Employee/ Temporary Order Form

Please complete all fields marked required (*). Your Superior Staffing Representative will contact you shortly to follow up on your order request.
 
Company * Name of Person Requesting Employee *
Work Location * Phone Number of Person Requesting Employee *
E-Mail of Person Requesting Employee  
 
Department Ordering * Department Using *
Person to Report to * Person Directly Works for *
 
Reason for need of Temporary *
Project Maternity Leave
Sick/ Medical Leave Vacation
Until Company Hires Overload/ Backlog
Possible Temp to Perminate Hire Direct Hire
 
Number of Temps Ordered *
Work Hours for Temp : to  : with  *  Hours For Lunch
Shift 1st 2nd 3rd
Overtime
Evenings & Weekends Saturday Only
Evenings Only Sunday Only
 
Anticipated Start Date * Approx Length of Assignment *
Salary if Hired
Benefits to be Offered
Do you want to review resumes first? Yes No Do you want to interview the temporary? Yes No

Job Description

*