Order Request Form
Please FAX or Mail To:
Vermont Department of Labor
Contact Information:
Resource Centers
Website:
www.labor.vermont.gov
EMPLOYERS: Providing the information requested on this special job order form will help us understand your
hiring needs and will assist us in locating the most suitable candidates. To give us your job order, please fill
out this form and send it to us, or use it as a guide if you prefer to place your order by telephone.
COMPANY INFORMATION
Company:
Address:
City:
State:
Zip:
-
Telephone:(
)
Ext:
FAX:(
)
Federal Employer Identification No.
-
State UI Tax ID Number:
Contact Person:
Address:
City:
State:
Zip:
-
Telephone:(
)
Ext:
FAX:(
)
E-mail:
Web site:
Company Descriptions: (Please include the goods or services your company produces.)
BASIC INFORMATION
Create a Job Order managed: On the Internet:
By VDOL Resource Center:
Allow Self Referral:
Screen Applicants:
Referral instructions: Email Resume
Mail or Fax Resume
Send Direct
Applicant Call for Appointment
Resouce Center/Job Service Call Before Sending Applicant
Driver's License
Endorsements:
CDL Class A
T Double/ Triple Trailers
CDL Class B
P Passenger Vehicle (Bus)
CDL Class C
N Tank Vehicle
Non-Commercial
H Placarded Hazardous Material
X Combination Tank/ Hazardous Material
Title of job opening:
Number of job openings:
Number of persons you wish to interview:
Job Location:
City:
State:
Required Education Level:
High School Diploma or GED
Vo-Tech Certificate
Associates Degree
BA/BS Degree
MA/MS Degree
Months of experience required:
Are you willing to accept a trainee?
YES
NO
Will you accept related experience?
YES
NO If yes, specify:
Job is:
Permanent
Temporary (Duration:
to
)
Full-Time
Part-Time
Work hours:
to
Check normal work days:
S
M
T
W
T
F
S
Salary range: $
to
Per:
Overtime:
YES
NO
Pay period:
Weekly
Bi-Weekly
Monthly
Bi-Monthly
OTHER HIRING REQUIREMENTS (check all that apply)
Own Tools ............................
PC ................................
Employment Test ..................
Word Processing......
Reference/ Security Test ........
Spread Sheet ..........
Physical Exam.......................
Database.................
Drug Test ..............................
Accounting Software
Bondable ...............................
CAD/ CADD ............
Type..........
WPM
Windows.................
10 Key ......
Rate
Macintosh................
Shorthand..
WPM
Linux.........
JOB DESCRIPTION
Please provide a brief description of the job. List skills, aptitudes, equipment used or operated, special physical demands,
or special working conditions. Include the work site, if different from the address entered above. If available, please attach
a copy of the detailed job description when sending us this order.