LaneStaffing | Job Order Form | Employers

General Info
Order Submitted By*
Best Email To Reach You At
Current Date/Time*
Campus Location
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
Job Order
Job Title*
How long do you need this person?*
# Needed*
Start Date*
MM slash DD slash YYYY
Job Specifications
Work Days*
- Select All
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Please select all applicable.
From*

: Hours

Minutes

AM/PM
To*

: Hours

Minutes

AM/PM
Overtime Policy*
First Day Reporting At (Time)

: Hours

Minutes

AM/PM
First Day Reporting To (Name)
Supervisor Information
Supervisor Name*
Supervisor Title
Supervisor Phone*
Job Site Information
Environment Details*
Please let us know any pertinent details of the job site environment such as hot, cold, dusty, chemical exposure, fast-paced, under deadlines, high-stress, etc.
Dress Code*
Directions To Work Site
Questions, Comments, or Notes?
Please let us know below:

General Info