Department of Employment,
Training & Rehabilitation



On-Line Job Order Form
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Information About Your Company
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Employer Name  
* Mailing Address  
* City  
* State and Zip Code  State     Zip Code  
  State Employer Account Number (SEIN)    (example: 123456.00)
* Federal Employer Identification Number (FEIN)    (example: 88-1234567)
* Type of Business  
  Company Website  URL: 
  Worksite address
(if different from mailing address)
  Interview site address
(if different from mailing or worksite address).
  Directions to interview site:  
* Recruitment Contact Person  
* Telephone Number (000-000-0000)     Extension:
  Fax Number (000-000-0000)  
* Employer E-mail Address  

Information About the Job Listing
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Is this position a Foreign Labor Certification (FLC) listing?
* Job Title  
* Number of Positions  
* How many people would you like to interview for each opening?  
* Does your company have contracts with Federal and/or State Government?
* Testing
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  If other, please specify

Will any of the following be required?
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  If other, please specify


Information about the Job
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* Education Required      
* Minimum grade the individual must have completed  
* Degree, license or certificate required   Yes     No
  If Yes, please indicate the type  
* Driver's License Requirements:  


Class Codes:
Class A -
Any combination of vehicles with a GCWR of 26,001 or more pounds provided the GVWR of the vehicle(s) being towed is in excess of 10,000 pounds.
Class B - Any single vehicle with a GVWR of 26,001 or more pounds, or any such vehicle towing a vehicle not in excess of 10,000 pounds GVWR.
Class C - Cars, vans, pickups; may tow a vehicle under 10,000 pounds.
Class M - Motorcycle or Moped



Endorsement Codes:
F -
Farm - Fire - Military
H - Hazardous Materials
J - May tow a single vehicle in excess of 10,000 pounds GVWR.
N - Tankers
P - Passengers
R - Recreational - Single vehicle less than 26,001 GVWR towing a combination of vehicles weighing less than 10,000 pounds and not to exceed 70 feet.
T - Doubles and Triples
X - Hazardous Materials and Tankers

* Minimum age

* Salary Range  $    per  

* Duration of Job   Permanent
* Availability   Full-time     Part-time
* Shift  
* Hours Per Week  

Work Week
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* Is there public transportation (bus line) available at the work site during work hours?
* Does this job require the use of the job seeker's personal vehicle as part of the job duties?

* Benefits
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* Does the job require fluency in another language?
If yes, which language is required.  


Additional Information
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* Willing to Train
* Minimum Months of Experience  
* Job Description (List skills, duties, knowledge, machines, and equipment used):  

Access to Job Listing Information
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Employer name and address displayed to the public.


Method of referral  


Please indicate the deadline to apply.  


Is this the first job you have listed with the Nevada JobConnect?


How did you hear about posting job orders with us through our Web site?  
  If you heard about it from some other source, please describe the source:  

Additional Services

I have several positions available. Please have someone contact me about recruiting on-site.
I would like one-on-one assistance from a Business Service Representative to help plan my recruiting needs.

I would like more information about Nevada JobConnect programs and services.   


Copyright 2017
Nevada Department of Employment, Training and Rehabilitation
All rights reserved.
Revised: 07/03/17.