Department of Human Resources
Office of Student Employment

*Street Address of Business or Organization

*City/State

*Zip Code

*Company or Business Telephone Number

Contact Person's E-mail, if any

*Number of employees wanted

*Payrate per hour/week/month

*Work Schedule, days/time (more space below)

*Job Title of Student Position

*Essential Qualifications that the Employee Must Have:

*Describe Major Job Duties:

Additional Work Schedule Information:

Please select one or two options that you prefer:

Call First
Contact Person's Name
Contact Person's Telephone Number

Go Direct
Complete Address Where a Student Can Apply (Street/City/State/Zip Code)

E-Mail
Contact Person's E-mail (fill this out only if you want to be contacted by E-mail)

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