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Member Registration

Please fill out the form below to register with iRelaunch.

iRelaunch seeks members who have a minimum of five years work experience and/or a graduate degree or equivalent experience. If your background and experience fit these criteria, please fill out the following registration form and submit. We will review your registration and notify you of your acceptance into iRelaunch.

Having been through career breaks ourselves, we recognize that individuals who join iRelaunch are in all stages of career break, from just starting their break, to becoming a strategic volunteer, to thinking about returning to work, to actively starting a job search.

Please provide as much information as you feel comfortable on the form below, but be sure to give us enough information to determine that you meet our minimum criteria for membership, i.e., at least five years work experience, and/or a graduate degree, and/or equivalent experience. If you have a resume prepared and would prefer to use that, please do, but a resume is not required. We are looking forward to welcoming you to the iRelaunch community.

Fields marked with an asterisk * are required.

Personal Information
   
*First Name
Middle Initial
*Last Name
Street Address 1
Street Address 2
*City
*State
*Zip Code
*Country
   
Account/Contact Information
   
*Password

*Re-type Password

  Password should be 6 or more characters in length.

*Security Question

*Answer to Security Question
*Email Address
Phone Number
Fax Number
   
Career Break Experience: Please list and/or describe any significant volunteer, consulting or other career break experience in the spaces below.
   
Experience 1 (Most Recent)
   
Role
Organization / Company
Description
   
Experience 2
   
Role
Organization / Company
Description
   
Experience 3  
   
Role
Organization / Company
Description
   
Previous Work Experience
   
Experience 1 (Most Recent)
   
*Job Title
*Employer
*Industry
*Function

Description

   
Experience 2
   
Job Title
Employer
Industry
Function

Description

   
Experience 3  
   
Job Title
Employer
Industry
Function
Description
   
Education
   
Undergraduate Degree
   
*Undergraduate Major
*Undergraduate Institution
*Year
   
Graduate Degree 1  
   
Degree
Institution

Year

   
Graduate Degree 2  
   
Degree
Institution

Year

   
Additional (For example, fluency in other languages, computer programming languages, computer programs  such as SAP, Oracle, Brass, etc.)
   
Career Relaunch Preference
   
Please select your desired job preferences (Select all that apply).
   
Type of Position 1
Type of Position 2
Type of Position 3
  "Non-traditional Full Time" means full time but not during a conventional work day.
Hours Per Week
Willingness to Travel
   
When do you anticipate seeking to return to work?
   
Resume: If you wish, copy and paste your resume below. We may ask you to send us a Word or pdf file of your resume later if needed.
   
 
 
 

 

 

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Email: info@iRelaunch.com
Phone: 973.458.1535

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