Partnerships in Employment

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Job Referral Request Form

Please enter the information about the position you are posting below. Someone will contact you within 24 to 48 hours regarding your request.

1. Employer Information

Name:
Company:
Address:
Address 2:
City/Town:
Zip Code:
Email Address:
Phone Number:
Cell Number:

 

2. Type of Employment

Full-Time (33 - 40 Hours per week)
Part-Time (21 -32 Hours per week)
Part-Time (1-21 Hours per week)
Seasonal/Temporary
 
Other (please specify)
 

 

3. Job Title/Position

 

4. Job Description/Minimum Qualifications

 

5. Mandatory Requirements, Education or Experience:

 

6. Salary Range (Minimum - Maximum)

 

7. Benefits Offered:

401K Plan Health Insurance Sick Leave
Dental Insurance Life Insurance Tuition Reimbursement
Disability Insurance Retirement Plan Vacation time
           
Other (please specify)

 

8. How would you like to be contacted?

Apply in Person
Call Directly
Mail Resume and Cover Letter
Fax Resume and Cover Letter
Email Resume and Cover Letter
   
Website or Online Portal
 
Other (please specify)

 

9. Is there anything else we can help you with?

Accommodation or Accessibility Information
On-the-Job Training Programs
Tax Incentives or Financial Opportunities
   
Other (please specify)
Enter Code in the below box visual text confirmation

Abilities at Work in the Berkshires Partnerships in Employment    20 Taconic Park Drive, Pittsfield MA  01201 info@partnershipsinemployment.org