Employer Interest Form
                    

Contact Information:
Company Name
Contact Name
Title
Address
City/State/Zip
Phone		Fax
Email		Website
About Our Company
Positions to be Filled:
Job Title & Description
# of Employees Needed	Full-Time Part-Time
# of Shifts Available	Day Swing Night Other
Starting Wage
Benefits Offered	Medical Dental Vision 401k Holiday Vacation
	Other
Please list five skills the candidate will learn:
1
2
3
4
5