Wages Form

Company / Employer Name *

Company Street Address *

Suite #

Company City *

Company State/Province *

Company ZIP / Postal Code *

County *

Company Website *

Federal Tax ID Number (EIN) *

Contact First Name *

Contact Last Name

Contact Title *

Contact Phone Number *

Contact E-Mail Address *

Company Size *

Type of Job *

Type of Internship *

Is this a paid internship? *

Does it qualify for school credit? *

Job Location - City *

Employment Type *

Employment Pay Type *

Salary/Wage Minimum *

Salary/Wage Maximum

Payment Period *

Other salary info

Please define other benefits

Benefits Start Date *

Custom Benefits Start Date *

What does your business do to retain employees through the first 90 days?Please be specific as possible, including dollar amounts.

Please define other ways to retain

Job Shift Type *

Years of experience *

Education Level

Position title you are requesting wage data for

Do you use a staffing agency or temp agency service? *

Would you consider hiring a candidate with a felony conviction? *

Industry *

Occupation *

Accounting/Finance/Insurance *

Administrative/Clerical *

Agriculture, Forestry, & Fishing *

Banking/Real Estate/Mortgage Professionals *

Biotech/R&D/Science *

Building Construction/Skilled Trades *

Business/Strategic Management *

Creative/Design *

Customer Support/Client Care *

Editorial/Writing *

Education/Training *

Engineering *

Food Services/Hospitality *

Human Resources *

Installation/Maintenance/Repair *

IT/Software Development *

Legal *

Logistics/Transportation *

Manufacturing/Production/Operations *

Marketing/Product *

Medical/Health *

Other *

Project/Program Management *

Quality Assurance/Safety *

Sales/Retail/Business Development *

Security/Protective Services *

Wages Form

What benefits are offered by your business to employees?

Work Days *