Employer Job Information Form

Fields marked with an asterisk (*) must be entered.

	* Job Title:

	* Employer:

	* Address:

	* City:

	* State:	* Zip:	+ 4 code

	* Phone:	Ext:	Fax:
	1 - - -		1 - - -

	E-mail:

* Method to apply: (check all that apply)

Phone

Apply in person

Mail

Fax

E-mail

* Indicate whether the job is full-time or part-time.

Full-time

Part-time

	* Hours: (specify the days and times/hours to be worked)

	* Job description: (include tasks to be performed)

	* Job qualifications: (required training/education and/or experience)

	* Pay range: (indicate hourly rate or range)

Available benefits: (check all that apply)

Medical

Dental

Retirement

Life Insurance

Other:

	Any special instructions for HFCC Job Placement Office?

Phone: 313-845-9618

Fax: 313-845-9899

Office Hours: Monday-Friday 8:30 a.m.-4 p.m.