Job Order Request

In order to provide you with better service, please take a few minutes to complete this form.
Submission of this form will automatically send your information to Employment & Training Resources.

To whom at ETR would you like this information sent?

Company Information  
Company Name
Address
City
State
Zip
Main Telephone Number
Web Address
FEIN (Federal Employer Identification Number)
Company Benefits Available For This Job
(Please check all that apply)		 No Benefits
401K
Bonuses
Child Care Referral Resources
Child Care Services Reimbursement
Clothing Allowance
Dental Insurance
Education Cost Reimbursement
Employee Discount
In-House Skills Training Programs
Life Insurance
Long Term Disability
Major Medical
Mileage Reimbursement
 On-Site Child Care
Paid Holidays
Prescriptions
Retirement Plan
Short Term Disability
Sick Leave
Subsidized Skills Development (e.g., ESOL, Adult Education)
Uniforms Furnished
Vacation Leave
Vehicle Furnished
Vision Insurance
Other (Please specify)
 

Contact Information

  
Contact Name
Title
Telephone (including extension)
Fax
E-mail Address
 

Job Information

  
Is the job location different from the company location? Yes  No
If yes, where is the job location?
(Please enter at least town and zip code)

Is public transportation available to the job location? Yes  No
Job Title
Number of Openings
Duration
If temporary, please specify length
Shift
Hours Per Week
Work Hours From AM  PM
To     AM  PM
Pay Range
(Please note that ETR cannot perform an automated job match on this job without pay information)		 Minimum  Per      
Maximum Per
     Plus Commission
     Plus Tips
     Bonuses
Job Description / Duties
(copy and paste into the text area)
Required Amount of Experience
Required skills (e.g., computer, languages, specific job skills)
Is there a minimum age requirement, based on applicable laws? Yes  No     If yes, what is the minimum age for this job? 
Required Education      In what field? 
Driver's License Required? Yes  No     If Yes, What Type? 
Are background checks required (e.g., CORI)? Yes  No     If Yes, please specify
Is drug testing required? Yes  No 
Is a physical required? Yes  No 
Desired Keyboard Speed words per minute     keystrokes per hour
How do want referrals to contact you?
(Check all that apply)
Phone E-mail
Mail Walk-in
Fax No Phone Calls
Specific Referral Instructions
Would you like this job listing to be sent to JobCentral National Labor Exchange? Yes  No     
This job order will be posted for 30 days, unless otherwise noted here 
Comments?

If you have multiple job order requests, fill out and submit a Job Order Request Form for the first job. Then use your browser Back button to return to the form. Your original submitted information will still be displayed in the form, and you only need to change those fields where different information is needed. Then submit the form for the second job. Continue this process until all job order requests have been submitted.

You will receive confirmation when this job order is posted.  This will include the job order number, and how to review your job order on the ETR, EOLWD, and JobCentral websites. If you do not receive confirmation within three (3) business days, please contact one of our Business Service Representatives.

This service is provided at no cost to you.  It is important that you track your referrals and interviews to provide us with feedback.  Your feedback will help us increase the effectiveness of this service.  When any individuals are hired for this position please let us know by completing the
Back-to-Work Form.

If you experience problems with this form, please consider using the MS Word version of the form, or contact Diane for assistance
(781-769-4120, ext 114, DMarvelle@detma.org)

Page last updated on March 27, 2008

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508-786-0928
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 617-928-0530
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781-769-4120