Corrie Corchiarino is a Business Resource Representative at the Queen Anne's County Career Center in Centreville, Maryland. The document provides a job order form for employers to submit job openings to be listed at the career center. The form collects information about the employer, job details like title, salary, requirements, and application procedures. Employers can submit open jobs to be listed and have applicants referred through staff-assisted or unassisted means at the career center.

1. Name: ___________________
Corrie Corchiarino
Business Resource Representative
Business Labor, Licensing and
Department of Services Representative
Address: ____________________
Regulation
____________________________
Division of Workforce Development
Queen Anne’s County Career Center
____________________________
125 Comet Drive
Phone: ________________
Centreville, MD 21619
Fax: __________________
410-758-8044 Phone
Email: _________________
410-758-8113 Fax
ccorchiarino@dllr.state.md.us
JOB ORDER FORM Website: _______________
www.mwejobs.com
EMPLOYER DATA:
Company Name: ____________________________________________ Telephone: _______________________________
Street: ___________________________________________________ Fax: _____________________________________
City: _____________________________ State: ______ Zip: _____________ URL: ________________________________
Contact Person: ________________________________________________ E-mail: _______________________________
Type of Business: _______________________________________________ FEIN # (Required):
_____________________
Are you a federal contractor? Yes No
JOB DATA:
Job Title: ______________________________________________________ No. of Openings: _______________________
Salary: _______________ per_____________ No. of Applicants Needed: ____________ Training Available: Yes No
Part Time / Full Time Temp / Perm Hours per Week: _____________ Minimum Age: ______________
Days to be Worked: ______________________________________ Hours to be Worked: _______________________
Experience: (years)____ (month)____ Min. Education Req’d:____________________ Licenses(s) Req’d:___________________
Physical Demands of Job (circle): Light Medium Heavy Indoors Outdoors
Special Skills Req’d:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
JOB DESCRIPTION
___________________________________________________________________________________________________________
_
___________________________________________________________________________________________________________
_
___________________________________________________________________________________________________________
_
APPLICATION PROCEDURES: (Circle all that apply)
Staff Assisted: Yes No Unassisted: Yes No
Call for Appointment ___________ Apply in Person _____Fax /Mail Resume _____ E-mail Resume _________
When to Apply: _____________________ Closing date: _______________ Job Reference #: _______________________
Testing Req’d: Yes No If yes, what type:
______________________________________________________________
Type of Interview: Phone One-on-One Group Written Oral
Inventory Form #96612-OES530 (rev. 04/2010)

2. THANK YOU FOR ALLOWING THE ONE-STOP CAREER CENTER TO SERVE YOU!
PLEASE ATTACH ADDITIONAL PAGES (INCLUDING PREPARED JOB DESCRIPTION) IF NEEDED.
Auxiliary aids and services are available upon request to individuals with disabilities.
Inventory Form #96612-OES530 (rev. 04/2010)