ONLINE JOB ORDER FORM FOR EMPLOYERS

For Arizona Only Please(Preferably in Tempe Area)

Instructions:  Tab between fields.   Complete all fields as completely as possible.  Click the submit button at the button when you are completed.  This information will automatically be sent to Youth Employment to be included in the database.   Thank you very much for your participation!!!

Email Address:   Employer Name:
Work Location (major cross streets): Contact Person: 
Mailing Address: City, State, Zip:
Phone Number: Alternate Phone:   Fax

Job Type:

Child Care   Landscape Cleaning Odd Jobs Tutoring
Clerical/Office Telemarketing Customer Service Retail Grocery
Warehouse Construction Maintenance Assembly Security
Entertainment Special Event Recreation Restaurant Other

Job Description
Minimum Age: Qualifications/preferences:

Positions Open: Full-Time: Part-Time: Occasional: One time only
Permanent: Temporary:

Pay Rate:   # of Hours   Start Date

Times Needed

Can employer provide transportation to job?    Home from job?

How to Apply

Referral Source:

Friend/Family Used Before Leisure brochure Water bill newsletter
Internet School Agency Phone book/walk-in
Media Other