Employment Information Form
(For Individuals who have Obtained Employment)

 
The Work Place provides key services free of charge. Our funding is measured in part by successfully matching individuals with training and career opportunities. We request brief information when our customers obtain employment. All information you provide is confidential and is accessed at The Work Place only by those involved in providing services, determining eligibility, or collecting and reporting data. Your individual information is never distributed to any individuals or groups. To report new employment, you may call The Work Place at (617) 737-0093 x 3021, or submit your information online, using the form below.

Congratulations on your new job and thank you for reporting your new employment to us!
*Required fields are marked with an asterisk

 
 
* First Name
 
* Last Name
   
Membership ID
   
Email
 
* Employer Name
   
Job Title
 
* Job Start Date
   
Hours per week
   
Salary
   
Were Benefits Offered?