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HEALTH CAREER JOB SEEKER REGISTRATION
Monday, February 18, 2019 •
2pm-6pm
HEALTH CARE JOB SEEKER REGISTRATION
HEALTH CARE CANDIDATE INFORMATION
Times Union Health Care Fair- Job Seeker Registration
Gender: *
M
F
First Name: *
Last Name: *
Email: *
City*
State*
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip*
Country: *
Age: *
18-24 yrs.
25-34 yrs.
35-44 yrs.
45-54 yrs.
55-64 yrs.
65+ yrs.
Highest Level of Education: *
High school
Some college (1-3 yrs)
Attending college
Associates (2 yr.)
Bachelors (4+ yrs)
Masters
Ph.D., JD, DDS, MD, DVM, DO
Current Employment Status: *
Full-Time
Part-Time
Unemployed
Retired
Student
In what field are you searching for a position? *
Education
Finance
Healthcare
Human Services
IT
Insurance
Manufacturing
Sales
Other:
How did you find out about the Job Fair? *
timesunion.com
Times Union Newspaper
Friend
Facebook
Indeed
Other:
What resources do you use to find employment opportunities? (Check all that apply.) *
Times Union Newspaper
JobsWeekly
timesunion.com
careerbuilder.com
monster.com
capitalareahelpwanted.com
indeed.com
Department of Labor
Other:
I hereby authorize the Times Union and its agents to utilize this information for data collection purposes. The information on this form is confidential. I fully understand that the Times Union and the participating companies have made no representation or provided any guarantee, express or implied, regarding my securing employment.
Signature *
Date *
Thank you for contacting us.
We will get back to you as soon as possible
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CONTACT INFORMATION
Mike Taylor
Michael.taylor@hearst.com
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