41 Lewis Street, Suite 104 Phone: (315) 789

41 Lewis Street, Suite 104
Geneva, NY 14456
Phone: (315) 789-3131
Fax: (315) 789-0163
Email: info@HealthcareWorkforceAlliance.com
January 2015
Dear Human Resource Professional:
You are invited to participate in the Healthcare Alliance of the Finger Lakes Job Fair Recruitment Event.
DATE: Thursday, February 12, 2015
TIME:
1:00 PM – 4:00 PM
PLACE: Ontario County Safety Training Facility
2914 County Road 48
Hopewell, NY
The economy in the Finger Lakes Region continues to grow. As your business experiences this growth,
you will need to expand and hire individuals with the skills you need. This job fair provides Healthcare and
Human Services Agencies an excellent opportunity for you to meet candidates for current and anticipated
job openings within your company or organization.
Each participant is provided with a six-foot table and two chairs. If you have any other needs, such as an
electric outlet, please indicate them on the registration form under comments.
Please complete the Registration Form and return Wednesday, January 30th, 2015. Space is limited so
get your reservation in early! The cost is $50.00.
We are looking forward to seeing you. If you have any questions, please contact Michael Woloson at 315789-3131 extension 103 or email at info@HealthcareWorkforceAlliance.com
41 Lewis Street, Suite 104
Geneva, NY 14456
Phone: (315) 789-3131
Fax: (315) 789-0163
Email: info@HealthcareWorkforceAlliance.com
REGISTRATION FORM –
Healthcare Alliance of the Finger Lakes Job Fair Recruitment Event
Date:
Thursday, February 12th, 2015
Time:
12:00 PM - 1:00PM: Arrival and Set Up (Lunch provided)
1:00PM - 4:00PM:
Place:
Job Fair
Ontario County Safety Training Facility
2914 County Road 48
Hopewell, NY
RESERVATION DEADLINE –January 30th, 2015
PLEASE PRINT
COMPANY NAME _________________________________________________________________
PRODUCT OR SERVICE ___________________________________________________________
COMPANY ADDRESS ______________________________________________________________
CONTACT PERSON________________________E-Mail __________________________________
TELEPHONE NUMBER ________________________
FAX NUMBER ______________________
Comments (other needs) _____________________________________________________________
Registration Fee: $50.00. Checks made out to: Finger Lakes Workforce Investment Board.
Return Registration form and check to:
Finger Lakes Workforce Investment Board
41 Lewis Street, Geneva NY 14456
Registration is not complete until check is received.
Fax: 315-789-0163. Attention Michael Woloson. Confirmation of registration will be sent upon receipt of
registration form and check. info@HealthcareWorkforceAlliance.com
Please complete job order (attached) and send w/ registration.
Finger Lakes Works Job Bank
JOB ORDER FORM
Phone: 315-946-7270, FAX: 315-946-7271, Email: lyons@labor.ny.gov
Information provided on this form will help us understand your hiring needs and locate the most suitable candidates for you. Please fill out one Job Order
Form for each job and FAX, email (MS Word file) or call the office listed above to place the order. To enter text on the form, click in the gray fields below
and begin typing. Tab or click the next field to continue. Job orders may also be completed and submitted online at www.ny.jobs.
EMPLOYER INFORMATION
Date:
Federal ID:
State ID:
Business Name:
Street Address:
City:
State:
Zip: :
Mailing Address
City:
State:
Zip:
Telephone:
Fax:
Contact Person/Title:
Would you like candidates to apply directly, even if they have not been referred by
Department of Labor?
Yes
No
Email:
Online – Provide web address:
Referral Method:
(Select all that apply)
E-mail
Mail
Fax
Telephone
In Person
Type of Business
JOB INFORMATION
Job Title:
Job Location:
Duration:
# of Openings:
Work days per week?
(check all that apply)
Mon
Shift:
Tues
First
Second
Temporary
Wed
Regular
Thurs
Third
Varies
Education Required:
Fri
Seasonal
Sat
Full-time
Part-time
Sun
Other Explain:
Licenses/Certificates/Degrees:
Experience required:
Years:
Wage:
Minimum Pay $
Driver’s License:
(if needed to perform job)
Months:
Yes
No
Class:
Health Insurance
Dental Insurance
Benefits:
(check all that apply)
Acceptable related experience:
Paid Vacation
Sick Leave
to Maximum Pay: $
Would you accept a trainee?
Yes
No
Per (hour/month/year):
Public transportation available?
Union Affiliation: Yes No
Yes
No
Other hiring requirements:
(Must be bona fide occupational qualifications.)
Retirement/401k
Own Car
Clothing Allowance
Own Tools
Child Care
Drug Screening
Life Insurance
Reference Check
Holiday Pay
Physical exam
(ONLY after job offer and if required to do the job.)
Job Description:
(Brief Explanation of Job
Duties – Attach company
job description if
available)
Major Skills Needed
to Perform Job:
1.
2.
3.
4.