Job Search Resource and WorkSource Center Interest Form
Please complete the following form, which will help me to assist you as quickly as possible. Once you submit this form, I will contact you. Thanks so much!
First Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Telephone Number (format XXX-XXX-XXXX)
Your answer
Can you be texted at the number above?
No
Yes
Clear selection
Email Address
Your answer
Are you currently collecting Unemployment Insurance?
Yes
No
Clear selection
What resources do you need to help you find a job? (Check as many as apply.)
Information about JOBS that are posted through the school or WorkSource Center
Job Fair Information
Resume Assistance
Practice Preparing for Job Interviews
Funding for Job Training
Clothing for Interviews
Transportation to go to work or job training
Information on the City of LA's Targeted Local Hire Program or Bridges to Jobs Program
Other:
What kind of work are you looking for?
Your answer
Would you like to receive emails about job opportunities?
Yes
No
Clear selection
The Downtown/Pico Union WorkSource Center is located at 1055 Wilshire Blvd., Suite 900/Los Angeles, CA 90017. The Hollywood WorkSource Center is located at 4311 Melrose Ave./ Los Angeles, CA 90029. Which location is more convenient for you?
Downtown/Pico Union WorkSource Center
Hollywood WorkSource Center
No preference
Clear selection
Are you currently receiving any type of public assistance (TANF/CALWORKS/General Relief/GROW/Food Stamps/Medi-Cal, etc.)?
Yes
No
Clear selection
Are you a veteran?
Yes
No
Clear selection
Would you like more information about the Career Training Programs offered at Evans and the other schools in LAUSD's Division of Adult and Career Education?
Yes
No
Clear selection
If you answered "YES" to the previous question, what kind of job training are you interested in?
Your answer
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