Employer Registration Form

Instructions

Please fill in the blanks as they relate to your organization or contact Jim Key, Job Development Officer at:

Tel: (902) 543-2479
E-mail: jgkey@l-qactioncouncil.ca

Please provide the following (*required)

Contact Name*

Title

Company*

Address*

Town*

Province*

Postal Code*

Phone*

Fax

E-mail

Website

Profile

1.	Types of positions available

2.	Wage and salary ranges

3.	Position qualifications

4.	Minimum education required

5.	Training provided

	(Select all that apply.)
	Occupational health and safety
	On-the-job
	Orientation
	Staff development courses
	Other (specify):

6.	Site accessibility

Parking

8.	How to apply

Comments

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