JBS-1000AFORNA (2-2000)
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
Office Location:
Employment Security Administration
Fax No.: (
)
Phone No.: (
)
JOB ORDER FAX
(Please print or type and be as detailed as possible)
Federal Employer Identification No. (FEIN):
Employer/Company Name:
Address:
City:
State:
ZIP:
Contact Person (First and Last Name):
Fax No.: (
Phone No.: (
)
)
Other: (
)
Type of Business:
Job Location:
Position Title:
Number of Openings:
Experience Required (Months/Year):
Number of Hours Per Week:
Is Position Considered (Check one):
Permanent or
Temporary (How long?):
Education Requirements (Years, diplomas, certifications):
Description of Job Duties (Work performed, equipment, etc.):
Minimum Qualifications:
Do you require a valid driver’s license?
Yes
No
CDL Class:
A
B
Hazmat
How to apply:
Call for Appointment
Mail Resume
Fax Resume
Apply in Person (Days and hours):
Other:
Days and Hours to be Worked:
Salary:
DOE:
Benefits:
Yes
No
DOES YOUR COMPANY HAVE ANY CONTRACTS WITH THE FEDERAL GOVERNMENT?
Yes
No
BROADCAST ORDER:
BROADCAST ALLOWS APPLICANTS TO VIEW YOUR ORDER, i.e. COMPANY NAME, PHONE NO., and “HOW TO APPLY” INSTRUCTIONS.
Checking “NO” will allow applicants to view only the job title and description. Applicants will be required to see an employment representative to be
prescreened.
Equal Opportunity Employer/Program
This document available in alternative formats by contracting your local office manager.