*2025 Electronic Guest List

I understand photos &/or videos may be taken at the event for PCSI marketing and social media use. I consent to the possibility that my image may be used by PCSI.

Name*

First NameLast Name

Email

example@example.com

Phone Number*

Zip Code*

Event I'm interested in?*

Pardon/Expungement & Job Fair, Monday, September 22, 2025Pardon/Expungement & Job Fair, Thursday, November 20, 2025

Gender*

FemaleMaleI Choose Not to Self-Identify

Race*

Are you currently employed?*

Yes, Full TimeYes, Part TimeSelf EmployedNo Employment

List All I9 Documents you have:*

Do You Have A Criminal Record?*

YesNoI Choose Not To Self Identify

By checking this box, I agree to receive SMS messages about Workshops, Training Opportunities, and Services from PCSI. The SMS frequency may vary. Data rates may apply. Text HELP to 1-412-904-4700 for assistance. Reply STOP to opt out of receiving SMS messages.

Age Range*

18 to 2425 to 3435 to 4445 and over

Signature*

By completing this form you will be added to the guest list for a Pittsburgh Community Services Inc (PCSI) hosted event.