JOB PLACEMENT INFORMATION
QUALITY CAREER SERVICES
2515
Wabash Avenue, Suite LL1
St.
Paul, MN 55114
PHONE: (651) 647-9322 FAX (651) 647-0423
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DATE: |
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GRANT NAME: |
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CLIENT NAME: |
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PHONE: |
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EMPLOYMENT INFORMATION
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COMPANY NAME: |
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ADDRESS: |
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CITY/ZIP CODE: |
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PHONE NUMBER: |
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JOB TITLE: |
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STARTING WAGE |
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START DATE |
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1.) Temporary Position: |
YES |
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NO |
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Hours Per Week |
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or
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2.) Full Time |
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Part time |
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Hours Per Week |
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IS THE POSITION TRAINING RELATED? |
YES |
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NO |
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DOES THE EMPLOYER PAY INTO THE MN UI TAX FUND? |
YES |
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NO |
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BENEFITS: |
YES |
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NO |
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WHAT PRODUCT DOES THE COMPANY MAKE OR WHAT SERVICES DOES IT PROVIDE?
HOW DID YOU FIND OUT ABOUT THIS POSITION?
If you have accepted full
time/part time (temporary employment) or (part time employment) a
letter from your employer is needed to continue dislocated worker services.
The letter must be on company letterhead and state if your
employment is temporary or part time.
Temporary employment letter must have your ending date of
employment. If part time employment the
letter must have total hours you are working per week.
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Are you attending school? |
YES |
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NO |
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Date of Graduation |
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Planning on attending school? |
YES |
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NO |
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Date |
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