Your Company Name:

Your Product or Service:

Company Address:

City:

State:

Zip Code:

Title of Job to be Listed

Contact Person

Telephone:

Fax:

No: Openings:

Starting Salary:
$ ? Per Hour
  ? Per Week

Pay Comments:

Hrs / week

Months Experience Req:

Education Req:

Health Insurance

0- No 1- Yes Employer Paid 2- Yes Employer Non-Contribution

Shift to work (Circle One )

Computer Skills Required:

Hours To Work

From: To:

Days to be worked ? Monday thru Friday ? or Other:__________________________

Work Location

Please List the minimum Requirements the applicant must have to be qualified:

Check one ? Call first ? Send Direct ? Fax or mail Resume