BALTIMORE COUNTY OFFICE OF EMPLOYMENT AND TRAINING



World of Possibilities Career Fair

ATTENDEE REGISTRATION FORM

LOCATION: Timonium Fairgrounds DATE: may 6, 2009

LAST NAME: __________________________FIRST NAME:

ADDRESS:

CITY: STATE: ZIP:

PHONE: EMAIL:

EMPLOYMENT GOAL (Type of Job You’re Seeking)

SKILLS, CERTIFICATIONS, LICENSES:

HOW DID YOU HEAR ABOUT THIS EVENT? ____ ONE STOP CENTER:

ADVERTISEMENT: ___ NEWSPAPER ___ RADIO:

OTHER:

ACCOMMODATIONS REQUESTED? ___________________________________________________________

IF YOU USE ASL, WILL YOU HAVE A JOB COACH, FRIEND, OR FAMILY MEMBER WHO USES ASL WITH YOU?

___________________________________________________________________________________________

**NOTE: FLOATING INTERPRETERS WILL BE AVAILABLE ON SITE DURING THE FOLLOWING TIMES: 11:00 AM to 1:00 PM

Please Return This Form to:

Hal Franklin, Administrator

Office of Community Conservation

Drumcastle Center, 2nd Floor (MS #1102M)

6401 York Road

Baltimore, Maryland 21212

Or email it to: hfranklin@

This event is supported in part with funds from the Medicaid Infrastructure Grant (CFDA 93.768) awarded by Centers for Medicare and Medicaid Services and the National Disability Institute's Real Economic Impact Tour..

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