Integrity Community Job Connection

First Name

Last Name

Client ID

Please enter the last 4 of your SS# and first and last initials. (example 1234FL)

Email

Gender

Please select... Male Female

Race

Please select... Black - African American White Hispanic Latino Asian American Indian Other

Birthdate

Year of Birth

enter all 4 digits - 1964

Date 

Enter Today's Date

Address

City

State

Zip

Phone

Secondary Phone

Please list a 2nd phone number. Family or Friend

Select Your Neighborhood

Please select... Adair Park Ashview Heights Atlanta University Center Bankhead Capitol City Gateway Castleberry Hill English Avenue Grove Park Mechanicsville Non Atlanta Resident Other Peoples Town Pittsburg Vine City Washington Park

Do you live in the English Ave/Vine City Area

Yes

Do you use Social Media?

Please select... Yes No

Social Media you use

Please select... Facebook Twitter Instagram Linkin

Social Media Account or User Name?

How Did You Hear About US?

Please select... AARP Atlanta Public Schools CEFGA City of Refuge Department of Community Supervision Facebook Faith Based/Church Organization Flier Instagram Integrity CDC Internet Job Connection Bus Probation/Parole Officer Quest Shelter/Transitional Housing Social Media Social Service/Government Agency TV/Radio Twitter Walk-In Word of Mouth YMCA

Profile Data

Profile Date 

Enter Today's Date (again)

What Services Are You Seeking?

Please select... Direct Employment Job Fair Registration Job Readiness Program Resume Assistance Vocational Training Voter Registration

Training you would you like to receive

Please select... Accounting Administrative/Clerical Advertising/Marketing Airport Services Asbestos Abatement Automotive Sales/Supplies/Services Background Investigation Banners/Tents Bridges/Tunnels Business Consultant Cable Services CADD Carpentry Catering CDL Class B Cement/Masonry Certified Forklift Operator Certified Nursing Assistant Chemicals Handling/Supplies Child Development Associate City Planning/Urban Design Computer Services Computer Supplies Computers Concessions Concrete/Paving Construction Construction Management Construction Supplies Counseling Courier/Mailing Services Custodial/Janitorial Data Processing Debt Collection Demolition Development Driver Drywall Education Services Electrical Contracting Electrical Supplies Electricians Elevator Services Employment Services Engineering Environmental Consultant Equipment Supplies Erosion Control Excavation Facilities Management Fencing Film Production Financial Services Fire Protection Flooring Food Service Food Supplies Gas/Oil General Construction General Contracting General Labor Geotechnical Engineering Glass Services Glaziers/Glasswork Goods Supplies Grading Hauling Hazardous Material Management/Removal Hazardous Materials Handling Healthcare Services Heavy Construction Heavy Equipment Operation HVAC Hydraulics Information Technology/Computers Insulation Insurance/Bonding Interior Construction Interior Design Janitorial Services Janitorial Supplies Job Readiness Job Readiness/ Soft Skills Landscaping Maintenance Mapping Masonry Medical Medical Assistant Medical Billing and Coding Medical Supplies Moving/Storage Services Noise Abatement Office Furniture/Office Supplies Other Painting/Wall Covering Parking Management Patient Care Technician (PCT) Pest Control Phlebotomy Photography Pipe laying/Piping Plumbing Pressure Cleaning Printing/Graphics/Publishing Professional Training Promotions Property Management Public Relations Real Estate Recycling Renovations Retail Retail Food Retail Goods & services Roofing Security Services Signage Special Event Planning Steel Construction Telecommunication Services Towing Services Traffic Control Transportation Services Trash Removal Warehouse Warehouse/Logistics Welding Digital LiteracyDo not select more than 3 choices. (hold control key to select more than one choice)

Specify Other Training 

(Type here if you selected Other type of Training you want to receive)

Employment and Skills

Event Name

Job Requisition Number

Position Seeking

Please select... Accounting Administrative/Clerical Advertising/Marketing Airport Services Architecture Asbestos Abatement Attorneys Audio Visual Services Audio Visual Supplies Automotive Sales/Supplies/Services Background Investigation Banners/Tents Bridges/Tunnels Business Consultant Cable Services CADD Carpentry Catering Cement/Masonry Chemicals Handling/Supplies City Planning/Urban Design Computers Computer Services Computer Supplies Concessions Concrete/Paving Construction Construction Management Construction Supplies Counseling Courier/Mailing Services Custodial/Janitorial Data Processing Debt Collection Demolition Development Driver Drywall Education Services Electrical Contracting Electrical Supplies Elevator Services Employment Services Engineering Environmental Consultant Equipment Supplies Erosion Control Excavation Facilities Management Fencing Film Production Financial Services Fire Protection Flooring Food Service Food Supplies Gas/Oil General Construction General Contracting General Labor Geotechnical Engineering Glass Services Glaziers/Glasswork Goods Supplies Grading Hauling Hazardous Material Management/Removal Hazardous Materials Handling Healthcare Services Heavy Construction Heavy Equipment Operation HVAC Hydraulics Insulation Insurance/Bonding Interior Construction Interior Design Janitorial Services Janitorial Supplies Landscaping Maintenance Mapping Masonry Medical Medical Supplies Moving/Storage Services Noise Abatement Office Furniture/Office Supplies Other Painting/Wall Covering Parking Management Pest Control Photography Pipe laying/Piping Plumbing Pressure Cleaning Printing/Graphics/Publishing Professional Training Property Management Public Relations Real Estate Recycling Renovations Retail Retail Food Retail Goods & services Roofing Security Services Signage Special Event Planning Steel Construction Stenography/Court Reporting Telecommunication Services Towing Services Traffic Control Transportation Services Trash Removal Utilities Construction Warehouse/LogisticsDo not select more than 3 choices. (hold control key to select more than one choice)

Specify Other Position Seeking

(Type here If you selected Other Position you are seeking)

Previous Positions Held

Please select... Administrative/Clerical Computers Construction Custodial/Janitorial Food Service Hotel Hospitality or Cleaning Landscaping Other Restaurant/Fast Food Industry Retail Warehouse/LogisticsDo not select more than 3 choices. (hold control key to select more than one choice)

From ITCDC Job Connect Form

Yes

Have You Been Convicted of a Felony

Yes(This will not disqualify you for service, It will aide us better in placement assistance)

Do you have a Resume

Yes

Upload You Resume