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Community Venues

Blueprint Employment Office


1200 West South Street - Orlando, FL 32805

Candidate Employment Referral Form


Candidate Referred:
First Name Last Name

Gender:

Male

Female

Referred By: Date Referred: Company Referred To: Address: City: Zip: Position: Date of Interview: Contact Title: Contact Person: Contact Phone:

Hiring Status (Employers):


Please email Marya Ekon (407.246.2687) at the Blueprint Employment Office marya.ekon@cityoforlando.net to inform us on this candidate's employment status. (i.e. Hired or Not Selected)

WORKFORCE DEVELOPMENT OFFICE USE ONLY


Job Order Number

BPJOB

Candidate Record No.

Date Referral Registered Target Population Candidate Parramore Resident Black White YES Homeless Other NO

Ex-Offender Hispanic

o:/cv/blueprint program office/workforce development BP WFD Candidate Referral Form Ver 02 2010.xls

Printed/Updated: 2/17/2010 8:27 AM

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