Scientific Career Transitions

Free Career Diagnosis for Scientists

Please fill out the following form (in strictest confidence) and click the "NEXT" button at the end of the form for more information.

Name:
Address:
City:	State: Zip:
Phone:(optional)
E-mail:
Confirm E-mail:

1. Are you planning to change your career? yes no

2. What's your current occupation? Why are you dissatisfied?

3. Your "dream" job(s)?

4. How did you hear about our web site? (please select!)

5. If from search engines, what engine and keyword(s) did you use?

6. If from a friend, publication, or other source, please identify.

7. Please tell us something about yourself, including your current career, what you've done to change your career, the outcome of any recent job interviews, geographical or financial constraints and anything else you think we should know.

8. If you decide that you may be interested in our career counseling services -- after discussion with one of our career counselors, upon further reflection, or both -- what delivery method would you prefer:

face-to-face counseling (in our New York City offices: 35 West 81st St. New York, NY 10024)?
distance counseling (using telephone, video-phone, internet, e-mail)?
combination of face-to-face and distance counseling?

9. You may compare yourself to "career change champions" -- people who have changed careers often, easily, happily, and successfully -- by using the following short Scale or long Inventory; each makes explicit those career attitudes and career behaviors we have found to be hallmarks of high-functioning, successful, and satisfied career-changers. Please select and fill in either the "Career Change Ability Scale" (takes about 5 minutes to complete) or the "Career Well-Being Inventory"(about 20 minutes to complete.)

5-minute Scale
20-minute Inventory (recommended)

Scientific Career Transitions
Premium Career Management for Scientists
35 West 81st St.
New York, NY 10024
Phone: (212) 877-2203
Fax: (212) 397-1022