YPIC Job Fair Pre-Admission Form

YPIC Job Fair Pre-Admission Form

Attendee's Information

Last 4 digits S.S.N.:     Gender: D.O.B. (mm/dd/yyyy):

First Name:     Last Name:

City:    State:    Zip Code:

E-mail:

Race:

Citizenship:
Education & Event Information

Completed High School:    or Completed GED:

Highest Grade Completed:

School Enrollment Status:

How did you hear about this event:

Employment

Current Employment Status:

Type of Business Worked In:

Check all that apply:

Have you received termination notice or military separation?
Are you looking for work?
Are you in the military, a veteran, or the spouse of a veteran?
Are you receiving unemployment?
Are you a migrant/seasonal farm worker?
Press the "Submit" button below to display your Job Fair Pre-Admission Confirmation Form.
Print out the Confirmation Form and bring it to the event. It is your Admission Ticket and will
allow you to bypass the registration line on the day of the event.