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Please consider donating to CHD’s Day Labor Services to keep this essential community resource going!
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Day Laborer Interest Form
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*
" indicates required fields
Name
*
First
Last
Phone Number
*
Email
*
Location
*
Type of Work/Job
*
Please choose
Yardwork
Winery
Construction
Moving
Agriculture
Housecleaning
Other (please fill in
Other
*
Number of workers needed
*
1
2
3
4
5
6
7
8
9
10
Over 10
Start Date
*
MM slash DD slash YYYY
Projected number of days workers are needed
*
1
2
3
4
5
6
7
8
9
10
Over 10
Do you provide transportation or require the laborer to have transportation?
*
Please choose
Provide transportation
Laborer needs their own transportation
Any other information about the job details (please fill in)
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