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Urban League of Greater Chattanooga: 2021 Spring Job Fair Registration Form
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* Indicates required question
Name
*
Your answer
Address: Street, City, State & Zip
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Race
*
Choose
Asian
Black
Hispanic/Latino
White
Other
Are you currently employed?
*
Choose
Yes
No
If you are employed, please choose one of the following:
Choose
Full time
Part time
Temporary
Other
Option 5
If employed, please list your current employer or occupation
Your answer
Education
*
Choose
less than high school diploma
high school diploma
vocational training certificate
some college
college graduate
advanced degree
Did you suffer a loss or reduction in your employment or business related to the COVID-19 pandemic?
*
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Yes
No
Have you ever received services from the Urban League of Greater Chattanooga?
*
Choose
Yes
No
If yes, what type of service did you receive from the Urban League?
Your answer
Have you ever received services from The American Job Center?
*
Choose
Yes
No
If yes, what type of service did you receive from AJC?
Your answer
Are you interested in receiving information about upcoming job opportunities and career training?
*
Choose
Yes
Customer Service Certification Training
Construction Pre-Apprenticeship Training
IT Support Certification Training
Phlebotomy Certification Training
No
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