JOB ORDER DETAILS FEIN #: Date: Employer Parent Name: Company: Physical County: Address: City: State: Zip: Mailing County: Address: City: State: Zip: Phone #: - - FAX #: - - Job Title of Contact Name: Contact: E-Mail Address: Number of Job Title: Openings: Job Summary: (Experience or Bona Fide Occupational Qualifications) Months Years MINIMUM Experience Required: Tools Required? Yes No Certificate/License Required: Yes No Type of License Typing Speed: Data Entry Speed: kph Job Testing Required? Yes No wpm Benefits Available: : MINIMUM Education Required (Insurance, Sick, Vacation) Per: MINIMUM Salary: $ Commission Only? Yes No (Hr/Day/Wk/Mth/Yr) Display Salary to Job Seeker? Yes No Drug Test? Yes No Credit History Checks? Yes No Must A Job Seeker Be Currently Employed To Be Considered For This Job Vacancy? Yes No Hours Per Week: To: Work Hours: From: Shift Work? Yes No Sun Mon Tues Wed Thur Fri Sat Work Days: Other: 0 3 Days 4 150 Days 151 + Days Duration of Job: – – REFERRAL METHOD Yes No NOTE: After 10 days, job orders that pay $9/hr or less will be viewable by the public and partner staff. Do you want your company name and contact information displayed to the public? How to apply: Fax Resume Fax Application In Person By Mail Call Employer Website Additional Referral Instructions: Does the employer intend to file for Foreign Labor Certification: Yes No If yes, please provide the following: Date of Need/Start to Work Date: Transportation Provided : Yes No Housing Provided: Yes No Overtime: Yes No If yes, overtime wage: Upon receipt of your job order, a WorkForce Representative may contact you. If you have additional questions, please contact your local WorkForce West Virginia Office WorkForce West Virginia 1-800-252-JOBS (5627)
JOB ORDER DETAILS Date: FEIN #: Employer Name: Parent Company: Physical Address: County: City: State: Zip: Mailing Address: County: City: State: Zip: Phone #: - - FAX #: - - Contact Name: Job Title of Contact: E-Mail Address: Job Title: Number of Openings: Job Summary: (Experience or Bona Fide Occupational Qualifications) MINIMUM Experience Required: Months Years Tools Required? Yes No Certificate/License Required: Yes No Type of License Typing Speed: wpm Data Entry Speed: kph Job Testing Required? Yes No MINIMUM Education Required : Benefits Available: (Insurance, Sick, Vacation) MINIMUM Salary: $ Per: (Hr/Day/Wk/Mth/Yr) Commission Only? Yes No Display Salary to Job Seeker? Yes No Drug Test? Yes No Credit History Checks? Yes No Must A Job Seeker Be Currently Employed To Be Considered For This Job Vacancy? Yes No Work Hours: From: To: Hours Per Week: Shift Work? Yes No Work Days: Sun Mon Tues Wed Thur Fri Sat Other: Duration of Job: 0 – 3 Days 4 – 150 Days 151 + Days REFERRAL METHOD NOTE: After 10 days, job orders that pay $9/hr or less will be viewable by the public and partner staff. Do you want your company name and contact information displayed to the public? Yes No How to apply: Fax Resume Fax Application In Person By Mail Call Employer Website Additional Referral Instructions: Does the employer intend to file for Foreign Labor Certification: Yes No If yes, please provide the following: Date of Need/Start to Work Date: Transportation Provided : Yes No Housing Provided: Yes No Overtime: Yes No If yes, overtime wage: Upon receipt of your job order, a WorkForce Representative may contact you. If you have additional questions, please contact your local WorkForce West Virginia Office WorkForce West Virginia 1-800-252-JOBS (5627)
ESD-102%20Online%20Fillable%20Job%20Order%20Rev.%202-17.docx