<p> ® 135 Franklin Ave Scranton, PA 18503 (570) 963-4671/Fax (570) 963-4927</p><p>Job Location *Business Name______*Contact______*Address: ______*City: ______*State: ______County: ______Zip: ______*FEIN#______*Phone______*Fax______*E-mail______</p><p>Job Details Job Title:* ______Keywords: (1)______(2)______(3)______Enter minimum requirement levels Required Experience: Years _____ Months _____ Education Grade Level: ______(0-19) Enter only if required. Education Degree:  High School Diploma  GED  Professional Certificate </p><p> Vocational/Technical School  Associates Degree  Bachelors Degree  Masters Degree  Doctorate Degree  N/A Major: ______</p><p>*# Openings: ______*# Referrals Requested: ______</p><p>*Salary: $______per ______Enter minimum based on minimum experience and education level. Do you want this salary displayed to job seekers?  Yes  No (If No, “COMPETITIVE SALARY” will be displayed) Commission:  Yes  No</p><p>Type of Work:  Full Time Part Time *Number of Hours/Week: _____</p><p>Category of Work:  Permanent  Temporary  Seasonal  Summer  Contract  Apprenticeship *Number of Days: _____ (0-3) _____ (4-150) _____ (150+)</p><p>Shift:  Day  Evening  Night  Weekend  Rotation</p><p>Is transportation required?  Yes  No</p><p>*Required Items *Job Summary: Please provide specific details regarding job duties, job skills, days and hours of work, and any other special requirements. ______</p><p>Referral Methods: Do you want your company name on this job order displayed to the public?  Yes  No</p><p>Level of Service:  Unassisted -- (Employer conducts own job matches, reviews resumes and interviews job seekers without the help of Pennsylvania CareerLink Staff.)  Assisted -- (Employer would like Pennsylvania CareerLink Staff to assist in screening and referring job seekers.)</p><p>Enter any or all applicable: Method of Application:  Resume  Job Application</p><p>*Method of Contact:  E-mail: ______ Web Site: ______ Phone  In-person  Fax  Local Pennsylvania CareerLink  Mail (choose any or all of the mail address types below):  Company Address  Job Location Address  Point-of-Contact Address</p><p>Additional Information: ______For Office use only:</p><p>PA CareerLink Staff Person Accepting Order:______Is the employer (business) a Federal Contractor Job Listing?  Yes  No Is the employer (business) under a court ordered Affirmative Action Plan?  Yes  No *Ownership: ______*Job Order Source: ______*Job Order Category: ______*O*Net ______DOT ______*NAICS ______SIC ______</p><p>Staff Information______</p>