EMPLOYMENT INFORMATION FORM
Date: _______________
Employer_________________________ Telephone: _________________
Address__________________________
City_____________________________
State____________________________
Zip Code______________________________
Nature of business______________________________________________
Job Position ___________________________________________
Employee qualifications_________________________________________
Number of employee needed______________________________________
Wages or salary $________________ per __________________________
Employment is _____temporary ______permanent
Hours ________ to _______
Days ___________ to __________
Benefits________________________________________________________
We are an equal opportunity employer.