Employment Information Form

EMPLOYMENT INFORMATION FORM

Date:_______________
Employer_________________________ Telephone:_________________
Address__________________________
City_____________________________
State____________________________
Zip______________________________

Nature of business______________________________________________
Position to be filled___________________________________________
Employee qualifications_________________________________________
Number of employees needed______________________________________
Wages or salary $________________ per __________________________
Employment is _____temporary ______permanent
Hours ________ to _______
Days ___________ to __________
Benefits________________________________________________________

We are an equal opportunity employer.

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