Job Order Form

Let Workforce meet your recruitment needs.

Use this online form to list your job, or print and fax the Job Order Form.

* denotes required field

Employer Information

Business Name *
Type of Business *
Address *
City
State
Zip
Job Site (if other than above) *
Contact Person *
Email Address
Website Address
Telephone (include areacode & extension if applicable) *
Fax (include areacode)
Federal Employer Identification Number (FEIN) *	(9 digits)**
**NOTE: If employee will be paid through a staffing company, please enter FEIN for the staffing company.

Job Information
Job Description
Job Title*
Salary Range - From: *
Salary Range - To: *
Per *	hour week year other (explain below)
If "Other" Chosen Above, Explain (explain if salary involves commission, shift differential or bonus)
Total Hours Per Week
Work Schedule *	Mon-Fri 8am-5pm Other, explain below
If "Other" Chosen Above, Explain
Is Job	permanent temporary
Minimum Educational Requirement (Choose only one)	9 10 11 12 AA AS BA BS MA MS PH
Occupational License
Job Description (be specific) *
Qualifications & Requirements
Driver License Required?	yes no If no, skip next 2 questions
If Yes, What Type?	(E) Regular Operators 13 Tons">(A) Tractor/Trailer > 13 Tons 13 Tons">(B) Single Vehicle > 13 Tons (C) Endorsed Vehicle < 13 Tons 4 Tons">(D) Single Vehicle > 4 Tons
Points Allowed?	clean record 2 points 3 points 4 points 5 points 6 or more points
Computer Skills Required?	none basic skills skilled-proficient skilled-equipment/peripherals
Software Skills Required?	no yes
If yes chosen above, explain
Typing Speed	CW/PM
Minimum Experience Requirement	none other, explain
If other chosen above, explain
Lifting Required?	no yes
If yes, list heaviest weight in lbs.
Are you willing to hire a young worker?	no yes
Other Qualifications & Requirements (Be specific)
How to Apply *	apply direct call for appointment fax resume mail resume email resume
When to Apply *
When to Call *
If you have any questions on completeing this form, please call and speak with one of our Customer Service Representatives. Phone: (352) 873-7950 or Toll Free (800) 746-9950 Fax: (352) 873-7907