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Job Order Form

Is the address above different from the worksite address?

Please provide the worksite address below

How would you like candidates to contact you?

(Provide a detailed job description including the proposed work schedule with specified days and hours.)

Benefits: (Check all that apply)

Qualifications Required

HempsteadWorks Career Center

50 Clinton St.

Suite 400

Hempstead, NY 11550

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TEL: 516-485-5000

TTY: 1-800-662-1220

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The Workforce Innovation and Opportunity Act financially assisted program is an equal opportunity employer / program. Auxiliary aids and services are available upon request to individuals with disabilities. To request reasonable accommodation, please call our Disability Resources Coordinator at (516) 485-5000 ext. 1113.

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A service of the Town of Hempstead/City of Long Beach Workforce Development Board

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