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Name ________________________________________________________
Location ______________________________________________________
______________________________________________________________
Length of program (specify one):
Days _______ Weeks _______ Months _______ Years _______
Dates: From _______ to _______
Type of experience: _____________________________________________
______________________________________________________________
______________________________________________________________
Certificate, degree, diploma received: ______________________________
______________________________________________________________
Key skills acquired: ______________________________________________
______________________________________________________________
______________________________________________________________
Equipment or tools used in training: ________________________________
______________________________________________________________
______________________________________________________________
SOURCE: Adapted from Ron Krannich, Ph.D., The Re-Entry Employment and Life Skills Pocket Guide (Manassas Park: Impact Publications), pages 8-9. Copyright 2009. All rights reserved. Copying strictly forbidden.
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