Job Order Form

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:

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 week Full time, Part time       

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

12 1 2 3 4 5 6 7 8 9 10 11 : 00 15 30 45 AM PM    to   12 1 2 3 4 5 6 7 8 9 10 11 : 00 15 30 45 AM PM

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 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:

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

Submit application documents to Business Services for delivery to employer

Deliver by email, fax or hand delivery (specify address)

Other Referral Instructions