Staffing Request Form
Provide a few details below so we can match you with the right talent. Once complete, please press Submit and your request form will be sent over to our team.
Company Name
*
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Position / Job Title Needed
*
Department / Industry
*
Please Select
Warehouse
Light Industrial
Administrative
HR Support
Other
Start Date
*
Job Duration
*
Short-Term
Long-Term
Temp-to-Hire
Full-Time
Brief Job Description & Experience Needed
*
How Did You Hear About Xtra Staffing Solutions
*
Please Select
Indeed
Zip Recruiter
Facebook
Google
Social Media
Referral
Submit Staffing Request
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