JOB OPPORTUNITY FORM

Please fill out this form to use our recruitment and referral services.

224 N. Center Street, Westminster MD 21157
Employers: BERC can only provide services for positions that are regular W-2 positions.

JOB TITLE*

BUSINESS NAME*

EMPLOYER'S PRODUCT/SERVICE*

ADDRESS*

Street Address City State ZIP Code

PHONE*

FAX

CONTACT PERSON*

First Last

TITLE*

EMAIL*

WEBSITE

JOB DETAILS

JOB DESCRIPTION*

JOB REQUIREMENTS*

OTHER JOB REQUIREMENTS*

WAGES PER HOUR*

NUMBER OF OPENINGS*

PERMANENT OR TEMPORARY EMPLOYMENT*

PERMANENT
TEMPORARY

FULL TIME OR PART TIME*

FULL TIME
PART TIME

OVERTIME*

YES
NO

BENEFITS*

YES
NO

BENEFITS

DAYS OF WORK*

MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY

MONDAY HOURS*

TUESDAY HOURS*

WEDNESDAY HOURS*

THURSDAY HOURS*

FRIDAY HOURS*

SATURDAY HOURS*

SUNDAY HOURS*

SHIFT

HOW TO APPLY*

WILLING TO TRAIN*

YES
NO

EXPERIENCE REQUIRED*

YES
NO

EXPERIENCE IN MONTHS

MINIMUM AGE*

CLOSING DATE*

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