Staff Request Form
Thank you for choosing Jade Global Solutions. Please complete this form to request staffing services for one position. If you need additional job positions, please submit a separate request for each position.
Job Information
Job Title
*
Number of Employees Needed
*
Industry
*
Desired Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Work Location (City, State or Full Address)
What type of position are you looking to fill?
Temporary Position
Permanent Position
If Temporary, How long do you expect this assignment to last?
Less than 30 Days
1–3 Months
3–6 Months
More than 6 Months
If permanent, How would you like to hire the employee?
I would like to evaluate the employee before making a permanent hiring decision. (Temp-to-Hire)
I want to hire the employee directly into my company. (Direct Hire Placement)
Employment Type
Full-Time
Part-Time
Work Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Work Hours
Start Time Start Time
AM
PM
AM/PM Option
until
until
End Time End Time
AM
PM
AM/PM Option
Hours per Week
Less than 20
20–29
30–39
40
More than 40
Varies
Shift
Please Select
1st Shift
2nd Shift
3rd Shift
Rotating Shift
Weekend Shift
Overtime Required?
*
Yes
No
Ocassionally
Please describe the duties and responsibilities of this position.
*
Compensation
Pay Rate
Is this position:
Hourly
Salary
Candidate Requirements
Minimum Experience
Education Requirement
Certifications or Licenses
Languages Required
English
Spanish
Bilingual
Other
Physical Requirements
Special Skills
Screening Requirements
Resume Required
Client Interview
Background Check
Drug Screen
Employment Verification
Motor Vehicle Record (MVR)
E-Verify
Reference Check
Other
Additional Comments
Upload Job Description (PDF, DOC, DOCX, max 25 MB)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Safety & PPE
Is Personal Protective Equipment (PPE) required for this position?
Yes
No
If Yes, please select all that apply:
Safety Glasses
Hard Hat
Steel Toe Boots
Safety Vest
Gloves
Hearing Protection
Respirator / Face Mask
Protective Clothing
Safety Harness
Other
Who will provide the PPE?
Client
Staffing Firm
Is safety training required before starting?
Yes
No
Contact Information
Requested by
*
First Name
Last Name
Position
*
Company
*
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred Contact Method
Phone
Email
I certify that the information provided is accurate.
Signature
Send Your Request
Send Your Request
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