The Career Place - Placement Form

Placement Information Form

For Individuals who have Obtained Employment

The Career Place provides key services free of charge. Our funding is measured in part by successfully matching individuals with training and career opportunities. We request brief information when our customers obtain employment. All information you provide is confidential and is accessed at The Career Place only by those involved in providing services, determining eligibility, or collecting and reporting data. Your individual information is never distributed to any individuals or groups. To report new employment, you may speak with a career counselor, call The Career Place at 781.932.5500, or submit your information online, using the form below.

Congratulations on your new job and thank you for reporting your new employment to us!
*Required fields are marked with an asterisk

Your Information

*Name:	First: Last: MI:
*Address:
*City:	State: Zip:
Phone:

Employer Information

*Employer Name:
Address:
*City:	*State: Zip:

Job Information

*Job Title:
Pay Rate:	$ Per:
*Medical Benefits:	were offered were NOT offered
*Start Date:
*Expected Duration:	more than 150 days less than 150 days
*Full Time:	yes no
*Hours/Week:

For Our Records

Did you post your résumé in our online résumé bank? yes no

If yes, would you like it removed? yes no

How did you learn about this position?

Comments: