New Client

Staffing Specifix - Employee Request

Please fill out the form below and someone will contact you in 1 hour or less. Please fill out another form for a different position

Is this position confidential?



Quantity of employees needed?

Employment Type

Temporary Permanent PlacementOn-site Service
Temp to PermExecutive Search

Address where employee will be working

Job Description / Duties

Your Contact Information


Company website

Your Name

Phone number



Best method to reach you

Email Phone

How did you hear about us?

Have you ever used a staffing firm before?

Yes No

Employee hourly pay rate?

Person the employee is reporting to?

Start time
End time