Professional Advice Request Form

CPS Advisory Network

Professional Advice Request Form

Full name (include credentials if applicable):

Current Status (High School Student, Undergraduate student, Graduate student, recent graduate, unemployed, Professional, New Immigrant):

Your contact information (phone & email):

Your location (City, State):

Industry of Interest (e.g. Healthcare, IT, Oil and Gas, Finance, etc)

Profession of interest (Registered Nurse, Chemical Engineer, Pharmacist, Attorney, Software Programmer, Physician etc)

Professional advice request: Please type Y (Yes) or N (No) next to the type of advice you are requesting from CPS. Type any additional advice request please include under other.

· CV/Resume assistance:

· Industry-specific Advice:

· Undergraduate student Advice:

· High School Student Advice:

· Graduate Student Advice:

· Career advancement advice:

· Entrepreneurship Opportunities in Your Industry advice:

· Advisory information to New Immigrants to US:

· Other (please list):

Link to your Linked-in webpage (If you do not have a linked-in account please create one and include your complete resume):

Comments: (Include any additional information you would like for us to know)

Thank you for completing this form. Please submit this completed form along with a copy of your resume to . By completing this form we can match you with the ideal advisor to provide you with the professional adviser you seek. If you have any additional questions or concerns do not hesitate to call us at (888)-294-0529 or email us at .

Note: This is a FREE service offered by the CPS. By using this service you are agreeing to allow the CPS to use your information (likeness, images, statements, etc) for future promotion about this service. You will be provided with guidelines on how to maintain contact with advisors to ensure this is a successful process for you and the advisor.