Airport Jobs Registration Form DO NOT FILL OUT THIS REGISTRATION FORM IF YOU RECEIVED SERVICES FROM PORT JOBS OR CONSULTED WITH PORT JOBS STAFF IN THE PAST. PLEASE CONTACT US DIRECTLY! Go to https://portjobs.org/visit for contact info. Please provide us as much information as you can. A staff member will review and reach out to assist you in finding a suitable career path or related classes. Thanks! * denotes required fields 1. Name and Contact Information First Name* Middle Initial Last Name* IIIIIIVVJrSr Mobile Phone* Other Phone Street Address Apt/Unit # City Zip Email Date of Birth* 2. Driver's License or State Identification Driver's License or State Identification* Washington State Driver's License (Standard or Enhanced)Another State's Driver's License (Standard or Enhanced)Identification Card (Standard or Enhanced)Commercial Driver's License (CDL)None of the above 3. Are You Currently Working? Currently working?* Employed Outside of The AirportEmployed at AirportNot Employed 4. Language and Work Status Primary Language spoken at home* AcholiAkanAlbanianAmharicAnuakArabicArmenianASL (American Sign Language)AzariAzerbaijanBanglaBantuBassaBeliBelorussianBembaBengaliBerberBesayaBisayaBonoBosnianBulgarianBurmeseCambodianCantoneseCarolinianCebuanoChamChamorroChimaraChinChineseChuukeseCreoleCroatianCzechDanishDariDinkaDioulaDjermaDutchEnglishEritreanEstonianEthiopianEweFarsiFijianFilipinoFrenchFulaGarifunaGermanGreekGujaratiGuragignaHandy-PrishaianHarariHausaHawaiianHebrewHindiHmongHungarianIgboIlocanoIndianIndonesianItalianJapaneseKarenKazakhKazathKerioKhamKhmerKikuyuKinyarwandaKirundiKiswahiliKiziguaKiziqueKoreanKosraeanKunamaKurdishLaoLaosLaotianLatvianLingalaLithuanianLugandaMacedonianMadiMaimaiMalayMalayalamMandarinMandingoMandinkaMarakaMarathiMarshalleseMicronasianMienMongolianMoroccanMoruMyanmarNepaliNigerianNorwegianNuerOromicOromoPakistaniPalauanPampangoPangasinanPashtu/PashtoPatiosPersianPhilipinoPohnpeianPolishPortugesePunjabiRefaluwaschRomanianRussianSahoSamoanSanskritSerahuliSerbianSherpaSiberianSindhiSinhaleseSlovacSm'algyaxSomaliSoninkeSpanishSwahiliSwedishTagalogTahitianTamilThaiTibetanTigrinyaTonganTrukeseTurkishTwiUkrainianUrduUyghurUzbekVietnameseVisayaWelshWolofYorubaYupikZande Eligible to work in the U.S.? * Yes No 5. Demographics (Voluntary for Research and Reporting Purposes Only) Gender MaleFemaleNon-binaryTrans-manTrans-womanNone of the aboveDo not wish to discloseOther Race/Ethnicity AfricanAfrican American/BlackAmerican Indian or Alaska NativeAsianAsian/Pacific IslanderCaucasian/WhiteNative Hawaiian or Pacific IslanderOtherSpanish/Hispanic/Latino 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 Ages of children 6. Education Highest Level of Education* Some High School (no diploma)High School Diploma or GEDSome College (no degree)Industry Recognized CertificateAssociate degree (2yr)Bachelors degree (4yr)Post Graduate Degree in what country?* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaCNMI (Commonwealth of the Northern Mariana IslandsCNMI (Saipan)ColombiaComorosCongoCongo (Zaire)Cook IslandsCosta RicaCote d'Ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEnglandEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFuiGabonGambiaGaza Strip and West BankGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory Coast (Cote d'Ivoire)JamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States of MogadishuMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSaipanSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and Montenegro (Yugoslavia)SeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandThe GambiaThe Holy SeeTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Virgin IslandsUruguayUzbekistanVanuatuVenezuelaVietnamWalesWest Bank and Gaza StripWestern SaharaYemenYugoslavia (see Serbia and Montenegro)Zaire (see Congo)ZambiaZimbabweAntigua and BarbudaKorea, SouthMicronesiaBosniaSerbia and MontenegroCongo (Kinshasa)SuuaAfricaDemocratic Republic of CongoEuropeKazakhstahSan Sebastian Hagunoy BulacanKorea, NorthCongo (Brazzaville) 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* HomelessHoused 8. Assistance Do you currently receive monthly FOOD assistance (Food Stamps/EBT/Quest/SNAP) from DSHS? YesNoNot Sure Do you currently receive monthly CASH assistance (TANF/LEP Pathways) from DSHS? YesNoNot Sure Are you currently working with another office/agency under the BFET, LEP Pathways, RISE or ORIA programs? YesNoNot Sure 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?* BikeRail/BusCarWalkOther 10. I would like help with the following: Job Search Enroll in College/Tech Pass SIDA AOA Test Meet with Career Nav AJ Workshops Online Job App Assistance 11. How did you hear about Airport Jobs | Airport University? Airport SignAJ/AU StaffCase Manager/Employment SpecialistEmployerFlyer/Airport SignFriendInternetJob/Resource FairSchoolWalk-InWorkSource 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.
