Request an Employee
TAG Region
*
Please Select
North Central (Emporia, Manhattan, Topeka, etc.)
South Central (Wichita, Hutchinson, Salina, McPherson, etc.)
South East (Winfield, Arkansas City, Ponca City, etc.)
Client Company Name
*
Client Contact
*
First Name
Last Name
Client E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Order Type
*
Please Select
Temporary
Temp-to-Hire
Direct Hire
Number of Employees Required
Start Date of Assignment
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Proposed Length of Assignment
Work Schedule:
From:
*
Hour Minutes
AM
PM
AM/PM Option
To:
*
Hour Minutes
AM
PM
AM/PM Option
Lunch
Please Select
30 Minutes
60 Minutes
Other
Reports to:
Manager/Supervisor
*
Department
*
Job Details:
Job Title
*
Assignment Description
*
Dress Code
Required PPE
*
Safety Notes
Pay Rate
*
Pay Rate
*
Hourly
Salary
Special Instructions
Please verify you are human
*
Submit
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