Request Staff
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Staffing & Recruiting Excellence since 1999

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RequestStaff

Name

Title

Company

 

Address

 

City / State / Zip

 

Phone

 

FAX (If Any)

 

E-Mail

 

How Can We Help You?

# Employees Needed?

 

Assignment Hours

 

Assignment Days

Mon Tues Wed Thurs Fri Sat Sun

Special Skills Needed

 

Complete and Submit or FAX the request form and we will contact  you with options on filling your employment needs.

Please be sure to  specify any special training, skill or equipment knowledge you  desire.

You can also print and FAX this form to 714.960.6563

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