Seasonal Worker Interest Form
Full Legal Name: *
Date of Birth
MM
/
DD
/
YYYY
Email *
Phone number *
Address *
City *
Zip Code *
Position Interested In (select one) *
Days Available (Check all that apply)
Hours Available
Party Affiliation
Clear selection
Education
If you are a current city or county employee, list the department and phone number
Select one
Clear selection
I understand that I must meet these criteria (check all as acknowledgement)
Submit
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