Business/Job Seeker Form - Susquehanna Workforce Network

Fill out the information below and click submit to register for the event.

Company Name

Contact Person

Street Address

City

State

Zip

Telephone

Fascimile

Email (for contact person)

Company's Industry Classification

Specific Job to be Filled (#1)

Specific Job to be Filled (#2)

Specific Job to be Filled (#3)

Required Security Clearances

I am interested in other job fair events and future updates.

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Date of Birth:

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