Employer Request Form01
Employer Request Form01
Job Number: ________________
Date Logged: ________________
EMPLOYMENT SERVICES
Logged by: ________
Hartnell College, Career Center
Cooperative Work Experience Education
Email: [email protected]
EMPLOYER REQUEST FORM
Business/Agency/Organization Phone
Department Contact Person Phone
3
Employer Site Supervisor ** Phone .
Address .
No. Street City Zip Code
Fax : E-mail :
Requirements (e.g., basic qualifications and/or special skills, experience or academic background
preferred):
Training/Orientation provided (e.g., self-paced, classroom, and/or on the job training, and/or mentoring):
Other .