Office of Continuing Education School of Social Work Rutgers, The State University of New Jersey 390 George Street, 6th Floor New Brunswick, NJ 08901 Phone: Fax: Email: Web: 732-932-8758 732-932-7057 ce@ssw.rutgers.edu socialwork.rutgers.edu/ce Professional Skills in Job Development Certificate Program Application Form This certificate program is designed to enhance the skills of job developers and employment specialists The program is called the Professional Skills in Job Development Certificate Program and it will provide advanced training for professionals who assist individuals with disabilities to develop and obtain employment The certificate will cover the essential skills required to effectively work with clients and employers in generating high quality and enduring job connections for persons with disabilities The certificate will involve six days of in-class training and will cover diverse topics specific to the needs of job development professionals This certificate program is funded through DiscoverAbility NJ and is free for those accepted into the program To be accepted into this program you must submit this application and supporting documents by the August 30th deadline and commit to attend all six sessions in the fall of 2012 Dates Workshops Six in-class sessions Held in New Brunswick, NJ Thursdays, 9:30am-3:30pm September September October October November November 13 27 11 25 29 Asset-Based Career Assessment and Planning Strategies Connecting to Employers and Understanding the Labor Market Ethical Issues and Practice in Disability Employment Asset-Based Case Management and Career Coaching Understanding and Facilitating the Use of Assistive Technology Facilitating the Job Search Process Using Skill-Building & Technology Please submit this application & supporting materials no later than: August 30, 2012 Name: Employer: Address: Job Title: Phone Office: E-Mail Phone Cell: Please indicate the type of work setting you are employed in: State Government Local/County Government Nonprofit Private-for-profit Other: Please indicate how long you have worked in the disability employment field: Less than two years Two to five years Five to ten years Ten to fifteen years Fifteen+ Indicate highest level of education completed: High School Doctoral Degree Bachelors Degree Other: Masters Degree Fill in text below for each question, save this form as a new document with your name in the title, and submit as instructed below Personal Statement (approximately 300 words) Please describe why you would like to attend the certificate program and how you would use what you learn: Current Employment (maximum 150 words) Please state your job title and describe your current work responsibilities: Applicant Agreement: If accepted, I agree to complete all assignments and attend all learning sessions listed in this agreement (6 full-day workshops) Yes No EACH APPLICATION MUST INCLUDE: A completed copy of this application form A current resume A letter from your supervisor or administrator that: a) Releases you from work to attend all six scheduled sessions listed above b) Recommends you for the certificate program and indicates how your attendance can benefit the organization Email/fax/mail the completed application form, employer letter and resume to (email preferred): cejobs@ssw.rutgers.edu Office of Continuing Education Disability Employment Leadership Academy Rutgers School of Social Work 390 George St., 6th Floor New Brunswick, NJ 08901 Fax: 7329327057 Applications must be received by: August 30, 2012 Each accepted applicant will receive a full scholarship There is no tuition to attend Enrollment is limited Selections are based on strength of application A maximum of four persons may attend from same the office/employer Applicants accepted will be notified by September 4, 2012 Additional info & application forms can be downloaded at http://socialwork.rutgers.edu/academy ... learning sessions listed in this agreement (6 full-day workshops) Yes No EACH APPLICATION MUST INCLUDE: A completed copy of this application form A current resume A letter from your supervisor or administrator... listed above b) Recommends you for the certificate program and indicates how your attendance can benefit the organization Email/fax/mail the completed application form, employer letter and resume... based on strength of application A maximum of four persons may attend from same the office/employer Applicants accepted will be notified by September 4, 2012 Additional info & application forms