Superior Skilled Trades - Job Intake Form

"*" indicates required fields

URL

This field is for validation purposes and should be left unchanged.

Sales Person*

Type of Client*

New Client

Existing Client

Type of Project*

New Project

Existing Project

Client Name*

Project Name*

Brief Project Description

Job Site - Address

Street Address City State ZIP Code

Job Site - Please describe the work environment

Ex. Inside, Outside, Hot, Cold, Dusty, etc.

Job Site - Contact

How many unique positions types?*

Ex. "Welders" would be One (1) unique position type even if you needed to fill 10 spots.

Position #1

Position Description (ie. Licensed Plumber)*

Number of workers needed for this position?

What type of job is this?

Contract Labor

Temp-to-Hire Labor

Direct Hire

Prevailing Wage

Price was quoted:*

Based on Markup

Based on Bill Rate

Please discuss this with your manager if you have questions about how to answer this field.

Bill Rate (range if necessary)

OT Rate (ex. standard is 1.5x)

Markup Rate

Pay Rate (range if necessary)

Pay (Prevailing Wage)

Fringe Rate (Prevailing Wage)

Are we supplying workers to a federal contractor (subject to Executive Order 13706)?

Yes

I don't know

If you need help understanding this please call Jennie Seibert.

Direct Hire - Salary or Hourly Pay Rate

Direct Hire - Fee Percentage

Start Date

Month

Day

Year

Direct Hire - Typical Weekly Schedule (ie. M-F 8-5p)

Total Weekly Hours

Duration of Project

Shift Start Time

Shift End Time

Direct Hire - What is the primary location of this position?

Direct Hire - Is there travel involved with this position? If so, what percentage?

Per diem included?

Yes

How much is the per diem?

How many days is the per diem?

PPE / Tools Required?

Yes

Please list the PPE / Tools that are required...

Specific Certifications / State Licenses Required?

Yes

Please list the certifications / state licenses required...

Provide specific skills and experience required by client...

Drug Screen Required?

Yes

Please specify type of drug test required:

DT 5 Panel - DT xCup 5 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine) PRICE = $26.00

DT 9 Panel - DT xCup 9 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine, Barbiturates, Benzodiazepines, Propoxyphene, Methadone) PRICE = $29.00

DT 10 Panel - DT xCup 10 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine, Barbiturates, Benzodiazepines, Propoxyphene, Methadone, Oxycontin) PRICE = $29.00

Other

Background Check Required?

Yes

Please specify type of background check required:

Package # 1 - Basic + 1 Criminal Package ($10)

Package # 2 - Standard Criminal Package ($14)

Package # 3 - Standard + OFAC, Employment ($30)

Quick Check Package ($7)

Quick Check Package + Drug Testing Package ($7)

Basic 7 Year ($7)

Amazon Background ($7)

SpaceX Background ($25)

Other

Click here to see background check package details.

Direct Hire - What company benefits are offered for this position?

Direct Hire - Is relocation assistance offered (for right candidate)?

Yes

Direct Hire - Please provide details for relocation assistance...

Provide a detailed description of daily job activities that our employee will perform.

What are the physical requirements of the job, including lifting requirements, and other elements?

Ex. Bending, Standing, Climbing, Kneeling, Twisting

Special Requests / Comments

Position #2

Position Description (ie. Licensed Plumber)*

Number of workers needed for this position?

What type of job is this?

Contract Labor

Temp-to-Hire Labor

Direct Hire

Prevailing Wage

Price was quoted:*

Based on Markup

Based on Bill Rate

Bill Rate (range if necessary)

OT Rate (ex. standard is 1.5x)

Markup Rate

Pay Rate (range if necessary)

Pay (Prevailing Wage)

Fringe Rate (Prevailing Wage)

Direct Hire - Salary or Hourly Pay Rate

Direct Hire - Fee Percentage

Start Date

Month

Day

Year

Direct Hire - Typical Weekly Schedule (ie. M-F 8-5p)

Total Weekly Hours

Duration of Project

Shift Start Time

Shift End Time

Direct Hire - What is the primary location of this position?

Direct Hire - Is there travel involved with this position? If so, what percentage?

Per diem included?

Yes

How much is the per diem?

How many days is the per diem?

PPE / Tools Required?

Yes

Please list the PPE / Tools that are required...

Specific Certifications / State Licenses Required?

Yes

Please list the certifications / state licenses required...

Provide specific skills and experience required by client...

Drug Screen Required?

Yes

Please specify type of drug test required:

DT 5 Panel - DT xCup 5 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine) PRICE = $26.00

DT 9 Panel - DT xCup 9 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine, Barbiturates, Benzodiazepines, Propoxyphene, Methadone) PRICE = $29.00

DT 10 Panel - DT xCup 10 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine, Barbiturates, Benzodiazepines, Propoxyphene, Methadone, Oxycontin) PRICE = $29.00

Other

Background Check Required?

Yes

Please specify type of background check required:

Package # 1 - Basic + 1 Criminal Package ($10)

Package # 2 - Standard Criminal Package ($14)

Package # 3 - Standard + OFAC, Employment ($30)

Quick Check Package ($7)

Quick Check Package + Drug Testing Package ($7)

Basic 7 Year ($7)

Amazon Background ($7)

SpaceX Background ($25)

Other

Direct Hire - What company benefits are offered for this position?

Direct Hire - Is relocation assistance offered (for right candidate)?

Yes

Direct Hire - Please provide details for relocation assistance...

Provide a detailed description of daily job activities that our employee will perform.

What are the physical requirements of the job, including lifting requirements, and other elements?

Ex. Bending, Standing, Climbing, Kneeling, Twisting

Special Requests / Comments

Position #3

Position Description (ie. Licensed Plumber)*

Number of workers needed for this position?

What type of job is this?

Contract Labor

Temp-to-Hire Labor

Direct Hire

Prevailing Wage

Price was quoted:*

Based on Markup

Based on Bill Rate

Bill Rate (range if necessary)

OT Rate (ex. standard is 1.5x)

Markup Rate

Pay Rate (range if necessary)

Pay (Prevailing Wage)

Fringe Rate (Prevailing Wage)

Direct Hire - Salary or Hourly Pay Rate

Direct Hire - Fee Percentage

Start Date

Month

Day

Year

Direct Hire - Typical Weekly Schedule (ie. M-F 8-5p)

Total Weekly Hours

Duration of Project

Shift Start Time

Shift End Time

Direct Hire - What is the primary location of this position?

Direct Hire - Is there travel involved with this position? If so, what percentage?

Per diem included?

Yes

How much is the per diem?

How many days is the per diem?

PPE / Tools Required?

Yes

Please list the PPE / Tools that are required...

Specific Certifications / State Licenses Required?

Yes

Please list the certifications / state licenses required...

Provide specific skills and experience required by client...

Drug Screen Required?

Yes

Please specify type of drug test required:

DT 5 Panel - DT xCup 5 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine) PRICE = $26.00

DT 9 Panel - DT xCup 9 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine, Barbiturates, Benzodiazepines, Propoxyphene, Methadone) PRICE = $29.00

DT 10 Panel - DT xCup 10 panel (Amphetamines, Cannabinoids, Cocaine, Opiates, Phencyclidine, Barbiturates, Benzodiazepines, Propoxyphene, Methadone, Oxycontin) PRICE = $29.00

Other

Background Check Required?

Yes

Please specify type of background check required:

Package # 1 - Basic + 1 Criminal Package ($10)

Package # 2 - Standard Criminal Package ($14)

Package # 3 - Standard + OFAC, Employment ($30)

Quick Check Package ($7)

Quick Check Package + Drug Testing Package ($7)

Basic 7 Year ($7)

Amazon Background ($7)

SpaceX Background ($25)

Other

Direct Hire - What company benefits are offered for this position?

Direct Hire - Is relocation assistance offered (for right candidate)?

Yes

Direct Hire - Please provide details for relocation assistance...

Provide a detailed description of daily job activities that our employee will perform.

What are the physical requirements of the job, including lifting requirements, and other elements?

Ex. Bending, Standing, Climbing, Kneeling, Twisting

Special Requests / Comments

(Optional) Job Description Upload

Accepted file types: pdf, docx, Max. file size: 512 MB.

Please only use this upload function if your job description will not copy and paste into the fields above.

Superior Skilled Trades - Job Intake Form

Position #1

Position #2

Position #3

Join our community