Dare HR

Temporary Help Request Form
(*Fields marked in red are required)

Client-Company/Department:
Name:
Address:
Telephone:
Fax:
Email Address:

Are you a new client?	Yes No

Classification: (Occupational Category)
Security Level:

Budget (Hour/Day/Fee)

Language Profile
English:	A B C
French:	A B C

Dates
Start Date (DD/MM/YY):
End Date (DD/MM/YY):
Possibilty of Extension:	Yes No

Work Environment
High-profile area Contact with public Dealing with senior officials Heavy lifting	On her/his feet all day High-stress with multiple deadlines Overtime required Working on computer all day

Software
MS Word MS Excel MS Powerpoint MS Access MS Outlook AmiPro GROUPWISE Exchange-Other	SAP IFMS CIMS CCM CCM MERCURY RIMS FOREMOST RECORDS OTHER

Requirements:
Job Description:
You may also attach your job requirements and description together in one file if the space above is not enough. *Preferred format is MS Word document or rich text format.

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