PERSONNEL REQUEST ORDER
Phone: (859) 885-2886 or (800) 529-6284
Fax: (859)885-6667 or (800) 319-9770
E-mail: Jim Howell
Date:
/
/
Business Name:
Mailing Address:
City:
State:
Zip:
-
Phone:
(
)
-
Fax #:
(
)
-
Call before sending fax?
Yes
No
Requested By:
Name:
Title:
Dept:
Email address(recommended but not required):
Order For
Job Title:
Fill Date:
Permanent
Temporary
Full Time
Part Time
Compensation: Hourly
Salary
Commission
Annual Compensation Range: $
-$
List four major functional responsibilities of the positionto be filled, areas in which the employees will be spending the majority of their time:
1.
2.
3.
4.
Required
Expertise/Training/Certifcation:
Will training be provided?
yes
no
Explain:
Number of work hours per week:
Special equipment/tools required:
Computer System?
Reynolds & Reynolds
Yes
No
ADP
Yes
No
EDS
Yes
No
UCS
Yes
No
Other
Yes
No
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