1. COMPANY AND CONTACT INFORMATION

● Federal Employer Tax # (Required): Employ Florida User ID (if available):
● Company Name: ● Address:
● City: ● State: ● Zip:
● Type of Business: ● Contact Person:
● Telephone #: Fax #: ● E-mail Address:
● Job Address:
● City: ● State: ● Zip:
● Is this is your first job listing with CareerSource Broward? YesNo
How did you learn about CareerSource Broward? Please check all that apply: Newspaper Ad Chamber of Commerce CareerSource Broward Visit SFMA TV MIASF Assoc. Speaker Radio Other:

● Are you being assisted by a CSBD Team Member? YesNo
● If the answer is Yes, please enter staff member's name here (enter N/A if not):

● Is this job order request being submitted by a CSBD Team Member? YesNo
● If the answer is Yes, please enter staff member's name here (enter N/A if not):

2. JOB DETAILS

● Job Title: ● Number of Open Positions:
● Position Open/Posting Date: ● Position Close Date:
● Type of Job: RegularSeasonalTemporaryContractApprenticeship

● Job Status: Full-timePart-timeFull-time/Part-time

● Anticipated Job Duration: >150 days4-150 days1-3 days

● Does this job fall within any of the following Special Categories:
Agricultural Recruitment SystemAlien Labor CertificationBroward Local Government ContractDisaster RecoveryNon-paid InternshipOn-the-Job TrainingPaid InternshipSeasonalSummer Youth ProgramVolunteerN/A

3. DETAIL JOB DESCRIPTION: ●

4. Enter other specific skills required (e.g. degrees, certifications, software knowledge, etc.) ●

5. Pre-Employment Testing: ●

No TestingEmployer proctored testJob center proctored testOther:
*Provide a brief description of testing performed* ●

6. HIRING REQUIREMENTS:

Drug Screening Background Checks Credit Checks Reference Checks Bonding Motor Vehicle Record
Specify other hiring requirements: ●

7. MINIMUM LEVEL OF EDUCATION REQUIRED: ●

No High School/GEDGEDHS Diploma1 yr. College/Voc.2 yrs. College/Voc.3 yrs. College/Voc.Vocational CertificateAssociates DegreeBachelorsMastersDoctorateSpecialized Degree (MD, DDS)
● Months of Experience Required in Occupation:
● Is a Driver's License required for this position? YesNo

If yes, please detail the license class and any special endorsements required:
Commercial License Certification:
Class A - Any vehicle with GVWR > 26000/Tow vehicles with GVWR > 10000 Class B - Any vehicle with GVWR > 26000
Class C - Vehicle carrying 15 persons OR placardable amounts of hazardous materials AND GVWR < 26001
Class E - Private Vehicle Class E - Learner Motorcycle Also Motorcycle ONLY

*Drivers License Endorsements:
T-CDL Double/Triple Trailers P-CDL Passenger Bus S-CDL School Bus N-CDL Tankers H-CDL HAZ-MAT
X-CDL Combo-Tanker/Hazardous K-CDL No Operator of airbrakes CDL - ICC Physical

8. COMPENSATION/HOURS/BENEFITS

● Minimum Salary: ● Basis for unit of salary/pay: HourDayWeekMonthYearQuarterOther
● Maximum Salary: Pay Comments: Depends on experience Will discuss with applicant Commission Only
● Hours per week: Salary + Commission Piece rate Salary + Tips Salary + Bonus N/A
● Shift: DayEveningNightRotatingSplitOther, see job description

Benefits offered: Medical Dental Vision Vacation Sick Leave Job Share 401K Pension Uniforms Meals Life Insurance Child Care Holidays Relocation Company Car Paid Time Off Tuition Assistance Flex-time Stock Options Expense Account Other None

Supplemental Compensation: N/A Vehicle Expense Allowance Pager/Cell phone Other

● Please specify an additional benefits or supplemental compensation offered:

● Is this job accessible by public transportation? YesNo

9. JOB ORDER VISIBILITY

● How would you like for your job order to be advertised?
Open to the general public allowing all candidates to apply regardless of qualifications.

(This will yield a greater response to the advertisement and allow you the opportunity to perform pre-screening based upon the criteria set by your organization.)

Pre-screening performed by CareerSource Broward placement team prior to referral

(This option will yield a lower response, however, trained CareerSource Broward Placement Representatives will pre-screen candidates according to the skills, experience, and education outlined in this job order and refer only those candidates meeting the requirements set forth in this requisition.)

10. JOB APPLICATION METHODS ACCEPTED:

Online Resume E-mail Fax Call for Appointment Mail Online Application
Company Application Website:
Apply in Person (Days/Hours):
● Is this order under Federal contract? YesNo
● Is this job order "Veterans Preference"? YesNo
● Is this an Alien Labor Certification order? (i.e., Are you working with an immigration attorney to hire someone outside of the U.S.?) YesNo

Thank you for choosing CareerSource Broward to assist with your human resources needs.

An equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. All voice telephone numbers on this document may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.