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Home > For Businesses > EZ Forms > Job Order Form
For Employers
Job Order Form

Staffing Services Division

 
Company Information
 
Company Name:
 
Number of Employees:
 
Main Telephone Number:
 
Mailing Address:
 
City:
  
State:
  
Zip:
  
Primary Contact:
 
Title:
  
     
Location of Job Site:
(if different from above)
 
Section of the City:
 
Position Title:
 
Number of Positions:
 
  Full time
Part time
Hours Per Week:
 
Hourly Rate:
 
Start Date:
 
Hours:
  
  Overtime
Weekend
(mandatory vs. optional)
     
Job Description:    
     
Job Qualifications:    
     
     
If education is required, please indicate the level below:
     
GED HS Diploma Tech School
2yr degree 4yr degree Master degree
 
Drug Screening:
   Yes No
Background Check:
  Yes No
Criminal Check:
   Yes No
Other:
  
   
Accessible by public transportation:
  Yes No
Transportation needed:
  Yes No
Valid Driver's license required:
  Yes No
Valid car insurance required:
  Yes No
     
Health Benefits:
   Yes No
  Individual
  Family
Benefits Effective:
  Immediately
30 days
60 days
90 days
120 days
     
Other: Opportunities for advancement, work atmosphere, pre-employment
     
Comments:    
 
 
 

 
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Philadelphia Workforce Development Corporation
Philadelphia Workforce Development Corporation
1617 John F. Kennedy Boulevard, 13th Floor • Philadelphia, PA 19103–1813
Administrative Offices: (215) 963–2100 • TTY/TDD: (215) 564–9338		 Many of the files on this website require Adobe Reader, click here for a free easy-installation.
 

Equal Opportunity Employer/Program

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