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Airport Jobs Registration Form

* denotes required fields

1. Name and Contact Information

First Name* Middle Initial Last Name*

Mobile Phone*

Other Phone

Street Address Apt/Unit #

City

Zip

Date of Birth*

2. Driver's License or State Identification

Driver's License or State Identification*

3. Are You Currently Working?

Currently working?*

4. Language and Work Status

Primary Language spoken at home*

Eligible to work in the U.S.? * Yes No

5. Demographics (Voluntary for Research and Reporting Purposes Only)

Gender

Race/Ethnicity

Are you a veteran? Yes No

Number of adults over the age of 18 in your home (including yourself)

Number of children under the age of 18 in your home

6. Education

Highest Level of Education* in what country?*

If you have post High School experience, what certificate or degree did you receive or are you pursuing?

Are you currently enrolled at a college or university?* Yes No

7. Housing

Housing Status*

8. Assistance

Do you currently receive monthly FOOD assistance (Food Stamps/EBT/Quest/SNAP) from DSHS?

Do you currently receive monthly CASH assistance (TANF/LEP Pathways) from DSHS?

Are you currently working with another office/agency under the BFET, LEP Pathways, RISE or ORIA programs?

9. Resources - Do you have access to the following?

Do you have access to a computer with internet access?* Yes No

What is your current mode of transportation?*

10. I would like help with the following:

11. How did you hear about Airport Jobs | Airport University?

Referred by

I agree that by submitting the Airport Jobs registration form I give permission to Port Jobs to use this data to assist me in job search, and for required research and reporting.

Privacy | Confidentiality Notice:
Port Jobs respects your privacy and abides by confidentiality and non-disclosure policies. We will only use this data to assist your job search, and for required research and reporting.

Port Jobs is an equal opportunity employer and provider of employment and training services. Auxiliary aids and services are available upon request to persons with disabilities.

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