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 Yes  No  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. A WIA Job Developer will review the information you submit here and contact you regarding this employment opportunity.