Four Ways to Submit a Job Order



867251-285700DWS-EI 59-FLCState of UtahRev. 04/2014Department of Workforce ServicesFOREIGN LABOR CERTIFICATION - JOB ORDER FORMFour Ways to Submit a Job Order E-mail: postajob@ (Please reference FLC in the subject line.)FAX: 1-801-526-9633Phone: 1-888-920-WORK (9675)Mail:Department of Workforce ServicesForeign Labor CertificationPO Box 45249SLC, UT 84145-0249 EMPLOYER INFORMATION:Company Name: FORMTEXT ?????Contact Name: FORMTEXT ?????Street Address: FORMTEXT ?????City: FORMTEXT ?????State: FORMTEXT ??Zip Code: FORMTEXT ?????Phone #: ( FORMTEXT ???) FORMTEXT ???- FORMTEXT ????Fax #: ( FORMTEXT ???) FORMTEXT ???- FORMTEXT ????Email Address: FORMTEXT ?????Federal ID# (FEIN): FORMTEXT ?????Job Site Location: FORMTEXT ????? Job Title: FORMTEXT ?????Number of Openings: FORMTEXT ??? Job Description (Tasks, duties, responsibilities): FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? Job Details: FORMCHECKBOX H-2B / FORMCHECKBOX PERMSalary:From$ FORMTEXT ?????To$ FORMTEXT ?????( FORMCHECKBOX Hourly/ FORMCHECKBOX Monthly/ FORMCHECKBOX Yearly)Benefits: FORMCHECKBOX Yes / FORMCHECKBOX NoHours:From FORMTEXT ?????( FORMCHECKBOX am/ FORMCHECKBOX pm)To FORMTEXT ?????( FORMCHECKBOX am/ FORMCHECKBOX pm)Shifts (Check all that apply): FORMCHECKBOX Day / FORMCHECKBOX Swing / FORMCHECKBOX Graveyard / FORMCHECKBOX RotatingWork: FORMCHECKBOX Full-Time / FORMCHECKBOX Part-Time / FORMCHECKBOX Seasonal / FORMCHECKBOX TemporaryDays Off: FORMCHECKBOX Sat / FORMCHECKBOX Sun / FORMCHECKBOX Mon / FORMCHECKBOX Tues / FORMCHECKBOX Wed / FORMCHECKBOX Thurs / FORMCHECKBOX FriDates Of Need / Closing Date:From FORMTEXT ?????To FORMTEXT ?????Referral Instructions (How would you like applicants to apply?): FORMTEXT ????? FORMTEXT ????? Job Requirements: (Must be bona fide qualifications required to perform the job.)Experience: FORMTEXT ???( FORMCHECKBOX Years / FORMCHECKBOX Months)Age: FORMTEXT ??To FORMTEXT ??Lifting (lbs.): FORMTEXT ???Vehicle Required? FORMCHECKBOX Yes / FORMCHECKBOX NoDriver’s License? FORMCHECKBOX Yes / FORMCHECKBOX NoLicense Type: FORMCHECKBOX A / FORMCHECKBOX B / FORMCHECKBOX C / FORMCHECKBOX D Endorsements: FORMCHECKBOX H / FORMCHECKBOX M / FORMCHECKBOX N / FORMCHECKBOX P / FORMCHECKBOX S / FORMCHECKBOX T / FORMCHECKBOX X / FORMCHECKBOX ZEducation: FORMCHECKBOX None / FORMCHECKBOX GED / FORMCHECKBOX HS / FORMCHECKBOX AA/AS / FORMCHECKBOX BA/BS / FORMCHECKBOX MA/MS / FORMCHECKBOX PhD / FORMCHECKBOX Certified or Licensed: FORMTEXT ?????Computer Skills / Knowledge: FORMTEXT ????? FORMTEXT ?????Special Machinery / Tools / Knowledge: FORMTEXT ????? FORMTEXT ?????Equal Opportunity Employer ProgramAuxiliary aids and services are available upon request to individuals with disabilities by calling (801) 526-9240. Individuals with speech and/or hearing impairments may call Relay Utah by dialing 711. Spanish Relay Utah: 1-888-346-3162 ................
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