SkillBridge Intake Form

First name*

Last name*

Email*

Street address*

City*

State/Region*

Postal code*

Phone number*

Military status*

Military Branch*

What was your highest level of rank achieved in the military?*

How long did or will you serve in the military?*

What is or was your separation date from the military? *

What type of discharge will or did you receive? *

Where is your ideal work location*

What is your LinkedIn URL? (If you do not have one put N/A)*

What are your best qualities as an employee? *

What type of job positions are you seeking? (Include titles) *

e.g., HR, IT, Agriculture, Project Manager, etc.?

What type of SkillBridge Program are you interested in?*

What qualities would you provide to an employer? *

(Elevator Pitch – less than 2 minutes)

Please provide any additional talents or skills you would like us to know about you.*

What is your SkillBridge PTDY Start Date?*

(if you’re not sure, estimate)

Month/Day/Year

What is your SkillBridge PTDY End Date? *

(if you’re not sure, estimate)

Month/Day/Year

What is your SkillBridge Program Availability?*

How many hours can you participate in your SkillBridge Program?*

What do you want to get out of SkillBridge? *

e.g., certification, further Degree Pursuit, etc.?

Can you give additional details about your current situation that would be helpful for us to know?*

Are you or your spouse interested in starting or have started your own business?*

Please upload your most current resume*

Idaho Veterans Chamber of Commerce is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you.

As part of the Idaho State Workforce Development Council Industry Sector Grant supported by the Micron Foundation, we are asked to provide certain information during our quarterly reporting. One of our workforce team members will contact you directly to request information that will need to be requested. The information guarantees our ability to provide services at no cost to our Veterans, Military in Transition, and their family members.

If you understand an Idaho Veterans Chamber of Commerce team member may be contacting, you personally please check the box.*