Recruitment Registration Form

Recruitment Registration Form

If you are an individual with a disability, (or a provider, service coordinator, family member supporting a job seeker), please complete this form. Your submission will help us add the candidate to our Recruitment spreadsheet, which will be shared with local businesses interested in potential hires.

Please list job seeker's first name(Required)
Last Initial(Required)
Preferred Employment Location(Required)
Please describe the type of employment you are looking for.
Please choose from the list below
Full Time or Part Time(Required)
Please provide employment experience including business name, job title, example of the job duties, and number of years at the job.
Share any additional information that you feel would be helpful in your search.
Contact Name(Required)
Please provide your name if you are filling out the form on behalf of a job-seeker.

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