INTAKE FORM FOR TEMPORARY RESOURCE REQUEST

Manager Name: Click or tap here to enter text.

Department: Click or tap here to enter text.

Phone Number: Click or tap here to enter text.

Email Address: Click or tap here to enter text.

Please provide the following required information for this role.

Job Title: Click or tap here to enter text.

Job Description for this role: Click or tap here to enter text.

School/Division: Click or tap here to enter text.

Department Name: Click or tap here to enter text.

How many resources will you require? Click or tap here to enter text.

Payroll

Do you have someone already in mind for this role: Choose an item.

If Yes, please add the candidate contact information below

Name: Click or tap here to enter text.

Phone: Click or tap here to enter text.

Email Address: Click or tap here to enter text.

Supplier Name (if associated with a supplier): Click or tap here to enter text.

Pay Rate:

Work Environment

Location of Position: Click or tap here to enter text.

If Remote, please specify state or country:

Work Environment: Click or tap here to enter text.

Work Attire: Click or tap here to enter text.

Will the person be working alone, or with a team? Click or tap here to enter text.

Interview

Interview Required? Choose an item.

Name of manager conducting interview: Click or tap here to enter text.

Type of Interview: Choose an item.

Location of Interview: Click or tap here to enter text.

Accounting

PO# (if known): Click or tap here to enter text.

Budgeted Amount (if known): Click or tap here to enter text.

Name of Timesheet Approver(s): Click or tap here to enter text.

Is this a new role or a backfill of an existing one? Choose an item.

What is the reason/justification for this need? Click or tap here to enter text.

What is the estimated duration for this business need? Click or tap here to enter text.

Important Details

FLSA: exempt or non-exempt?

What is the desired Start Date? Click or tap here to enter text.

What is the expected End Date? Click or tap here to enter text.

What are the daily hours (schedule) for this role? (i.e.: 9-5, 8-5): Click or tap here to enter text.

If part time/per diem, please specify approximately how many hours:

How many resumes would you like to review? Click or tap here to enter text.

1st Day Report to and/or Orientation Information: Click or tap here to enter text.

Requirements

Type of Experience Needed: Click or tap here to enter text.

Number of years of experience: Click or tap here to enter text.

Minimum Education: Click or tap here to enter text.

Job Responsibilities

Are there any specific tools the resource will need to know how to use? Click or tap here to enter text.

What is the ideal personality for someone in this role? Click or tap here to enter text.

Must the resource be bilingual? If so, in what language? Click or tap here to enter text.

Provide the TOP 3 “must have” skills:

“Must have” skill #1: Click or tap here to enter text.

“Must have” skill #2: Click or tap here to enter text.

“Must have” skill #3: Click or tap here to enter text.

Which skills are “nice to haves”? Click or tap here to enter text.

Any Additional Information? Click or tap here to enter text.

Any recommended target suppliers we should source from? Click or tap here to enter text.