Crosstown Concourse
2017 Job Fair Registration Form

Date: April 29, 2017
Time: 10:00am until 2:00pm
Location: 1350 Concourse Ave
Memphis, 38104 – Central Atrium

Education

 Name of SchoolCompleted (Yes/No)Major/Degree
High School/GED
College
Business/Trade School
Business/Trade School

Work Experience

Employment desired *
Which days are you willing to work? *
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Select the business(es) that you would like to receive this form *

Additional Information

Please complete the information below to determine if you qualify to receive preference for employment and training on projects governed by Section 3. 

Section 3 is a provision of the Housing and Urban Development (HUD) Act of 1968, as amended, 12 U.S.C., 1701u. The purpose is to ensure that employment and other economic opportunities generated by HUD assisted projects shall to the greatest extent feasible be directed to low- and very low-income persons, particularity persons who are recipients of HUD assistance for housing and businesses that employ such persons.

Select one *
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Household income based on HUD FY2016 Income Limits (effective March 28, 2016).

(PLEASE READ THE FOLLOWING COMMENTS CAREFULLY BEFORE SIGNING)

I certify that all of the information on this form is accurate and complete to the best of my knowledge.

I understand that this is not a job application nor application for employment and that by completing this form, I am only providing information and expressing interest in positions located at Crosstown Concourse.

Please sign below using your mouse or mobile accessory.

Signature: *
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Crosstown Concourse and its leasing establishments are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age (under the Age Discrimination Act of 1975) or handicap (otherwise qualified handicapped persons under Section 504 of the Rehabilitation Act of 1975)