LeaderQuest Job SeekerInformation ForM Please complete this form to update your job seeker status and information Email Address (Your email address cannot be changed on this form. If you would like to update it, please contact us.)First Name*Last Name*Which best describes your current employment status?*--Select One--UnemployedEmployed in Another FieldEmployed in IT Prior to LeaderQuest TrainingEmployed in IT after LeaderQuest TrainingApproximately when did you start this position?* Date Format: MM slash DD slash YYYY What type of employment is it?*--Select One--ContractContract to HireDirect PlacementWhat company are you working for?*What is your job title?*What city do you work in?*Which best describes your Job Seeker Status?*--Select One--Active Job SeekerPassive Job SeekerNot Seeking EmploymentSeeking a Raise or PromotionAre you willing to relocate for work?* Yes No Are you willing to travel for work?* Yes No What is the highest level of traditional education you have achieved?*--Select One--High School/GEDAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate DegreeWhat are a few job titles that you are interested in pursuing?*Do you hold any of the following certifications?*Hold CTRL to select more than one if applicableNo CertificationsCertified Associate Project Management (CAPM®)CompTIA Advanced Security Practitioner (CASP)Cisco Certified Entry Networking Technician (CCENT)Cisco Certified Network Associate (CCNA)CCNA SecurityCertified Ethical Hacker (CEH)Computer Hacking Forensic Investigator (CHFI)Certified Information Systems Security Professional (CISSP)Certified Network Defender (CND)CompTIA A+CompTIA Net+CompTIA Security+EC-Council Certified Encryption Specialist (ECES)EC-Council Certified Incident Handler (ECIH)EC-Council Certified Security Analyst (ECSA)EC-Council Disaster Recovery Professional (EDRP)ITILProject Management Professional (PMP®)LinkedIn profile URL EmailThis field is for validation purposes and should be left unchanged.