REQUEST SERVICES Job Seekers Disaster Assistance If you are a Charlotte, Collier, Glades, Hendry or Lee county resident, let one of our representatives contact you about disaster assistance resources in your area. Name* First Last Current Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone:Alternate contact number:Which is your preferred county for Disaster Employment?*Choose a locationLeeHendryGladesCollierCharlotteReferred by employer? Email Enter Email Confirm Email Requesting the following services:* Seeking Temporary Employment Other Other: CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to email a link to a friend (Opens in new window)MoreClick to print (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pinterest (Opens in new window)Click to share on Tumblr (Opens in new window)Click to share on Pocket (Opens in new window)