Page 1 of 1

Direct Hire Role Review Form

Business Name

*

Contact Name

*

Contact Email

*

Business Website

*

Industry

*

Role That You Need Filled

*

Employment Type

*

Location

*

Remote/Onsite/Hybrid

*

Pay Range

*

Desired Start Date

*

Is this role currently open?

*

Is this role currently open?

A

Yes

B

No

Are you currently using another staffing agency?

*

Are you currently using another staffing agency?

A

Yes

B

No

Biggest Hiring Challenge

*

How soon are you looking to hire?

*

Preferred follow-up method

*

Additional Notes

*