2. Congratulations on your new job! This confidential information is only viewed by Workforce Resource Center staff. Thank you for sharing.
4. Congratulations On Your New Job!
   Please click "Submit" at the bottom of the page when you are done
6. * indicates a required field
12. About you:
14. First Name*
15. Last Name*
17. Telephone Number*
18. E-mail Address*
22. About your new job:
24. Name of the Company*
26. Job Title*
28. What type of industry is this position?*
    -- Select One --Administrative/Customer ServiceAgriculture/TourismConstruction/Trades/ManufacturingEducationEntertainment/Media/RecreationFinance/InsuranceGovernment/FederalHealth Care/Social AssistanceHospitality/Food ServicesInformation TechnologyOther ServicesProfessional ServicesReal Estate/Property ManagementRetail/SalesScientific/EngineeringSecurity/Public SafetyTransportation/Warehousing
30. Start Date*
    Start Date
32. Hourly Wage ($)*
34. Is this considered (Select One)*

    1. Full-Time

    1. Part-Time
36. Benefits (Select One)*

    1. Yes

    1. No
38. Did you find this job through *

    1. Meet the Employer/Job Fair Event
    2. Job Posts in the Workforce Center
    3. Resume Critique

    1. Resource Navigation/Referrals
    2. Employment Coaching
    3. WIOA Program

    1. Mock Interview
    2. Workshops
    3. Other/Staff - please list below
40. If Other, please list
44. Thank you and Congratulations on your New Job!
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field