• Job Fair Registration

    City of Refuge 1300 Joseph E Boone Blvd. Data collected in this form is covered by our privacy policy: https://www.cityofrefugeatl.org/privacy
  • Format: (000) 000-0000.
  • Are you currently employed?

  • The following demographic information is collected for equal opportunity, program reporting, and compliance purposes. This information is kept confidential and will not be shared with employers or job fair recruiters. It may be used in aggregate for grant applications, program reporting, and program improvement.

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Home Address*
  • What is Your Ethnicity?*

  • Race

    Please choose all that apply
  • US Citizen*
  • Highest Level of Education*
  • Have You Served in the US Military?*
  • Are You Disabled?*
  • Do You Receive Public Benefits? Public benefits include SSI, TANF, SNAP, etc.*
  • Do you or a member of your household have Medicaid*
  • Have You Been Convicted of a Felony?*
  • Gender*
  • Should be Empty: