Employer Job Order Form Federal Tax ID #: * Company Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country County * Name of Contact Person * First Name Last Name Job Title (contact person) * Address (if different than above): Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number: * (###) ### #### Fax Number: (###) ### #### Email: * Company Website URL: http:// Job Details: Job Title * Job Details: Key Words * Use at least three Key Words to describe the position. Key words should be single words or job titles that relate to the job. Use common words, not specific words related to your type of business. Example: Job Title: Forklift Operator: Keywords: Warehouse, Material Handler, Shipping & Receiving Job Details * Apprenticeship Contract Full Time Part Time Seasonal Summer Temporary Minimum Hourly Salary * $ Minimum Annual Salary $ Commission * Yes No Other $ Do you want the wage displayed to Job Seekers? * If you select no, “Competitive Salary” will be displayed? Yes No Number of Openings * How many referrals would you like to receive? * Shift: * Day Evening Night Weekend Job Summary * Please provide specific details regarding job duties, job skills, days and hours of work and any other special requirements. Include details of benefits offered. Employer is willing to train? * Yes No Required Experience: * Number of months, years or none. Education Level: * N/A HS Diploma/GED Certification Associates Degree Bachelors Masters Doctorate Major Vocational Technical School Number of Hours per Day: Number of Hours per Week: * Do you want your company name displayed to the public? * Yes No Level of Service: * Unassisted means I would like applicants to contact me directly. I will access my Business Folder regularly to search for applicants, review resumes and contact Job Seekers myself. Staff Assisted means I would like PA CareerLink Staff to assist in screening and referring applicants. Staff will mail or fax resumes for Job Seekers to the Employer and it is the Employer’s responsibility to make the contact. Unassisted Staff Assisted Method of Application (for Unassisted Service Only): Resume Application Method of Contact: * How do you want Job Seekers to contact you? CareerLink Office Email Fax In Person Mail Phone Website Thank you!
