Preliminary Application Form: National Farm Worker Jobs Registrar Program
All men ages 18 - 25 trying to register with Selective Service please click   here.

The program provides job training and employment assistance for migrant and seasonal farm-workers and their families by offering higher wages and a more stable employment outlook. In addition to skill training, the program supports services that impact unemployed and underemployed migrant and seasonal farm-workers who primarily depend on agricultural jobs. (more)

Must enter or select (*) fields.
Last Name *   First Name *  
M.I. Gender *  
Title Email *    
Business Name*  
Address *  
City*   State*  
ZIP Code *      
Phone (xxx-xxx-xxxx) Fax (xxx-xxx-xxxx)
If you are a male, did you register with Selective Service? *

Are you a U.S. Citizen? *