CCSU Career Services Job Order Form

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This form should be used ONLY to submit a
Part-time or Summer job to Linda Vinci!
Please complete all sections of this form, then click on the "Submit Job Order" button below.

Items marked with an asterisk (*) must be completed.

*Date of Request:
Application Deadline:
Start Date:

*Company Name:
*Address:
*City:
*State:
*Zip:

WWW Address:

*Contact Person:
Title:
*Phone: (w/ area code)
*Fax: (w/ area code)
*Email Address:

*Position Type:
Hours:

*Position Title:
Number of Positions:

*Job Location:

*Company Information

*Description of Duties

*Qualifications Desired/Required

Salary: $

Special Instructions

Thank you for using the CCSU Career Services and Cooperative Education on-line Job Order Form.
Click the "Submit Job Order" button to send us your Job Order.

Central Connecticut State University is committed to a policy of non-discrimination and equal opportunity for all persons regardless of race, color, religion, sex, age, national origin, marital or veteran status, sexual orientation, or physical or mental handicap. This policy is applicable to all employment practices, admission of students, programs and services to students, faculty and staff, and the community. CCSU is a campus of the Connecticut State University system.