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Advance Buffalo Program Registration Form

* Indicates required fields

Address*

Either a home or mobile phone number is required*

Home Phone Number:
( ) -
Mobile Phone Number:
( ) -
How did you hear about Advance Buffalo?*
Which of the following jobs are you applying for?*
Do you have vocational training in any of the following areas? (check all that apply):

Your background and work history will be reviewed. Please answer the following questions with a "yes" or "no."
A "no" answer will not disqualify you for this position.

Do you have military experience?*
Is your native language a language other than English?*
Are you a single parent?*
Are you homeless?*
Are you currently a foster child?*
Are you an ex-offender?*
Do you or does any member of your family (in the household) receive public assistance?*
If you are not receiving public assistance, do you believe your household may meet low-income criteria?*
Are you a person with a disability whose own income might meet low-income criteria?*
Are you currently and actively enrolled in a training program?*
Are you an immigrant?*
Are you a refugee?*
Advance Buffalo job opportunities and Training Programs are located in the Western New York Area, if you are not a local resident are you willing to relocate to the Buffalo, NY area?*
Are you willing to commute to the Buffalo, NY area if you live within commuting distance?*
Do you need Public Transportation in order to travel to work?*

Some businesses may require the following. Please indicate those you can do. Please answer "yes" or "no."

Rotational shifts, split shifts, swing shifts, alternate schedules, etc.*
Travel*
Available to work any and all shifts (Shift preference may not be considered - dependent on business)*

Work History: Your confirmation number will be generated automatically when you submit this form. Please submit your resume via e-mail. You will get the e-mail address after you submit this form. Be sure to include "Advance Buffalo" and your confirmation number in the subject line of your e-mail message. You will receive further instructions after you submit this form.

Agreement

Thank you for your interest in the Advance Buffalo Program, however due to your inability or unwillingness to relocate to the WNY area, your registration cannot be processed.

Thanks for the feedback! It will help us improve your experience.