Employment Opportunity Addition/Change Form (Complete contact information for person submitting this request)

Fill out the following information (bold fields are mandatory) and click 'Submit'.

First Name:
Last Name:
Company:
Address 1:
Address 2:
City:
State/Province:
Zip Code:
Email Address:
Business Phone:
Are you an active FAMSS member?:	Yes. Please post my job opportunity on the FAMSS website. No. I wish to place an job opportunity ad. (Posting charge per job opportunity is $30.00 for 60 days)
I would like to:	Post new employment opportunity on FAMSS website (Please provide facility name/location, position description, and detailed contact information you would liked posted on website under Position Description). Remove employment opportunity from the website. Position has been filled. Update description of current posted opportunity. (List changes requested under position description).
POSITION DESCRIPTION: