Client Intake Form - Get2Work Staffing
Name
*
First Name
Last Name
Company Name
*
Location of Worksite
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Back
Next
Is the worksite transit accessible?
*
Yes
No
What type of worker are you looking for?
*
Forklift Operator
Warehouse Associate
Office Administrator
Other
If other, please specify:
*
How many workers do you need?
*
Schedule(shift)
*
Day
Afternoon
Night
Rotating
Service Quote for client
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Client Service Agreement
Browse Files
Drag and drop files here
Choose a file
Cancel
of
When do you need workers?
*
-
Month
-
Day
Year
Date
Minimum Experience Required (Years)
*
Type of Placement
*
Temporary Placement
Permanent Placement
Write Job Description & Duties
Required Training or Certifcations.
Certification
WHIMS training
First Aid Training
Other
Special Instructions ( If applicable)
*
I understand Get2Work Staffing will follow up during business hours (8am - 6pm, Monday to Friday)
Submit
Should be Empty: