44 Front Street 6th Floor
Worcester, Ma  01608
Tel: 508-799-8020  Fax: 508-799-8025

Request for Qualified Applicants

Your Company Name:

Your Product or Service:


Company Address:



Zip Code:


Title of Job to be Listed

Contact Person



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

1-1st 2-2nd 3-3rd
4-Rotating 5-Split

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