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Workforce Central Career Center

Job Listing Request Form

To help you fill positions for your company you will need to fill out the Job Listing Request Form. This form gives us all the pertinent information to assist you in finding the qualified candidate for your position. Once you send us this form, the job information will be posted in paper form at our career centers, and on the following websites:

Specific instructions for completion of this form are as follows:

  1. Complete the form below and click on the "Save" button to send your information to Workforce Central.
  2. After successfully submitting your information, you will be redirected to a confirmation web page that displays the results of your submission.
  3. If you have multiple job order requests, please fill out and submit a Job Order Request Form for each request.

You will receive confirmation when this job order is posted. This will include the job order number, and how to review your job order on the DCS, and AJB websites. If you do not receive confirmation within three (3) business days, please contact one of our Business Service Representatives.

This service is provided at no cost to you. It is important that you track your referrals and interviews to provide us with feedback. Your feedback will help us increase the effectiveness of this service. When any individuals are hired for this position please contact the Business Service Representative to which you submit the Job Order Form.

To *
Please select a business service representative to receive your "Job Order Request Form".
Is this position represented by a union?

Company Name
Zip Code
Main Telephone Number
FEIN (Federal Employer Identification Number) and Product Line
Company Benefits Available For This Job (Please Check All That Apply)

Contact Name *
(Include Extension if Appropriate)
Email Address *
Is the job location different from the company location?

If yes, where is the job location? (Please Enter At Least Town and Zip Code)
Is public transportation available to the job location?

Job Title
Number of Openings
If temporary, please specify length
Hours Per Week
Work Hours (From - To)
Pay Range (Please note that WC cannot perform an automated job match on this job without pay information.)
(Example: $8.25 per hour - $9.50 per hour)
Pay Extras

Job Description/Duties *

Required Amount of Experience
Required Skills (e.g., Computer, Languages, Specific Job Skills)

Is there a minimum age requirement, based on applicable laws?

If yes, what is the minimum age for this job?
Required Education
In what field?
Driver's License Required?

If yes, what type?
Are background checks required (e.g., CORI)?

If yes, please specify
Is drug testing required?

Is a physical required?

Desired Keyboard Speed
(Example: 50 words per minute)
How do you want referrals to contact you? (Check All That Apply)

Specific Referral Instructions
Would you like to receive information about on-site recruitments and job fairs at Workforce Central?

This job order will be posted for 30 days unless otherwise noted here:
Enter text exactly as it appears in the image.  
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