2. Please disregard the sign-in prompt above.
4. 
6. Congratulations on your new hire! Since we share all successful employment connections with the Workforce Development Board, we ask that you provide a few details regarding your new hire. This confidential information is only viewed by the Workforce Resource Center and the Workforce Development Board. Thank you for your cooperation.
8. Congratulations On Your New Hire!
   Please click "Submit" at the bottom of the page when you are done
12. Your New Employee Information
14. New Employee First Name*
15. New Employee Last Name*
17. Job Title*
19. Job Location*
21. Start Date*
    mm/dd/yy
23. Hourly Wage*
24. Hours Per Week*
26. Is this considered?*

    1. Full-Time

    1. Part-Time
28. Benefits Eligible?*

    1. Yes

    1. No

    1. Other
30. If other, please list
34. Your Company Information
36. Name of your Company*
38. Contact Name*
40. Contact E-Mail*
44. Thank You and Congratulations on your New Hire!
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field