Employer Interest Form

Company Name*
Location (City)*
First Name*
Last Name*
Job Title*
Email*
Phone Number*
Zip Code*
Please contact me by:*
- Phone
- Email
I am interested in:*
- Bulldozer
- CDL Class A
- CDL Class B
- Dump Truck
- Food & Beverage
- Hazmat
- Heavy Equipment
- Passenger
- School Bus
- Skid Steer
Which hospitality and tourism training are you interested in?*
- Food and Beverage Services
- Accommodations and Recreational Services
Which CDL truck driving training are you interested in?*
- CDL Class A
- CDL Class B School Bus Driver (S)
- CDL Class B Construction Truck Driver (dump truck, concrete truck, garbage truck)
Type of transmission:*
- Automatic
- Manual
Number of incumbent workers you are needing to train
Number of People Position

Add multiple positions by selecting the button to the right of the row of fields.
Number of people and positions looking to hire
Number of People Position Average Starting Hourly Wage

Add multiple positions by selecting the button to the right of the row of fields.
Do you have any hiring requirements?*
- Yes
- No
Minimum Age*
Drug screen*
- Yes
- No
Background check*
- Yes
- No
Physical*
- Yes
- No
Valid Drivers License*
- Yes
- No
Motor Vehicle Report*
- Yes
- No
Must have clear MVR for the last 5 - 7 years*
- Yes
- No
May have no more than 2 minor moving violations in the last 5 - 7 years*
- Yes
- No
Weight or lifting requirements*
- Yes
- No
What are the weight or lifting requirements?*
Do you have any other requirements not listed?*
- Yes
- No
Please list your additional hiring requirements*
Do you offer employee benefits?*
- Yes
- No
How did you hear about the training?
- Community College Website
- ACCS Website
- Google Ads
- Facebook Ads
- Facebook Post
- YouTube Ads
- Instagram Post
- Twitter Ads
- Email
- Radio
- TV
- Newspaper
- Word of mouth

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Number of People	Position

Number of People	Position	Average Starting Hourly Wage