Thursday, April 30th, 2015 10:00am 3:00pm

Madison Park Church of God

Anderson, Indiana
$50.00 registration (see below)
We are now set up to take credit card payments. See the link below.

Central Indiana Job Fair Application

Business Name:

____________________________________________________________________

Address:

____________________________________________________________________

City:

____________________________________State:______Zip:___________________

Telephone:
_
E-mail Address:

____________________________ext._______Fax:___________________________

Contact Person:

____________________________________________________________________

Type of Business:

____________________________________________________________________

____________________________________________________________________

Number of Employer Representatives Attending:_______

What positions will you be hiring for at this job fair?
Specific Job Titles:

# of openings

Salary Range

_____________________________________________

____________

______________

_____________________________________________

____________

______________

_____________________________________________

____________

______________

_____________________________________________

____________

______________

I will need access to electricity (Check one)

Yes_____

No_____

Additional information you would like to tell us regarding set-up needs such as vegetarian box lunches:
___________________________________________________________________________________________
_______________________________________________________________________________________________
____________________________________________________________________________________________

For credit card payments go to JobSources website: mkt.com/jobsource-inc

Please return by fax to Job Fair Committee
Fax: (765) 641-6557 Attn: Ed
Or e-mail to: emiller@madisoncounty.in.gov
If you have any questions, please call Ed at 765-610-4825
Checks/payment is due by April 24th
Please make checks payable to JobSource, P.O. Box 149, Anderson, IN 46016.
The job fair sponsors operate many programs, including WIA Title 1-funded programs/activities, and are equal opportunity
employer/programs. Auxiliary aids and services are available upon request to people with disabilities.