Date: 7/24/2008

Employer's Name (Company Name)


Contact Person
First Name
Last Name

Address
Street Apt #
City State Zip

Contact Information
Phone
E-mail

Job Information
Job Title

Job Type
Automotive
Babysitting
Child Care
Computers
Food Service
Office Work
Painting
Pet Care
Recreational
Restaurant
Tutoring
Household Jobs
Yard Work
Other

Minimum Age years

Application Deadline (mm/dd/yyyy)

Looking to Hire
Full-time
Part-time
Temporary
Seasonal

Hours Per Week
Salary $ per week hour job

Job Description (optional)


Please list any courses, special skills, training, experience, or equipment required.


Does the job have any limitations or restrictions?


Applicant Must Possess
Driver's License
Permit to Drive
Reliable Transport
Working Papers

Would you be willing to provide feedback on the employee and/or program so that we may provide the best service possible?
Yes

Job Assist provides information about TEEN job opportunities and makes no representation about applicants' qualifications and cannot guarantee successful work-applicant matches.
I understand and agree