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Are you at least 18 years old?
*
Yes
No
Where did you hear about the event?
*
Facebook
Indeed
Cook County
Village of South Holland
Other
Other
Contact Info
Your full name (For example: John Wick)
*
Phone Number
*
Street Address
Address Line 2
City
State
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
DC
ON
Zip Code
*
Email Address
*
Demographic
Date of Birth
*
+
Gender
*
Male
Female
No Response
Race/Ethnicity
*
American Indian/Alaska Native
Asian
Black/African American
Caucasian, white (non-Latino)
Hispanic/Latino
Native Hawaiian/Other Pacific Islander
Other Asian/Pacific Islander
Multi-Racial
No Response
Highest Grade Completed
*
< 9th grade
9th - 12th grade, no diploma
GED
HS Diploma
Some College
Associate Degree
Bachelor's Degree
Post-Secondary Certification
Graduate or Prof. Degree
Are you a veteran?
Yes
No
Have you ever been convicted of a crime? Our hiring event welcomes and helps people with background. *
*
Yes, as an juvenile.
Yes, as an adult.
No
What level were the charges?
*
Do you have access to reliable transportation?
Yes
No
Are you authorized to work in the U.S?
Yes
No
What kind of jobs are you looking for?
*
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