Chris Doxzen

and Associates, L.L.C.

Client Job Order

Do you have a position available on which you would like us to recruit for you? We would be happy to help you so, please call us at 540-675-3933 or complete the following form to give us your job order electronically. Your job order will be processed immediately and we will contact you by telephone to confirm your information and determine your specific needs for the position.

Submission of this job order does not constitute a contractual agreement between Chris Doxzen and Associates, LLC and the sender and, as such, is not binding to either party. All information contained herein, once sent to Chris Doxzen and Associates, LLC, will be kept in strictest confidence. No information will be shared with anyone without the expressed written permission of the sender.

COMPANY NAME:

POSITION TITLE: REPORTS TO:

SALARY: BONUS: OTHER:

DATE AVAILABLE: dd/mm/yyyy

Your Company Information

COMPANY/FIRM NAME:
ADDRESS:

CITY: STATE: ZIP:
CONTACT PERSON: TITLE:
E-MAIL: WEB SITE: METRO:
TELEPHONE: DIRECT LINE: FAX:

HOURS PER WEEK: OVERTIME: OT PD?:

START: END:

PERSONALITY OF SUPERVISOR:

Traits desired in candidate

PERSONALITY DESIRED IN CANDIDATE:

BACKGROUND:

TYPING: WP/SOFTWARE:

PERM SALARY: REVIEW/RAISE

DUTIES:

WHY IS THIS POSITION AVAILABLE?:

OFFICE ENVIRONMENT:

SELLING/BENEFITS STATEMENT:

SPECIAL INSTRUCTIONS:

BENEFITS OFFERED

Bonus
401k available   Date Available:
401K match
metro pass
parking
Pension plan
Salary review
Insurance Carrier
Insurance HMM Single .
Insurance HMM Plus 1 .
Insurance HMM Family .
   Eligibility for Insurance Benefits:
Insurance DENTAL
Insurance Disability- long term
Insurance Disability- short term
Insurance LIFE
PRESCRIPTION Plan   co-pay: Deductable:
Insurance VISION
l FLEX SPENDING ACCOUNT
Leave - VACATION
Leave - SICK
Leave - PERSONAL
Leave: HOLIDAYS
DRESS:
RAISES - When: Conditions:
SMOKING      NO     YES      Designated Area:
Tuition
Parking

Thank you for your job order! Please expect our telephone call within twenty four hours of your order's submission. If you would prefer to speak to us directly, please call (540) 675-3933. We look forward to working with you.

          Thank you!