CareerPoint - Providing Resources for Employers & Job Seekers

I Found A Job!

We want to share in your success. Tell us about your new job and be eligible to win a $50.00 gift certificate. Just fill out this form and click on the "Submit" button at the bottom to be entered into the drawing. Thank you and Good Luck!

Your Name: *
Phone Number:
Job Seeker ID#:
Your Birthdate: *	(mm/dd/yyyy)
Email Address:
Company Name: *
Company City: *
State: *
Zip Code:
New Job Title: *
Insurance Benefits: *	Yes No
Hourly Wage or Salary:
Weekly Hours: *
Start Date: *	(mm/dd/yyyy)
Temporary or Permanent: *	Temporary Permanent
Is this job training related:	Yes No
Counselor's Name (if applicable):
* Required

CareerPoint 850 High Street Holyoke, MA 01040 Tel: (413) 532-4900 Fax: (413) 532-0737