GET - A - WORKER

Company Name
Office Phone Number
Cell Phone Number
Fax Number
Company Address, City, State, Zip, Parish

Address Where Alien Will Work

Job Title *Each Job Title requires a separate application

Total Hours Per Week

Basic

Overtime
Work Schedule (Hourly)   

Basic

To
Rate of Pay       

Basic

Overtime

Describe Job to be performed

Describe efforts to recruit US workers and the results

Occupational Title of Person Who Will Be Alien's Immediate Supervisor
Number of Employees Alien Will Supervise

Number of openings to be filled
Exact dates you expect to employ Alien  by Aliens Under Job Offer    

From

To

Address and Description of Aliens Housing

ADDITIONAL COMPANY INFORMATION:

Primary Contact Person who will sign documents
Website
Email Address
Current Number of Employees        

How Many Full Time

How Many Seasonal
Peak Season Begins

Peak Season Ends
Explain how different seasons affect your need for labor
Does your business have a Seasonal or Event need nature
When & Why does your need for labor increases?
Spring
Summer
Fall
Winter
Year Business was established
Annual Income for last year

Gross

Net

Tax ID

I Certify that the information provided herein is true and correct to the best of my knowledge.
  
Authorized Signature:X

Title:

Date:

                                                     

Copyright © 2008 [The Accent Group].