First Source Employment Agreement Form - Department Of Employment Services Of Colombia Page 7

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7
EMPLOYMENT PLAN
Instructions:
o
Submit original to the Department of Employment Services
(DOES) with First Source Employment Agreement.
o
Upon approval of project by the originating agency, DOES
will contact Employer.
NAME OF FIRM_____________________________________________________
ADDRESS__________________________________________________________
TELEPHONE NUMBER_____________FEDERAL IDENTIFICATION NO.__________
CONTACT PERSON________________________TITLE______________________
TYPE OF BUSINESS_________________________________________________
ORIGINATING DISTRICT AGENCY______________________________________
TYPE OF PROJECT________________________FUNDING AMOUNT____________
PROJECTED START DATE______________PROJECT DURATION_______________
NEW JOB CREATION PROJECTIONS (Attach additional sheets, as needed.) Please indicate the
new position(s) your firm will create as a result of this project.
______________________________________________________________________________
JOB
# OF JOBS
SALARY
UNION MEMBERSHIP REQUIRED
PROJECTED
TITLE
F/T
P/T
RANGE
NAME LOCAL#
HIRE DATE
A
B
C
D
E

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