Adams and Associates: Staffing, employment and Training.

Thank you for choosing Adams & Associates to assist you with your staffing needs.

Please complete the form below in as much detail as possible and submit to the branch closest to you. If you have an immediate need, please contact your Adams Staffing Specialist by telephone.

Please note, fields indicated with (*) are requried.

Have you worked with Adams in the past? Yes No
Contact Information
* Your Name:
* Title:
* Company Name:
* Address:
* City:	* State:
* Zip Code:
P.O.:	(Where applicable)
E-Mail:
* Phone:
Fax:
Best time to reach you:
Referred by:

Information regarding your staffing needs

* Type of assignment:

Temporary

Temp to Hire

Direct Hire

Reason for opening:
Start Date:	(mm/dd/yy)
End Date:	(mm/dd/yy)
Hours/Days of Work:
Report to Location:	(If different from above)

Supervisor's Name:
Department:
Number of people needed:
Parking Accommodation:	Yes No Pay Lot
Bus Accessible:	Yes No
Appropriate Attire:
Specific Testing/Screening Required

Position Description

Position Title:
Position Description:
Software to be used: (Check as many as applicable)
Word Excel PowerPoint Outlook Publisher PageMaker Access	ACT QuickBooks Quicken Peachtree MAS90 AccPacc Great Plains Other:
Successful Traits for this position:

For Labor/Light Industrial Positions Only

%Sitting	%Reaching	%Standing
%Bending	%Lifting
Number of pounds required to lift:
Forklift:
Driving:

Specific Personal Protection Devices:
Eye Protection Steel Toe Boots Gloves	Other:

For Temp to Hire or Direct Hire Positions Only

Salary Range:
Benefits:	Medical Vision Profit Sharing Vacation Holidays Expenses	Dental Life Retirement Education Sick Leave Car
Dress Code:
What will attract a Candidate to your company?
Additional Comments:
How long has the position been open?

Job Order Submission

Please select the Adams & Associates branch office that you regularly work with, or the location nearest to where the Candidate will be working.