Chiari malformation (CM) is a neurological syndrome in which the cerebellum extends into the cervical spine spurring issues such as neural compression, severe headaches, neck pain, and other physiological symptoms. Previous research suggests that CM can lead to cognitive dysfunction, including areas of executive dysfunction, attention, working memory, and perceptual skills (Rogers, Savage, & Stoodley, 2018) as well as immediate and delayed episodic memory (Allen et al., 2014). Cognitive impairments of any magnitude can be detrimental to the ability to remain employed or to find work (Silvaggi et al., 2020). Additionally, rumination has been found to have a negative impact on cognitive functioning (Brinker, Campisi, Gibbs, & Izzard, 2013). This study hypothesizes that in a sample of people with CM, scores on delayed memory performance can predict issues in employment in such a way that worse cognitive performance predicts more issues with working. We also hypothesize that rumination will moderate the relationship between delayed memory and work issues, such that those who engage in a high level of rumination will have significantly more issues at work compared to those who are low ruminators. Delayed memory is assessed by the Rey Auditory Verbal Learning Test, while rumination is measured using the Rumination-Reflection Questionnaire. Issues in employment are self-reported.