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Job Fair Registration Form

Please take a few moments to complete the following job fair registration. The information you provide will help us serve you better.

Information provided may be shared with our partners. If you do not wish for your information to be shared, please indicate so in the appropriate block below.

* Denotes Required Fields
First Name : *
Last Name : *
Address : *
Apartment :
City : *
State : *
Zip : *
E-mail : *
Home Phone : *
Cell Phone :
Employment Status : Employed
Self-Employed
Student
Retired
Homemaker
Unemployed
Business Owner *
Veteran: Yes No *
Retired Military: Yes No *
Disabled : Yes No *
In School : Yes No *
Claim Assistance : Yes No *
Veteran Benefits : Yes No *
Job Search : Yes No *
Become a Pierce County VETS Member : Yes No *
Share information with partners : Yes No *
Service Era : *
Branch : *
About Us : *
The following information is optional and used for demographic purposes only.
Sex :
Children : Yes No
Homeowner : Yes No
Financial Needs Assessment : Yes No
Marital Status : Yes No
Age : 20-25
26-35
36-45
46-55
56-65
65+
Ethnicity/Race :