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Organizer Application

First Name
Last Name
Address
City
State	[select]AlabamaAlaskaAlbertaAmerican SamoaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingYukon Territory
Zip
College / University
Graduation Date
Phone (Home)	(ddd) ddd-dddd
Phone (Cell)	(ddd) ddd-dddd
Email
Ethnicity (Optional)	[select]AsianAmerican Indian/Alaskan NativeNative Hawaiian or other Pacific IslanderWhiteBlack or African AmericanHispanic or LatinoTwo or more races
Veteran?	NoYes
Vietnam Veteran?	NoYes
Disabled Veteran?	NoYes
Spanish	noneconversationalbilingualnative
Other languages you speak
Valid Driver's License?	YesNo
Job Applying For
How did you hear about this job?	[select]RecruiterCommunity OrganizationProfessorFriendUNITE HERE contactWebsite
Website or Referrer's Name
Applying for Training?	NoYes
Training	[select]Detroit, Michigan 2 Day Training, January 25 & 26 2008Boston, Massachusetts 2 Day Training, Feb. 22 & 23 2008Philadelphia, PA 2 Day Training, April 18 & 19 2008Los Angeles, CA 2 Day Training, May 2 & 3 2008Newark, New Jersey 2 Day Training, June 6 & 7 2008Phoenix, AZ 2 Day Training, April 25th & 26th 2008
Will Travel?	NoYes
Will Relocate?	NoYes
Resume
Please provide two references. Reference #1
Name
Organization
Phone	(ddd) ddd-dddd
Email
Relationship
Reference #2
Name
Organization
Phone
Email
Relationship