Job Order Form

Snohomish County Business Services
Phone: (425) 258-6330 Fax: (425) 257-1213
Bothell area only
Phone: (425) 673-3310 Fax (425) 712-8563

WorkSource Everett
Everett Station
3201 Smith Ave, Ste 114
Everett, WA 98201

WorkSource Lynnwood
20311 52nd Ave W
Ste 300
Lynnwood, WA 98036

Please complete the information below for each job. Items in BOLD are required.

Employer Information

Company Name

Street Address

City

Zip

Contact Person Name

Telephone

(   ) -   Extension

Fax

(   ) -  

E-mail Address

Company Web site URL

UBI or FEIN Number


UBI (Unified Business Identifier) is assigned to your business when you apply for a business license in Washington State. FEIN is assigned by the Internal Revenue Service to all organizations who pay withholding taxes on employees. Please enter 9 numbers without dashes.

Describe the nature of your business and what it is like to work for your company

Federal Contractor ARRA Job Listing

Desired Recruiting Services:

(Follow-up to come from your WorkSource Business Services Representative)
 

Job order posting on Go2WorkSource.com

Job descriptions and wage assistance

Pre-screening candidate referrals

On-the-job training candidates

Tax credit analysis

Hiring events

Labor market information

Other (describe)

Job Listing Information (check all that apply)
 

Is this an urgent hire? Yes   No  If yes, desired start date:

Number of Openings

Work Hours

hours per weekFull time, Part time       

 

Permanent, Temporary (length of assignment )
Overtime hours per week

 

:    to   :

Work Days

M  T  W  Th  F  Sa  Su

Minimum Rate of Pay
Required for all listings

$ per hour,   week,   month,   year

Maximum Rate of Pay

 $

Benefits

medical, dental, vision, vacation leave, sick leave, paid holidays
401K, retirement/pension plan, disability insurance, life insurance

Job Site Address
(if different than above)

Public transportation:

Is worksite on a bus route? Yes   No
If yes, what bus route

Job Description

Job Title

Description of job duties
and responsibilities

Job Requirements (check all that apply)

Education:

High School/GED,    # years of school   Degree:

Months of experience:

   

License or certification

Special Requirements

Must have own Tools Must have Driver's License, Driver's abstract for last years
Criminal background check  Must pass drug test
Able to lift up to Lbs.  Frequently, Occasionally 

 

Other special skills, physical demands, equipment or tools operated,
language skills or other special knowledge or abilities required to perform the job:

NOTE: Age and language requirements are considered discriminatory unless supported by law or HRC / EEOC authorization or, for language requirements, a justifiable business necessity. If you have authorization or justification for an age or language requirement please contact WorkSource for assistance in including the requirement in your job order.

Preferred Qualifications

(Candidates with these qualifications would be preferable to refer)

Referral Instructions (Indicate at least one referral method)
 

How to Apply

Resume WorkSource Application form
Company Application form Cover letter
 

Last day to apply(closing date)
 

Applicants need to:

    

Call to schedule an interview

 
Phone number


Location for interviews

Directly apply to


Location to apply direct to your company

Fax to employer

() -
 Fax Number

 E-mail to employer


Name and E-mail Address

Apply online at Employer's Web Site


Web site URL

Mail application or resume to employer


Address where applicant should mail application or resume

 

Other Referral Instructions

WorkSource is an equal opportunity employer and provider of employment and training services. Auxiliary aids and services are available upon request to persons of disability. For TTY dial (425) 257-1216.