JOLTS Form
Part 1  | 
			This form requests information about employment, job openings, and employee turnover at:  | 
			
  | 
			
  | 
		||||||||||||||||||||||
  | 
			County:  | 
			
				  | 
			
				  | 
			
  | 
		|||||||||||||||||||||
  | 
			UI:  | 
			
  | 
			in  | 
			
  | 
		|||||||||||||||||||||
Part 2  | 
			Please check all that apply: Employees are paid □ Each week □ Every two weeks □ Twice a month □ Once a month □ Other  | 
		||||||||||||||||||||||||
Please provide data for the time periods indicated for each row. Enter "0" if none. Enter "NA" if data are not available.  | 
		|||||||||||||||||||||||||
Part 3  | 
		|||||||||||||||||||||||||
PAY PERIOD  | 
			A: TOTAL EMPLOYMENT  | 
			B: JOB OPENINGS  | 
			
  | 
		||||||||||||||||||||||
				 Enter the FIRST and LAST days of the Pay Period that includes the 12th for the specified month.  | 
			
				 Enter the NUMBER of full- or part-time employees who worked or received pay during the Pay Period.  | 
			
				 Enter the NUMBER of Job Openings on the LAST DAY of the Pay Period. A job is open if it meets all three conditions: 
  | 
			
  | 
		||||||||||||||||||||||
Pay Period that includes July 12th 2015 
 First Day Last Day 
  | 
			
				
 
  | 
			
				
 
				  | 
			GO TO Part 4  | 
		||||||||||||||||||||||
Part 4  | 
		|||||||||||||||||||||||||
Reporting Period  | 
			Hires  | 
			Separations  | 
		|||||||||||||||||||||||
The Reporting Period is an approximate 4 week period. The reporting period falls between the End Date and Start Date identified below: 
 
 This is your END DATE: / / 
 
 
 This is your START DATE: / / (This date will probably fall in June) Your Reporting Period for columns C through G runs from the START DATE through the END DATE.  | 
			
				C 
 Enter the NUMBER of Hires and Recalls for the Reporting Period: 
				 
  | 
			
				D 
  | 
			
				E 
 
  | 
			
				F 
 Enter the NUMBER of Other Separations for the Reporting Period. 
  | 
			G Total Separations 
				 Enter the TOTAL NUMBER of separations for the Reporting Period. If Columns D, E and F are reported, enter their sum. If not, enter the total number of separations.  | 
		||||||||||||||||||||
| 
				 
  | 
			
				
 
				  | 
			
				
 
				  | 
			
				
 
				  | 
			
				
 
				  | 
		|||||||||||||||||||||
C1_JOLTS Test Form_R2/S2_Version 7/9/2015
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Teresa Koenig | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-27 |