Welcome to PMI California Inland Empire Chapter

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First Name(*)

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Candidate Intake Application

Contact Information

Last Name(*)

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Email Address(*)

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Mobile Phone Number(*)

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LinkedIn Profile URL (Optional)

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Military Information

Branch of Service(*)

Branch of ServiceArmyNavyAir ForceMarinesCoast GuardSpace ForceNational GuardReserve

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Current Status(*)

Current StatusActive DutyTransitioningVeteranMilitary Spouse

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Expected Separation / Retirement Date (if applicable)

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Desired Career Field(*)

Desired Career FieldProject ManagementInformation TechnologyHealthcareOperationsSupply ChainFinanceHuman ResourcesNot SureOther

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What assistance are you seeking?(*)

What assistance are you seeking?Resume ReviewLinkedIn ReviewInterview CoachingPMP Certification GuidanceMentoringNetworkingJob Search Assistance

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What does success look like for you in the next 12 months? (Paragraph Text)

Attachments

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Resume Upload (Optional)

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Program Acknowledgment(*)

Program AcknowledgmentI understand that participation in the PMICIE Military Outreach and B&L TAP Program is voluntary and does not guarantee employment or specific career outcomes. I authorize PMICIE and participating PMI chapters to use my information for program administration, mentor assignment, and career transition support.

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Administrative Fields (Staff Only)

Program Status

Program StatusApplication SubmittedDiscovery Call ScheduledDiscovery Call CompletedRegional Assignment CompletedMentor AssignedActive ParticipantInterviewingHiredProgram GraduateWithdrawn

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Assignment Information

Assignment InformationAssigned Region (West, Central, East)Assigned PMI Chapter (PMICIE, PMI Alamo, PMI Atlanta)Regional CoordinatorAssigned Mentor

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TAP Tracking

TAP TrackingSubmissionDiscovery Call ScheduledDiscovery Call CompletedRegional Assignment Mentor Assignment Program Start Interviewing Hire Graduation

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Date Modified

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Notes

NotesDiscovery Call NotesMentor NotesInternal Notes

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