Job Seeker Entry Survey: Filming Notice and Disclaimer

Location(Required)

Name(Required)

First Last

Phone(Required)

Email(Required)

County of Residence(Required)

If you’re not in Florida, please select “Out of State”.

Home Zip Code

Gender(Required)

Female

Male

Prefer not to answer

What is your age range?(Required)

What is your ethnic background?(Required)

White or Caucasian

Black or African American

Hispanic or Latin American

Asian

American Indian or Native Alaskan

Native American or Pacific Islander

Other

Prefer not to answer

Other

What is your marital status?(Required)

Highest level of education(Required)

Less than high school diploma

High school diploma or equivalent (GED)

Some college, no degree

Technical college with certification

Associate degree

Bachelor’s degree

Graduate degree

Prefer not to answer

Are you a veteran?(Required)

Yes

Prefer not to answer

What is your household income?(Required)

Less than $24,999

$25,000 – $49,999

$50,000 – $74,999

$75,000+

Prefer not to answer

Do you have children under the age of 18 living in your household?(Required)

Yes

Prefer not to answer

What is the total number of kids under 18 in your household?(Required)

What is your current employment status?(Required)

Full-time

Part-time

Temporary position

Unemployed – Less than 3 months

Unemployed – 3 to 6 months

Unemployed – 6 to 12 months

Unemployed – More than 12 months

Prefer not to answer

Retired

Are you currently receiving government assistance?(Required)

Yes

Prefer not to answer

Do you attend church regularly?(Required)

Yes

Prefer not to answer

How did you hear about the fair?(Required)

Other(Required)

CAPTCHA

Job Seeker Entry Survey

Caring for families and communities