Fair Chance Program

Fair Chance Program Interest Form

This Job Seeker Interest Form will help connect you to employment and support services by referring you to a local LA County America's Job Center of California (AJCC). After you submit the form, an AJCC representative will contact you directly to get you started with personalized career services and support.

Are you a Los Angeles County Resident? (Value Required)

First Name (Value Required)

Last Name (Value Required)

Phone (Value Required)

Email (Value Required)

Street Address (Do not input building, suite, unit, or apt numbers in this field) (Value Required)

Building, Suite, Unit, or Apt Number

City (Value Required)

Zip Code (Value Required)

State (Value Required)

Country (Value Required)

USA

What job are you interested in? (limit to 1000 characters)

0 / 1000

Main Region

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Fair Chance Form

Contact Information

Address

Additional Information

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