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Job Seeker Form
Job Seeker Form
Are you at least 18 years old?
(Required)
Yes
No
Name
(Required)
First
Last
Phone
Email
(Required)
Zip Code
(Required)
Please tell us a little bit about your current or last job. What kind of work did you do? What were your responsibilities? Did you manage projects and/or people? What skills did you use regularly?
What is your minimum pay requirements?
We work with community partners to connect neighbors with resources that support them and their families. Please select any additional resources you may be interested in.
Transportation / Car Repair
Dependent Care
Housing / Homelessness
Counseling
Legal Assistance
Rent / Mortgage
Utility Bills
Stress & Mental Health
Understanding Your Benefits
Food / Nutrition
Other
What was the certification or degree you received?
High School Diploma or GED
Technical or Skill Training / Certification
Associate's Degree
Bachelor's Degree
Post-Graduate
Other
Are you interested in receiving additional training and/or skill development?
Yes
No
Maybe
If you answered "yes" or "maybe" to the previous question, please explain what type of training you are interested in.
If you have a resume or cover letter available, please upload it here.
Max. file size: 50 MB.
Is there anything else you would like to tell us about yourself and/or your job search?
When are you available to begin working?
MM slash DD slash YYYY
Do you authorize AGR to share your information for the purpose of hiring opportunities?
(Required)
Yes
No
Would you like to be added to AGR email lists so you can receive communication about events and opportunities in the community?
(Required)
Yes
No
Email
This field is for validation purposes and should be left unchanged.
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