Form Lb-0610 - Job Order Transmittal - Tennessee Department Of Labor And Workforce Development
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1TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT
JOB ORDER TRANSMITTAL
EMPLOYER INFORMATION
JOB INFORMATION
Are you a first time user of TDLWD Services?
Yes
No
Job Title:
Name of Company:
Street Address:
Months Experience Required:
Minimum Educational Requirements:
City:
State:
Zip:
If a test is required who will administer the test, you or your agent?
(If Agent please identify)
*(See below)
Telephone Number:
FAX Number:
Minimum
Number of
Number of Applicants to Refer:
Age:
Openings:
_________ per opening
Whom to contact:
Duration of Job:
Wage/Salary is__________________ per:
Employer’s EMail Address:
Less than 4 days
Hour
Year
Commission ( ______ %)
4 to 150 days
Week
FEIN (Federal Employer ID Number):
TN Employer Account Number:
Other (Specify ___________ )
Permanent
Month
Is this job order being listed pursuant to an
Work Hours (i.e., 8:00 AM - 5:00 PM)
Work Days
Affirmative Action Plan?
Yes
No
(i.e., MON - FRI)
_________________________
Are you a Federal Contractor or
County:
How many hours per week? ________
Sub-Contractor?
Yes
No
JOB DESCRIPTION
(List most important duties, special requirements first -- the job summary space in data system is limited to 300 characters.)
(Include tools used, machines operated, duties, and essential functions) Also include additional instructions/information not covered above.
*How to refer:
Call for Appointment
Mail Resume
Fax Resume
Apply In Person
EMail Resume
Other (explain) _______________________________________________________________________________________
______________________________________________________________
Referral address if different from address above:
Name of Company
______________________________________________________________
Street
______________________________________________________________
City
State
Zip Code
Office Name: ________________________________ Phone Number: _________________________
Return completed form to:
this address or
Street:
________________________________ Fax Number:
_________________________
the nearest
City/State:
________________________________ EMail Address: _________________________
Career Center or
Zip:
______________________
Agency Contact: _________________________
Affiliated Office
DO NOT WRITE IN THIS SPACE - FOR LABOR AND WORKFORCE DEVELOPMENT USE ONLY.
ORDER DATE
SIC/NAICS
D.O.T.
JO ID#
JOB ORDER NUMBER
TN
LB-0610 (R.12/03)
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