Form Es 515 - Fast Fax Job Order - New York State Department Of Labor
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1
2New York State Department of Labor
Fast Fax Job Order
Business: Please complete one FAST FAX for each job title and, fax,/ mail it to us. It is only necessary to notify one office of your opening. By
using this form to post your openings you will reach all Department of Labor offices.
Unemployment Insurance Employer
Company
Registration No. ___ ___ - ___ ___ ___ ___ ___
Address
City
State
Zip
Telephone # (_______) _________ - _____________ Ext.
Fax # (_______) _________ - _______________
What goods or services does your company produce?
Person to contact for interview
Title
E-Mail Address ________________________________Worksite, if different from company address
Travel Directions (Include public transportation, if available):______________________________________________________________________
Does your company have a Federal Contract requiring job openings to be listed with the Department of Labor (FCJL)?
Yes
No
Does your company wish to receive more information on tax incentives for hiring from targeted groups?
Yes
No
Title of Job Opening
Number of Job Openings:
Referral Instructions: Fax/Send Resume
Send Direct
Call Before Sending
Number of persons you wish to interview__________________ Number of resumes you wish to review ___________________
Job Requirements
Years of education needed ____________________
Specialized education? (Type of degree) ___________________________________
Years of experience required __________________
Will you accept a trainee?
Yes
No
Will you accept related experience?
If Yes, specify ____________________________________________________________
Yes
No
Job is: Full Time
Part-Time
Regular
Temporary
(From _________________________To _______________________)
Work Hours: Frome ________To ________ Total hours per week ___________ Overtime:
Circle Work Days S M T W T F S
Yes
No
Salary Range: From $ __________________To _______________ Per _____________
Pay Period: Weekly
Bi-weekly
Salary Negotiable?
Monthly
Bi-monthly
Yes
No
Other Hiring Requirements / Benefits
Driver License
Yes
No
Class
Health Insurance Yes
No
Own Tools
Yes
No
Life Insurance
Yes
No
* Physical Exam
Yes
No
Dental Insurance Yes
No
* Drug Testing
Yes
No
Paid Vacation
Yes
No
Employment/Security Test
Yes
No
Name
Paid Sick Leave
Yes
No
Other Tests
Yes
No
Retirement Plan
Yes
No
Must Join Union
Yes
No
Other ________________________
Bondable
Yes
No
____________________________
Job Description
Please describe your job opening. List your special knowledge, skills, aptitudes, abilities required; equipment used or operated; special physical
demands or working conditions. If available, provide a detailed job description. Include the worksite location, if different from the company address.
Attach additional sheets if necessary.
Job descriptions:
*Required only after job hire and if relevant to job opening.
All hiring requirements must be bona fide occupational qualifications.
ES 515. (12/11)
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