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Career Center Registration
For questions regarding this form, please call 516-485-5000. Please note: We are temporarily not accepting applications from individuals ages 16–17.
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Details
*=Required fields
Application Date:
Do you need an interpreter?*
At this time, we are only accepting applications from individuals 18 years of age or older.
Are you registered for Selective Service?*
NY Drivers License
Are you a U.S. Citizen?*
If no, are you authorized to work in the US?
Ethnicity / Race
Note: The Ethnicity and Race questions are voluntary. Information is confidential and will only be used for record keeping and affirmative action requirements. You will not be penalized if you do not want to answer.
Race (Select all that apply):
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