Alternative Staffing, Inc.

Job Order Form

Please fill out the Job Order form as completely as possible. The more information you are able to provide, the better able we will be to meet your staffing needs.

If you prefer, you can order a temporary employee by contacting a Branch office directly. Click here to find nearest branch.

If you do not have an established account with Alternative Staffing – AZ,
please Click here to establish an account online.

Customer Name:

E-Mail:

Address:

City:

Zip:

Phone:

Fax:

Person Placing Order:

# of Workers Needed:

Job Description (Brief):

Report to:

Check One:

Temporary Temp-to-Hire Direct Placement

Start Date:

Duration:

Schedule:

Mon	Tues	Wed	Thu	Fri	Sat	Sun

Start Time:

End Time:

Physical Requirements (Check all that apply)

	Standing	Twisting Body
	Climbing	Repetitive Hand
	Reaching	Use of Arm or Leg Muscles
	Sitting	Lifting >50 Pounds
	Kneeling	Bench Work (Neck bent forward)
	Walking	Bending at Waist
	Crawling	Overhead Work
	Carrying

Software Requirements (Check all that apply)

	IBM - DOS/Windows	MACINTOSH
	Word Perfect	Microsoft Word
	Microsoft Word	Word Perfect
	Lotus 1-2-3	Microsoft Excel
	Microsoft Word for Windows	Microsoft Power Point
	Word Perfect for Windows	Microsoft Access
	Excel for Windows	PageMaker
	Lotus 1-2-3 for Windows
	PowerPoint for Windows
	Access for Windows