Form Center

3. 
5. Event Details:

   Join us for the 2023 Momentum State of the Workforce event on Thursday, April 20, 2023, at the eFactory Jay Wasson Idea Loft, 405 N. Jefferson. Event begins with continental breakfast and networking at 7:30 am followed by a program at 8 am.

6. Payment Options:*

   Please select one option below. Use MOMENTUM as the promo code on the next page if paying by check. Mail a check to the Missouri Job Center, c/o Finance Department, 2900 E Sunshine St., Springfield, MO 65804. Please make checks out to 'City of Springfield' with a memo of Momentum.

   1. Personal or Business Check

   1. Online Credit Card Payment
8. Name
   Momentum 2023 State of the Workforce Ticket
9. Price
10. Number of Tickets*
11. Shipping Cost
13. Taxable
17. Questions?
    Please email Katherine Trombetta at [email protected] if you have any additional questions regarding the event or your registration.
19. Referral Source*

    How did you hear about the Momentum State of the Workforce Survey/Luncheon?

    1. Email
    2. Job Center Staff
    3. Facebook/Twitter
    4. LinkedIn
    5. Coworker
    6. Other
21. If Other, Please Explain...*
23. First Name*
24. Last Name*
25. First and last name of the individual attending.
27. Organization / Company Name*
29. Job Title
31. Industry Classification*
    -- Select One --Community-Based Organization / Nonprofit/NGOConstructionEducation, Educational ServicesGovernment, Public AdministrationHealthcareIT/Computer and Data ProcessingManufacturingRetailTourism and EntertainmentTransportation and WarehousingOther

    Which category below best describes your organization's industry classification?
32. Regional Representation*

    In what county is your organization located?

    1. Christian
    2. Dallas
    3. Greene
    4. Polk
    5. Stone
    6. Taney
    7. Webster
    8. Other
34. Billing Address*
36. City*
37. State*
38. Zip Code*
40. Mailing Address*

    Is the mailing address the same?

    1. Yes
    2. No
42. Mailing Address
44. City
45. State
46. Zip Code
48. Primary Phone Number*
    -- Select One --PersonalWorkCell
49. Note
    You may enter more than one phone number but you must enter the one you selected as primary. Please include area code.
51. Personal
52. Work
53. Cell
55. Email Address*
Leave This Blank:


57. Calculate Totals Proceed to Checkout

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