Date: _______________

Employer_________________________ Telephone: _________________

Address__________________________

City_____________________________

State____________________________

Zip______________________________

Nature of business______________________________________________

Position to be filled___________________________________________

Employee qualifications_________________________________________

Number of employee’s needed______________________________________

Wages or salary ________________ per __________________________

Employment is _____temporary ______permanent

Hour’s ________ to _______

Day’s ___________ to __________

Benefits________________________________________________________

We are an equal opportunity employer.