2. For Job Seekers
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip*
13. Email*
15. Gender*

    1. Male
    2. Female
17. Age*
19. Current school status?

    1. Currently in high school (grade: 10, 11, 12)
    2. High school graduate
    3. GED
    4. College graduate
    5. Currently in college
21. Employment status?

    1. I am unemployed and not attending high school
    2. I am unemployed and not attending college
    3. I am employed and looking for a different job
    4. Other (please specify)
23. If other than please specify
25. What type of employment are you seeking? (Select all that apply)

    1. Full time
    2. Part time
    3. Summer work
27. What type(s) of positions/fields interest you? (Select all that apply)

    1. Administrative
    2. Customer Service
    3. Education
    4. Financial Services
    5. Government
    6. Health Care
    7. Hospitality
    8. Information Technology
    9. Law Enforcement
    10. Management
    11. Research
    12. Retail
    13. Sales
    14. Other
29. If other, please specify
31. How did you hear about this event? (Select all that apply)

    1. Internet
    2. Email
    3. Facebook/Twitter
    4. A friend
    5. Flyer
    6. Newspaper
    7. Radio/TV
    8. Other
33. If other, please specify
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

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