Official Job Fair Registration Form

Name*

First Last

What is your email address?*

Enter Email Confirm Email

*You must use an email address that you can check often or have access to . All job fair related emails and instructions will come by email. Remember, check spam!

Phone*

We ask for your phone number as only a back-up option in case the email you give to us bounces or errors out when we send job fair reminders and log-instructions.

What State Do You reside in? (Please Use State Initial)*

Are you currently receiving Social Security Disability benefits (SSDI and/or SSI)*

Yes, I am receiving SSDI and/or SSI disability benefits
No, I am not receiving SSDI or SSI benefits

Because you receive SSDI/SSI benefits, you may also qualify for our free Ticket to Work job placement services. ****After submitting this job fair form, check your email account right away. Follow the link in the email at the bottom to our 'APPLY NOW page' to submit our jobs application. Many of the employers at the job fair we work with regularly and we can help place you in jobs as part of our free Ticket to Work services.

Are you an existing a client of ours (Employment Options) and have your personal Ticket to Work assigned to us?*

Yes, I am a current client of Employment Options, Inc.
No, I am not a client of Employment Options, Inc.

You answered that you are a current client. Please select which assigned job counselor you currently work with at Employment Options?*

If you are not a current client and do not recognize these names, please mark the previous question no. This question is only for our Employment Options current clients that are assigned to us.

How did you hear about our job fair event?*

Are you currently working now?*

Yes, I am currently working now
No, I am not currently working at this time

What type of employment are you interested in?*

I am interested in Work at Home jobs
I am interested in working in the community (outside the home)
I am interested in both types of employment

(APR 2018) Online Job Fair Registration