SER Registration Form

In order to apply for job that's posted on JobLine or to attend one of SER's workshops, you must first register with SER by completing and submitting this form.

Registration for SER's services is limited to individuals age 50 and over who reside in the Washington, DC metropolitan area and have a valid email address.

In addition, in order to apply for a JobLine job through SER, you must be a citizen or legally authorized to work in the U.S. and have a current resume in Word, PDF, RTF, or plain text format.

If you don't meet these conditions, please do not fill out this form, as you are not eligible to for SER services.

Items in GREEN are required.

Contact Information

A value is required.

A value is required.

A value is required.Invalid format.

Personal Information

      ( 4 digits, e.g., 1936)

( -    

( -    

Citizenship Status

Yes No   If you are a citizen, skip the next question.

Yes No

Physical Limitations

Yes No    If No, skip the next question.

Yes No

Computer Proficiency

None Very Limited Moderate Advanced

(enter a number only, e.g. 50)

Employment Preferences

  1 = 1st Preference; 2 = 2nd Preference

  1 = 1st Preference; 2 = 2nd Preference

If you don't want a particular type of position, leave it blank. If you don't care whether a job is full-time or part-time, choose "1" for each.

Other Qualifications

Yes No

Yes No

Yes No

Yes No

Additional Information