Request For Applicants / Job Order Form
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2Request for Applicants / Job Order Form
To help us serve you better, please complete this Job Order Form and contact your local WorkSource office to speak with a qualified business
representative. Business representatives are experts in the local labor market and can help you find qualified applicants for your business. You can
find your nearest WorkSource office by visiting PLEASE NOTIFY US WHEN YOU HAVE FILLED YOUR POSITION WITH THE NAME
AND START DATE OF PERSON(S) HIRED, SO WE CAN KEEP YOUR RECORDS UPDATED. THANK YOU!
Business Information
Date: _____________
Company name: _____________________________________ UBI number: __________________________________
Contact name & title: _________________________________ Email: ______________________________________
Address: _________________________________________ City: ______________________ Zip: ______________
Phone: ____________________ Fax: __________________ # of Employees: ____ Website: _____________________
Job Description/Duties (Please attach a formal job description, if available)
Job title: _________________________________ Number of openings: ________ Union:
Yes
No
Job site address (if different from above): ________________________________________________________________
Description: (example: installs, performs, etc.) _______________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Hours/Days/Schedule
Duration of Job:
Part-time: min\max hrs. _____
Full-time
Seasonal, how long? ________
Contract option
Temporary, how long? ________________________Work hours: _______________________________
Work shifts:
Days
Swing
Graveyard
Rotating
All shifts
On-call
24-7
Work days:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
On bus line? _____________________________________ Route line? _____________________________________
Job Requirements
Education: ________________________Months Experience: _______ In what discipline? ____________________________
License/Certification/Permit: _________________________________________________________________________
Minimum age: __________________ Reason, if over 18 required: ____________________________________________
Valid WA state driver’s license:
Yes Abstract:
Yes
CDL endorsements: Yes
Class: _________ Personal Vehicle Insurance:
Yes
Computer skills:
Outlook
Word
Excel
Access
PowerPoint
WPM _________________
Clerical skills needed: _______________________________________________________ Other _________________
English language skills:
Speak
Read
Write
Understand
Bilingual _______________
Pre-employment skills:
Drug test
Criminal background check
Credit check
Bondable
References
Tools required? __________________________________ Lifting capacity: _____ lbs. Frequency ____________________
WS-biz-joborder-EN
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Parent category: Business