Free Job Order Transmittal - Tennessee

TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT

JOB ORDER TRANSMITTAL
EMPLOYER INFORMATION
Are you a first time user of TDLWD Services? Name of Company: Street Address: City: Telephone Number: Whom to contact: Duration of Job: Employer's EMail Address: FEIN (Federal Employer ID Number): TN Employer Account Number: Less than 4 days 4 to 150 days Permanent Is this job order being listed pursuant to an Affirmative Action Plan? Yes No Are you a Federal Contractor or Sub-Contractor? Yes No County: Wage/Salary is__________________ per: Hour Week Month Year Commission ( ______ %) Other (Specify ___________ ) Work Days (i.e., MON - FRI) State: FAX Number: Zip: Months Experience Required: Minimum Educational Requirements: Yes No Job Title:

JOB INFORMATION

If a test is required who will administer the test, you or your agent? (If Agent please identify) Minimum Number of Age: Openings: Number of Applicants to Refer: *(See below) _________ per opening

Work Hours (i.e., 8:00 AM - 5:00 PM) _________________________ How many hours per week? ________

JOB DESCRIPTION
(List most important duties, special requirements first -- the job summary space in data system is limited to 300 characters.) (Include tools used, machines operated, duties, and essential functions) Also include additional instructions/information not covered above.

*How to refer:

Call for Appointment

Mail Resume

Fax Resume

Apply In Person

EMail Resume

Other (explain) _______________________________________________________________________________________ Referral address if different from address above:
Name of Company

______________________________________________________________ ______________________________________________________________ Street ______________________________________________________________
City State Zip Code

Return completed form to: this address or the nearest Career Center or Affiliated Office

Office Name: Street: City/State: Zip:

________________________________ ________________________________ ________________________________ ______________________

Phone Number: Fax Number: EMail Address: Agency Contact:

_________________________ _________________________ _________________________ _________________________

DO NOT WRITE IN THIS SPACE - FOR LABOR AND WORKFORCE DEVELOPMENT USE ONLY. ORDER DATE SIC/NAICS D.O.T. JO ID# JOB ORDER NUMBER

TN
LB-0610 (R.12/03) www.tennessee.gov/labor-wfd/