PHV Veteran Registration Form

  • Veteran and Spouse Registration Form

  • Please complete all required fields so that we can best assist you.

    (We do NOT share any of your information outside of Pittsburgh Hires Veterans EVER! We consider all of your information to be private between you and us. No exceptions!)
  • Registration Date
     - -
  • Format: (000) 000-0000.
  • What is your eligibility for assistance?*

  • Your Military Service

  • Which military branch did you serve in? (All that apply)*
  • What service component did you serve in? (All that apply)*
  • Do you have a Service Connected Disability Rating...*

  • You and Your Household

  • What is your date of birth?*
     - -
  • What is your highest level of education?*
  • What is your race?*
  • What is your gender?*

  • The following questions help us to prioritize services

  • Your Job Search

  • What type of work relationship are you seeking?*
  • What field of work are you looking for?*
  • What is your skill level for this job title?*
  • What is the nature of the work you are looking for?
  • What work environment will you accept?

  • Click to view the entire PHV Employer Network

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Job Readiness and Barriers to Employment

  • What do you think we can help you with?*
  • I have a disability that impacts my ability to work...
  • Do you have a current and valid driver's license?*
  • Do you have personal transportation to commute to work?*
  • Do you rely on public transportation to commute to a job...*
  • What should we know about your legal history?*

  • ...And Finally!

  • How did you hear about Pittsburgh Hires Veterans?*
  • May we send you information about job openings, employment events, and other related information?*

  • Thanks for taking the time to provide the information we need to best help you in your job search. Please watch your email, as we will be getting back with you shortly.

  • Should be Empty: