Request for Hire Form

Request for Hire Form
Position Title
Date
MonthDayYear
Candidate Name
First NameMiddle NameLast Name
Work Site Location
Source of Referral
Assignments (Include Client Name)
Interview Process
Interviewed By:
PrefixFirst NameLast Name
Interview Type
Date
MonthDayYear
Notes:
Interviewed By:
PrefixFirst NameLast Name
Interview Type
Date
MonthDayYear
Notes:
Interviewed By:
PrefixFirst NameLast Name
Interview Type
Date
MonthDayYear
Notes:
References Checked By:
Security Clearance Required?
Start Date Dependent on Security Clearance?
MonthDayYear
Financial Justification
Potential Revenue
Hours (1)
Rate (1)
Amount (1)
Hours (2)
Rate (2)
Amount (2)
Hours (3)
Rate (3)
Amount (3)
AmountTotal
Anticipated Employee Cost
Salary
Fringe (30%)
Direct Cost
G&A (30%)
Total Costs
Gross Profit
Amount (Gross Profit)
%
Net Profit
Amount (Net Profit)
%
Recommended Salary
Recommended Start Date
MonthDayYear
Special Instructions:
Should be Empty: