Interest Form for City Cleanup Corps Job Opportunities Question Title * 1. Please provide your contact information. First Name Last Name ZIP/Postal Code Email Address Phone Number Question Title * 2. What is the highest level of education you have completed? Less than High School Diploma High School Diploma or Equivalency (GED) Some college Associate degree Bachelor's degree Master's degree or PhD Question Title * 3. About how many years of total work experience do you have? Less than 1 year 1 to 3 years 3 to 6 years 6 or more years Question Title * 4. Please indicate about how much work experience you have in each of the following areas. (Note: most positions do not require any previous work experience.) None Less than 1 year 1 to 3 years 3 to 6 years 6 years or more Gardening or outdoor grounds maintenance Gardening or outdoor grounds maintenance None Gardening or outdoor grounds maintenance Less than 1 year Gardening or outdoor grounds maintenance 1 to 3 years Gardening or outdoor grounds maintenance 3 to 6 years Gardening or outdoor grounds maintenance 6 years or more Cleaning or indoor maintenance Cleaning or indoor maintenance None Cleaning or indoor maintenance Less than 1 year Cleaning or indoor maintenance 1 to 3 years Cleaning or indoor maintenance 3 to 6 years Cleaning or indoor maintenance 6 years or more Construction Construction None Construction Less than 1 year Construction 1 to 3 years Construction 3 to 6 years Construction 6 years or more Restaurants or other hospitality work Restaurants or other hospitality work None Restaurants or other hospitality work Less than 1 year Restaurants or other hospitality work 1 to 3 years Restaurants or other hospitality work 3 to 6 years Restaurants or other hospitality work 6 years or more Technology (help desk support, networking support, building web pages, etc.) Technology (help desk support, networking support, building web pages, etc.) None Technology (help desk support, networking support, building web pages, etc.) Less than 1 year Technology (help desk support, networking support, building web pages, etc.) 1 to 3 years Technology (help desk support, networking support, building web pages, etc.) 3 to 6 years Technology (help desk support, networking support, building web pages, etc.) 6 years or more Question Title * 5. Which boroughs of the city would you prefer to work in? Please choose all that apply. Bronx Brooklyn Manhattan Queens Staten Island Question Title * 6. Do you have a valid New York State driver’s license? Yes No Question Title * 7. Do you have a valid New York State Commercial Driver's License Class B or A? Yes No Question Title * 8. How did you hear about us? Please choose all that apply. 311 Advertisement (bus ad, online ad, etc.) Community-based organization Elected official Family/friends/colleagues Government agency News story Social media (Facebook, Twitter, Instagram, etc.) Other (please specify) Question Title * 9. Please indicate which age range you fall into. Under 18 18 to 24 25 or older Question Title * 10. Are you currently enrolled in school? Yes No Question Title * 11. Please indicate what type of schedule you seek. Check all that apply. Full-time (35 to 40 hours per week) Part-time (20 to 34 hours per week) Part-time (10 to 19 hours per week) Done
