Company Name *

Name of Contact *

Job Title / Position of Contact *

Email Address of Contact *

Phone Number of Contact *

Industry *

Type of Role *

Temporary (60 days or less)
Contractor (3 months or longer)
Contract to hire (minimum 3 months with the possibility of becoming a permanent employee)
Permanent Employment (Immediate hire as a permanent employee)
Payroll Services (We already have staff and are looking to outsource payroll)

Site Location *

Ideal Start Date *

Candidate Pay Rate *

Number of interviews by company with candidate?

Number of positions you are looking to fill?

Job Description

Have you used a staffing agency before?

Are you currently working with a staffing agency?

Overall Compensation (Benefits)

If this position is on commission what is the On Target Earnings?

Recruitment Budget

Additional Comments

KTH Management