Event Registration Form

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ARIZONA@WORK Pinal County provides services to Pinal County job seekers to prepare for employment. For information on ARIZONA@WORK Pinal County services, including job search assistance, and upcoming workshops, call (520) 509-3555 or visit pinal.gov/workforcedevelopment.

Email *

Please select type of registration: *

First and Last Name *

Cell Phone Number *

Zip Code *

How did you first learn about this event? *

Are you a veteran or eligible spouse? *

Yes

Have you worked in agriculture in the last 24 months? *

Yes

Are you currently employed? *

Yes

If you are not currently employed, who was your last employer?

Dates of employment

If you are currently employed, what is your current job title?

If you are not currently employed, what was your last job title?

Do you require reasonable accommodations?

Yes

Clear selection

What reasonable accommodations are being required?

Equal Opportunity Employer / Program • Auxiliary aids and services are available upon request to individuals with disabilities. Certain accommodations require 48 hour notice. To request this document in an alternative format or for further information about the ARIZONA@WORK Pinal County Equal Opportunity and Affirmative Action policy, please call 520-866-6227. TTY/TDD Services 7-1-1

Steven's Amendment: https://www.pinal.gov/1518/Stevens-Amendment

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