Client Questionnaire
In Order to work on your job order & to provide you with the best possible rates please fill out this quick form.
Business/Company Name
Official Name Sould Appear On Your Contract
Year Established In
Point Of Contact
Name
Email
Phone Number
Best Phone Number To Reach Out.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Industry Type
Company Size
Please Select
Small (0-25)
Medium (25-200)
Large (200 and above)
Employees in your company
What Positions Are You Looking To Fill?
Admin/Office Staff
Manufacturing
Machine Operators
Warehouse (General)
Warehouse (Skilled)
Senior Care Staff
Technical Resources
HouseKeeping
Other
If Other Please Specify
What is the Hourly Rate range for the required positions?
$17/hr to 20/hr
$21/hr to $25/hr
$26 to $30
$31/hr & Above
Does any of the position require Driving,Welding,Climbing?
Yes
No
What Is Your Staffing Need?
Please Select
Temp To Hire
Short Term Temp
Long Term Temp
Direct Hire
Have You Ever Worked or Currently Working With Any Staffing Agency?
Yes
No
Name Of the staffing agency.
How Often Do You Need Staffing Services?
One Time
On Going Basis (Through Out The Year)
Submit
Should be Empty: