Consultant Temporary Employee Detailed Request Form Human Resources

[Company

Logo]



[ORGANIZATION NAME] CONSULTANT/TEMPORARY EMPLOYEE

REQUEST FORM

Please complete and return this form to Human Resources. For referrals, please be sure to

attach a copy of the applicant's resume to this form. Please contact [Employee Name] at

[Employee Phone or Extension Number] with questions.



Requestor Information





Full Name Phone Number Direct Superior Phone Number



Office Location Direct Superior’s Office Location



E-mail Direct Superior’s E-mail



If Referred, Name of Referring Employee Referring Employee's Department



Reason for Request:

Potential Employee Information





Job Title Job Code Department



Projected Start Date End Date if Known Projected Pay Rate/Range



Work Schedule Lunch Break Projected Supervisor Job Title





Job Duties:



Required Skills:



Signatures





Requestor Signature Title Date



Authorizing Superior Signature Title Date



Approval Signature Title Date





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