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2. Job Title*
3. Job ID (optional)
5. Business Name*
6. Email Address*
8. Address
10. City
11. State
12. Zip Code
14. Phone Number*
15. Fax Number
17. Employer Contact Phone Number*
18. Employer Contact Email Address*
20. Job/Career Categories*

    1. Agriculture, Food and Natural Resources
    2. Architecture, Engineering, and Construction
    3. Arts, Entertainment and Culture
    4. Audio/Video Technology and Communications
    5. Business Management and Administration
    6. Community and Social Services
    7. Education and Training
    8. Farming, Fishing and Forestry
    9. Finance
    10. Government and Public Administration

    1. Health and Medicine
    2. Hospitality and Tourism
    3. Human Services
    4. Information Technology
    5. Law, Public Safety, Corrections and Security
    6. Manufacturing
    7. Marketing, Sales and Services
    8. Repair, Maintenance, and Installation
    9. Science, Technology, Engineering and Mathematics
    10. Transportation, Distribution, and Logistics
22. Job Description*
24. Job Posting Start Date
    Job Posting Start Date
25. Job Posting End Date
    Job Posting End Date
26. Salary*
28. Online Application Link
30. Primary Duties
32. Special Requirements
34. Miscellaneous/Additional Information
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36. 1. Receive an email copy of this form.
37. Email address

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