Employer Staffing Request

Request an Employee
TAG Branch*
Client Company Name*
Client Contact*

First NameLast Name
Client E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.

Order Type*
Number of Employees Required
Start Date of Assignment*

MonthDayYear
Date
Proposed Length of Assignment
Work Schedule:
From:*

Hour Minutes

AM/PM Option
To:*

Hour Minutes

AM/PM Option
Lunch
Reports to:
Manager/Supervisor*
Department*
Job Details:
Job Title*
Assignment Description*
Dress Code
Required PPE*
Safety Notes
Pay Rate*
Pay Rate*

HourlySalary
Special Instructions
Please verify you are human*
Should be Empty: