SER Registration Form

If you want to apply for a JobLine job through SER, you must first register by completing this form and sending us your resume so that we may pre-screen you, as requested by the employer.

Please note that you:

  • Must be at least 50 years of age;
  • Must have a valid email address;
  • 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 all of these conditions, please do not fill out this form, as you are not eligible to apply for a JobLine position through SER.

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