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Job Seeker Inquiry Form

Due to COVID-19, the Maricopa County Human Services Department (HSD) is requesting all job seekers to complete the following inquiry form to ensure that the needs of each individual are met. 

Phoenix Residents:
Career services are available to Maricopa County residents living outside the City of Phoenix. If you live in Phoenix, please click here to learn about career services available in your area.

Non-Phoenix Residents:
To receive services from HSD, please complete the following form. Your response will be submitted once you reach the "Thank you" page. 

After you have submitted the form, HSD will contact you to discuss the services you have requested. Please note that HSD will be reviewing the forms in the order they are received. 
1. Where are you completing this form?  *This question is required.
2. Which Career Center are you currently visiting? *This question is required.
2. HSD Employee Name *This question is required.
2. Contact Information
Do you have an email address? *This question is required.
This question requires a valid email address.
This question requires a valid date format of MM/DD/YYYY.
3. Code of Conduct Policy *This question is required.
Signature of
3. Are you visiting our Career Center for any of the following reasons?  *This question is required.