For Employers Request Form Name Of Company Phone/Fax Department Email Position Title No. of Open Positions Start Date End Date Reporting Authority Length of Assignment Assignment Location Assignment Type Full Time Part Time Temporary Temp-to-Hire Direct Work Day Work Hour Shift 1st 2nd 3rd Other Description Of Duties/Responsibilties Reason For Opening Rate Per Hours Weeks Other Shift Differentials Benefits Offered Educations Required High School Vocational/Trade School Collage Other Necessary Trainings Necessary Certifications Wage Amount Skills Required Traits Description Send