Job #, if Known

Job Title:

* Phone number listed on job posting:

Company Name:

* Contact Person (First and Last Name):

* EMAIL ADDRESS:

In order to continue to receive the government funds that support our services, we are required to collect statistics on the jobs posted in our office. To collect this information please complete the questions below.

* Was the job filled by a CU student?Yes No

If you did hire a CU student, please complete the following:
How many CU Students did you hire?
What pay rate did you hire them at?
On average, how many hours per week do they work for you?

*How did you hear about our service?
Referred by Someone
Fliers
Former CU Student
Used This Service Before
Other

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