Client Intake Form - Get2Work Staffing
Name
*
First Name
Last Name
Company Name
*
Worksite Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
What position(s) are you hiring for?(Select all that apply)
*
Forklift Operator
Warehouse Associate/General Labour
Office administrator
Other
How many workers are needed?
*
Minimum Experience Required (Years)
*
Shift start date?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift start time.
*
Hour Minutes
AM
PM
AM/PM Option
Schedule(shift)
*
Day
Afternoon
Night
Rotating
How Long will be the assignment?
*
1 day
Less than a week
1-4 weeks
1-3 months
Ongoing
Not sure yet
Is the worksite transit accessible?
*
Yes
No
What best describe the work environment?
*
Warehouse
Manufacturing facility
Distribution Centre
Cold Storage
Freezer
Outdoor
Other
Which forklift will the worker operate? (Select all that apply)
*
Counterbalance
Reach
Order Picker
Dockstocker
walkie
clamp
other
If other, please specify:
*
Service Quote for client
Browse Files
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Choose a file
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of
Client Service Agreement
Browse Files
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Choose a file
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of
What will the worker mainly be doing?
*
Example: picking orders, loading/unloading, operating a forklift, packaging, shipping/receiving.
Anything else we should know before workers arrive ?
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Should be Empty: