La Plaza's Latino Opportunity Center

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

First Name | Primer Nombre *

Last Name | Apellido *

Phone Number | Número de teléfono *

Email Address | Correo electrónico *

Yearly Income | Ingreso anual *

What city do you live in | En cual ciudad vive? *

Time of day you are available | Hora del día en que está disponible *

Morning 8-11

Afternoon 11-4

Evening 4-8

Other:

Required

Are you only looking for a job? | ¿Solo estás buscando trabajo? *

Yes | Si

Maybe

Other:

Required

Do you know how to use a computer? | Sabes usar una computador?

Yes

Maybe

Clear selection

Do you have a bank account? Tienes una cuenta de banco?

Sí

Tal vez

Clear selection

Do you have credit established? | Tienes credito establecido?

Yes | Si

Other:

Clear selection

Would you be interested in being part of La Plaza’s Latino Opportunity Center (LOC)? Through the expansion of our LOC, La Plaza will provide services to help Latinos in Marion County learn about, prepare for and secure a promising job that will build skills towards a career path. | ¿Le interesaría ser parte del Centro de Oportunidades Latinas (LOC) de La Plaza? A través del Centro Latino de Oportunidades (LOC), La Plaza brindará servicios para ayudar a los latinos en el condado de Marion a aprender, prepararse y asegurar un trabajo prometedor que desarrollará habilidades para una carrera profesional. *

Yes | Si

Maybe

Clear form

Never submit passwords through Google Forms.

This form was created inside of La Plaza. Report Abuse

Forms