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Business Associations Form

What chamber or business association were you referred by? *
Please fill out the following job order form in order for your chamber or business association to be recognized for payment.
JOB ORDER FORM
Please complete the job order in as much detail as possible to assure we can match the best possible candidates. Fields noted with an asterisk are required.
EMPLOYER:
Employer/Company Name * :
Federal ID :
Type of Business :
Federal Contractor? Yes No
Address :
City :
State :
Zip :
Jobsite Location (If different from above) :
Phone :
Fax :
E-mail * :
Contact Person :
Employee Leasing Company's Name (if applicable) :
POSITION: NOTE: Commission only jobs are not accepted.
Job Title * :
Number of Openings :
Educational level required :
Amount of experience :
Knowledge, skills, and abilities :
Licenses, certifications, College Degree or Permits required :
Is this a temporary position? Yes No
If yes, how long will the position last?
Job Description * :
Pay Rate : Minimum Maximum
Annual : Range to
Days Worked : through
Hours Worked : to
Hours Per Week :
Shift : 1st 2nd 3rd
Do you offer benefits? Yes No
If yes, what kind :
Do you perform Background Checks? Yes No
If yes, what type? Criminal Credit Education S.S.#
Are you a Drug Free Workplace? Yes No
Do you require a pre-employment drug screen? Yes No
Special Instructions or Requests :
 
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