Client Intake Form - Temporary Placements
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
Is the worksite transit accessible
*
Yes
No
Back
Next
What type of worker are you looking for?
*
Office Admin / Receptionist
Forklift Operator
Warehouse Associate / General Labour
Other
If other, please specify:
*
How many workers do you need?
*
When do you need workers?
*
-
Month
-
Day
Year
Date
Minimum Experience Required (Years)
*
Type of Placement
*
Temporary Placement
Permanent Placement
Temporary to Permanent
Special Requirements, if any:
*
I understand Get2Work Staffing will follow up within 15-30 minutes during business hours (8am - 6pm, Monday to Friday)
Submit
Should be Empty: