AWC Interview Form

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AWC Interview Form

Congratulations! My name is Stephen Pullen, Military Benefits Counselor for Anthony Warren Consultant (USMC) A Veteran Owned agency that has partnered with Military Benefits Companies and the military Network to provide employment, start-up and educational services to veterans like yourself.

Please fill out the questionnaire below to give us; an overview of your goals and experience, assist us in determining what benefits and employment opportunities you qualify for through our Agency. After completion of the form we will contact you again. By submitting this form you authorize AWC and related benefits counselors to contact you.

Finally, after completing this form connect with Anthony Warren Consultant USMC Veteran on LinkedIn at http://www.linkedin.com/in/anthonywarrenconsultant. If you are interested in employment with the agency, you will receive an email within 48 hours after completion of the below form with further information and instructions. If you have any questions feel free to call Anthony Warren at 312-841-7718

First Name *

Last Name *

High School Graduation Date *

Street Address *

City, State, and Zip Code *

Email Address *

Phone Number *

What is the best days and times to contact you at the number you listed. *

DOB *

Highest Level of Education *

What counselor referred you to this form or how did you find out about us? *

College Courses Completed or number of credits *

Program Concentration *

Desired Degree if you did attend school *

Military Branch and status Active, Veteran, reserve *

Are you currently enrolled in college? (if yes when did you start?) *

Are you willing to register and take an online training class if it is a prerequisite to become certified and licensed by AWC and you are reimbursed for registration costs? *

Yes

If hired, give the date you can start *

What areas of benefits would you like us to provide information on? ( Insurance, education, or employment for example)

Submit

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