Submit a request – Tennessee Department of Labor and Workforce Development

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Your email address

Subject

Description

Are you a first time user of TDLWD Services?

Name of Company:

Street Address

City

State

Please enter State or State Abbreviation

Zip Code

County

Worksite Address

Enter Worksite address if different than company address above

Telephone number for contact

Fax number

Whom to contact:

Please enter your name or name of employer representative to contact

Federal Employer ID Number (FEIN)

TN Employer Account Number

Is this job order being listed pursuant to an Affirmative Action Plan?

Are you Federal Contractor or Sub-Contractor?

Is this job accessible by public transportation?

Job Title:

Required License or Certification including Drivers License

Please list and provide description of any license or certification required for this job

Enter Driver's License Classification if Driver's License is required

Months Experience Required:

Minimum Educational Requirements:

Please select any hiring requirements required for this job

Other - Hiring requirement (specify)

Please describe other hiring requirement

If a test is required who will administer the test, you or your agent?

(If Agent please identify)

Minimum Age:

Please enter minimum age and reason for this requirement

Number of Openings:

Number of Applicants to Refer Per Opening:

Duration of Job:

Wage/Salary Duration

Select duration of paid wage or salary.

Wage/Salary Amount

Enter amount paid per duration selected. If Other, please specify other payment.

Display Salary on Job Order?

Work Hours

(i.e., 8:00 AM - 5:00 PM)

How many hours per week?

Please enter hours per week and if hours are specific, not specific, or varied

Shift

Enter any details of shift required for job

Work Days

(i.e., MON - FRI)

Job Description

List most important duties, special requirements first (Include tools used, machines operated, duties, and essential functions.) Also include additional instructions/information not covered above.

How to refer:

If Other, explain how to refer

Referral address if different from address above:

Would you like Staff to be notified when a job seeker applies to this job?

Please enter name of staff member

Attachments

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