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Complete this form, print it out and FAX to the listed phone number |
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Minnesota Department of Employment and Economic Development 1250 Homer Road, Suite 200 ● Winona, MN 55987 (507) 453-2920 ● TDD/TTY (507) 453-2930 ● FAX (507) 453-2960 |
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Feel free to give Tom a call at 507-453-2937 if you have any questions |
| COMPANY NAME | ||||
| STREET ADDRESSCITY STATE ZIP CODE | ||||
| NATURE OF BUSINESSPUBLIC TRANSPORTATION AVAILABLE TO WORK SITE? | ||||
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CONTACT PERSON
PH.#EXT. FAX |
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| METHOD OF REFERRAL: RESUME & COVER LTR IN PERSON PHONE EMAIL FAX | ||||
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JOB TITLE NUMBER OF OPENINGS |
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| ACTUAL JOB SITE | ||||
| EDUCATION REQUIRED: H.S. VO.TECH.CERT. A.A. BA/BS Ph.D.Other | ||||
| REQUIRED MAJOR(S) ALTERNATE MAJOR(S) | ||||
| AMOUNT OF EXPERIENCE REQUIRED: NONE MONTHS YEARS | ||||
| REQUIRED LICENSE OR CERT. | ||||
| SALARY-$ PER : HR. WK. MO. YR. D.O.E. | ||||
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SHIFT SCHEDULE: From (a.m. /p.m.) To (a.m. /p.m.) HRS PER WK |
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| JOB IS: FT/PERMANENT FT/TEMPORARY PT/PERM . PT/TEMP. | ||||
| HOW LONG IS THE JOB IF TEMPORARY? DAYS WEEKS MONTHS | ||||
| DAYS OF THE WEEK: MON TUES WED THRU FRI SAT SUN VARIES | ||||
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JOB DUTIES( machines operated, tools, hardware, software,etc.) |
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| REQUIRED JOB SKILLS (Be Specific - go to http://online.onetcenter.org/ for listing skills): | ||||
| PREFERRED JOB SKILLS (Be Specific - go to http://online.onetcenter.org/ for listing skills): | ||||
| ANY FURTHER COMMENTS OR INSTRUCTIONS: | ||||