ONLINE ORDERING

Date: 
Client #: 
Contact name: 
Title: 
Department: 
Company: 
Address: 
City/State/Zip: 

What is the best way to contact you?
Phone 
Fax 
Email 

Accounting contact

PO#

Position(s) needed

Pay range for position(s)

Address and directions to your company:

Job description:
Please include detail, specific skills needed, education required, start and end dates, and hours or shift required.

Who will employee(s) report to?

Requirements:
Resume
Testing
Background check
Drug screen

Environment:
Business casual
Casual
Other -

Lunch
How long?

Breaks
How long?
How many?

Physical requirements:
Lifting
Up to what weight?
Standing
Sitting
Repetitive motion

Are you using any other resources to fill this position?

Comments or special requests