Job Order Form

For your convenience, you may utilize the following job order form, or e-mail (info@flexiblestaffing.com) or fax (716-695-3588) us a copy of your own job description. We will respond immediately to your request.

We welcome the opportunity to do business with you.

If you wish to direct this correspondence to a specific individual, indicate here:   Judi Colton Patricia Fathi Krista Fiegel Richard Pedersen Patricia Fathi Otherwise, the following job description will let us know which staffing specialist should call you for further information.

* - required field

COMPANY INFORMATION

* Company Name * Contact * Title Address City State Alabama Alaska Arizona Arkansas California Colorado Conneticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kanas Kentucky Louisiana Maine Maryland Massachussets Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesee Texas Utah Virginia Vermont Washington Wisconson West Virginia Wyoming Zip Phone  Ext.  Fax E-mail Website http:// Product Mfg. or Services offered

POSITION INFORMATION

Minimum Years Experience Position Title Reports to Reason for Opening Salary Range to Education Required Job Descriptions/Responsibilities Other Requirements Comments: (please list anything else you feel would contribute to a successful placement. i.e. special skills, training or experience.)