Distance Services Request Form

REQUEST FOR DISTANCE SERVICES FORM

Please Note:

Distance services are available only for alumni and students of the Rutgers-New Brunswick and Piscataway campuses.

Completion of this form is not a guarantee that distance services will be provided.

Personal Information
First Name: M.I. Last Name: Gender:
Mailing Address:
City: State:

Undergraduate Studies:
College: If "Other":
Degree: Graduation Date (mm/yy):
Major 1:

Major 2:

Minor 1:

Minor 2:

Graduate Studies:
College/University:
Area of Study:
Highest Degree:
Graduation Date (mm/yy)

Preferred means of contact:
Contact me via:
(If via phone best days and EST times)

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Please indicate all factors that prevent you from visiting our office for an in-person appointment:
I am studying or working abroad.
I live or work 50 or more miles from New Brunswick.
I have a physical disability.
Other
Please specify:

Services Requested:

Document Critique (Check all that apply)
Resume
Cover Letter
Curriculum Vitae (C.V.)
Personal Statement

Career Information and Planning (Check all that apply)
Career assessments
Career transition
Job search strategies
Interviewing techniques
Researching employers and occupations
Networking techniques
Salary negotiations
Applying to graduate school
Other

Please specify:

Still have questions?
Ask the Career Knight

Send comments to:
Rutgers University - CAREER SERVICES - New Brunswick