

* Your Desired Password:

* Please indicate which job title might best reflect your occupational area:

(Note)

School Related Job Titles
      Career Education Teacher (Elementary)
      Career Education Teacher (High School)
      Career Education Teacher (Intermediate)
      Career Education Teacher (unspecified)
      Co-operative Education Teacher
      District Specialist
           specify area:

District Specialist (All-Grade K-12)
District Specialist (Elementary)
District Specialist (High School)
District Specialist (Intermediate)

      Educator
           please specify:       Enterprise Education Teacher
      Guidance Counsellor
           please specify:

Guidance Counsellor (All-Grade K-12)
Guidance Counsellor (Elementary)
Guidance Counsellor (High School)
Guidance Counsellor (Intermediate)
Guidance Counsellor (Post Secondary)

School Administrator
please specify:

School Administrator (All-Grade K-12)
School Administrator (Elementary)
School Administrator (High School)
School Administrator (Intermediate)
School Administrator (Post-secondary)

Skills Canada-NL Facilitator
Teacher Ambassador

Teacher Ambassador - Skilled Trades
Teacher Ambassador - Technology Industry

      Other school related job title
           please specify:

Community Based Job Titles
      Career Counsellor
      Career Development Practitioner
      Career Development Specialist (CDS)
      Career Information Officer
      Career Management advisor
      Employment Counsellor
      Employment Services Officer
      Executive Director
      Field Worker
      Peer Support Counsellor
      Program Co-ordinator/Facilitator
      Social Worker
      Vocational Employment Counsellor
      Vocational/Rehabilitation Counsellor
      Work Placement Co-ordinator
      Other community based job title
           please specify:

Note: Users of the CD Network will be able to search this data base by your job title. You may have your name included in a number of different data base searches by specifying more than one job title.(i.e. If you are a career education teacher as well as a cooperative education teacher, and a guidance counsellor, you may choose either one, two or all three of these job titles to be included in any search of our data base.)

What do you do?

(Describe in a sentence or two the focus of your work and the kind of career development services you might provide.)

* Please specify the group of people you "mainly" work with in the area of career development :

If others, please specify:

10.

Please indicate as many of the following characteristics, if any, that might apply to individuals within your group:

(This will help the CD Network connect colleagues with similar interests.)

11.

* Telephone:

( ) - ext. ( )

12.

Fax:

( ) -

13.

* Email:

14.

We could use your support.

The Community Career Centre (CCC) needs all the support we can get to better serve our participants and community partners. Please consider two ways you could help.

Become a registered member of the Community Career Centre (no cost) by clicking the appropriate box below.

Yes, I would like to become a
CCC member
No, I'd rather not

15.

Tell a Colleague:

Please encourage other colleagues interested in career development to register with the CD Network.

Check this box to e-mail the following message to your colleagues:

"Check this CD Network Directory out at www.communitycc.ca. It's a great way to connect with all those people in our Province who are interested/involved in career development. Consider registering on-line. Please make sure you e-mail your colleagues and help us build our CD Network throughout Newfoundland and Labrador.."

Check this box if you would also like to include a personal note with the above message.

Your friend's email address(es):
1.
2.
3.

*Note: If you have more than three email addresses, you may put in more than one email address in each of the boxes below. Please be sure to separate them with commas (,)

Back to the CD Network directory

Career Development Network Registration Form

Career Development Network
Registration Form