Please complete and submit this form notifying us of a current job availability or other employment need at your company. Required fields are indicated by an asterisk (*).

Employer Information

Company *

Contact *

Title

Address

City, State Zip

E-mail

Phone(day) *

Fax

Job Opportunity

Position Available

Duties

Starting Rate of Pay   Potential Payrate

List All Benefits (include time eligibility requirement)

Hours of Work (indicate any overtime)

Pay Schedule   Probation Period

Work Attire   Special Equipment

Time Spent Standing   Sitting

Maximum Lift Requirement YesNo     Weight (lb)

Other Requirements / Relative Concerns

H.S. Diploma or GED College Degree Experience Required Skills Required NC Driver's License Access to a Vehicle Special Testing Criminal Record Drug Screening Permanent Position Temporary Position Business on bus line

Special Instructions

Please contact our company as soon as possible regarding this matter.

Submitted by*

Title

Thank you for considering our qualified Gaston Workforce Development Program candidates.  We will review the information you submit here and contact you regarding this employment opportunity.