Connecting Qualified Employees to Employers

This form will allow Need’em Help Temporaries, Inc. the ability to analyze job descriptions and the ability to provide qualified employees to meet the specified requirements. There are many factors involved. Please assist us in the evaluation by providing detailed information below. Thank you.

Employer Job Order Form

"*" indicates required fields

Choose One:*

Temp

Temp-to-Hire

Client Name and Address:*

Email*

I Understand That Checking This Box Serves As My Signature*

Type Name and Title of Signee*

Minimum Qualifications/Work Experience:*

Any Safety Equipment Provided to Employee:*

Any Special Equipment, Clothing, Boots, Etc. That Employee Needs To Provide:*

Will Employees Be Working Off The Ground?*

Yes

If Yes How High?

Submission Date:*

Phone Number(s)*

Job Location and Description*

Name(s) of Supervisor Employee Reports To:*

Name of Person Authorizing and Requesting Employees:*

Number of Employees:*

Shift Time*

Job Title(s):*

Pay Rate:*

Hire Date:*