JOB POSTING FORM Job Posting Form

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Andrew Cuomo, Governor Steven M. Neuhaus, County Executive

Peter M. Rivera, Commissioner Stephen Knob, Director of E&TA

JOB ORDER FORM

Please complete one form for EACH job title and send (as an attachment) to

Or print and FAX to 845/346-1278. By using this form to post your opening(s), you will reach all Department of Labor Offices.

EMPLOYER INFORMATION

Date: / Unemployment Registration No.
Company Name:
Mailing Address:
Federal Contractor? Yes NO / Type of Business/Product /Service
Telephone: / Fax: / e-mail:
Contact Person: / Withhold business name from job posting? Yes No
Referral Method:
(select all that apply) / E-mail / Fax / Telephone / Mail / In Person

JOB INFORMATION

Job Title: / Job Location:
Number of job openings: / Duration: choose oneregulartemporaryseasonal▼ / Full time / Part time
Work days per week?
(Check all that apply) / Mon. / Tues. / Wed. / Thurs. / Fri. / Sat. / Sun.
Shift: / First / Second / Third / Varies / Other / Explain:
Education required: / Experience: / Years: / Months:
Work Hours per Week / From to / Public transportation: Yes No
Licenses/Certificates Required:
Wage: / Minimum Pay $ / to Maximum Pay / $ / Per (choose one)hourweekyear▼
Driver’s License: / Yes No / If yes, what class and/or endorsement?
Benefits:
(Check all that apply) / Health Insurance / Holidays / Other hiring requirements:
(Check all that apply) / Drug Screening
Dental Insurance / 401K/Retirement / Physical Exam
Paid Vacation / Clothing Allowance / Reference Check
Paid Sick Leave / Child Care / Own Tools
Union Affiliation: / Yes No / Own Car
Job Description:
www.online.onetcenter.org can assist with identifying tasks & skills
Four major skills needed to perform job:
(in priority order) / 1. / 3.
2. / 4.
YOUR BUSINESS MAY BE ELIGIBLE FOR TAX INCENTIVES AND/OR ON-THE-JOB TRAINING WAGE SUBSIDIES IF YOU HIRE FROM DESIGNATED TARGET GROUPS. WOULD YOU LIKE MORE INFORMATION ON THIS SUBJECT? / Yes No