Company Name*

Email address*

Address*

Contact Number*

Is this business*
HospitalNursing HomeClinicOutpatient Care CenterDentist's OfficeOther

If Other:

How many years have you been in business? *
1 - 5 Years6 - 10 YearsMore than 10 Years

Business Phone number: *

How big is your company? *
—Please choose an option—1 - 50 employees51 - 100 employees101 - 500 employeesMore than 500 employees

What job role are you seeking to fill?

How many hours per week will the candidate be working?

Preferred pay range per hour

Would you like for us to: *
—Please choose an option—Select the employee for youSelect, train, and deploy the employee for youSelect a group of candidates so you can choose from

Will you be providing training? *
—Please choose an option—YesNo

How soon would you want for the candidate(s) to begin work? *
ImmediatelyThis month1-3 months3 - 6 monthsMore than 6 months

What type are you looking for? *
—Please choose an option—Part-TimeFull-timeContractual

Will you be paying employee(s) *
—Please choose an option—MonthlyBi-WeeklyWeeklyHourlyOther

(If Other) Please mention the term

Which of the on -oarding process Would you like to choose *

There are two process that we go by when it comes to getting candidates onboard your team.

* We can find candidates for you to hire (FINDERS FEE SYSTEM)

-When you hire one of the candidates we found for you, a finders fee will be charged
* We provide candidates as W2 employees on our payroll

- We will find the candidates and we will pay them as W2 employees on our payroll. When candidates are on our payroll, you will be required to reimburse us.

Finders fee systemW2 employees on our payroll

Are you looking for temporary or permanent employee(s) *
TemporaryPermanent

Do you provide benefits? If yes, what benefits do you offer employees?

How many employees are you seeking?
—Please choose an option—123 - 1010+

Do you need candidates with experience? *
—Please choose an option—YesNo

If yes, how many years of experience should the candidate have?*

What qualifications should the candidate possess?
Write in Bullet-Points

What are the job requirements?
Write in Bullet-Points

What will the onboarding process entail?

Do you have any further questions?
Mention all the questions or concerns you have. We will send you an Email or call you to ensure your satisfaction.