2024 JOB READINESS ORIENTATION REGISTRATION
Businesses across New Jersey need thousands of workers for immediate hire. Let us connect you with who is hiring in your community.  You must participate in the orientation to be recommended for employment opportunities and receive information about emergency utility assistance.
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Email *
How would you like to be contacted to set appointment for your mandatory Orientation? *
FIRST NAME: *
LAST NAME: *
STREET ADDRESS: *
CITY: *
ZIP CODE: *
COUNTY: *
PHONE NUMBER: (NO SPACES OR DASHES ) *
INTERESTED EMPLOYMENT INDUSTRY: SELECT ALL THAT APPLY *
Required
HIGHEST LEVEL OF EDUCATION: *
ARE YOU 18 YEARS OF AGE OR OLDER? *
PLEASE SUBMIT YOUR SOCIAL SECURITY NUMBER: (###-##-####) *
PLEASE SPECIFY YOUR GENDER: *
PLEASE SPECIFY YOUR RACE: *
WHAT IS YOUR PRIMARY LANGUAGE?: *
ARE YOU A VETERAN OF THE U.S. ARMED FORCES?: *
DO YOU OWN A VEHICLE?: *
ARE YOU CURRENTLY EMPLOYED?: *
KIND OF EMPLOYMENT YOU ARE SEEKING?: *
WILLING TO WORK WEEKENDS?: *
WILLING TO WORK NIGHTS/OVERNIGHT?: *
DO YOU NEED RESUME ASSISTANCE?: *
DO YOU NEED ANY SPECIAL WORK ACCOMMODATIONS?: *
IF YOU ARE ABLE TO MEET REQUIREMENTS WOULD YOU BE INTERESTED IN RECEIVING UTILITY ASSISTANCE? *
PLEASE NOTE THAT BY SELECTING 'YES' YOU CONFIRM YOUR UNDERSTANDING THAT YOU WILL NEED TO PARTICIPATE IN AN IN PERSON OR VIRTUAL (ONLINE) ORIENTATION TO BE BE RECOMMENDED FOR ALL EMPLOYMENT OPPORTUNITIES AND/OR ACCESS TO EMERGENCY UTILITY ASSISTANCE. *
PLEASE NOTE THAT BY SELECTING 'YES' YOU CONFIRM YOUR UNDERSTANDING THAT YOU WILL RECEIVE AN ORIENTATION INVITE VIA EMAIL *

Notice of Privacy Practice – Communities In Cooperation, Inc. (CIC) - The Linden First Employment & Training Program, and related documents including but not limited to your resume, intake, and/or pre-registration, may be used and/or disclosed by those parties involved in your employment pursuit for the purposes of our assisting in your job search for employment and or assisting with your program participation and all respective entities and program constituencies.  This also includes respective program entities and program constituencies specific to your participation, employers, and their employment team members. Applicable law and ethical standards permit CIC to disclose information about you without your authorization in a limited number of situations such as mandatory governmental audits and court orders as examples. Signing this document means, you have been informed about how this information is shared and it will be reiterated in your respective employment and or program information/orientation session. 

PHOTO/VIDEO RELEASE - I grant to Communities In Cooperation, Inc., The Roselle First Workforce Center, The Linden First Employment & Training Program, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Communities In Cooperation, Inc., its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Communities In Cooperation, Inc. may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above:

Do you agree to the Notice of Privacy and Photo/Video Release above:

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