New Job Request Form
Submit a new job today and we’ll help pair your business with a qualified shift worker.
Company Name
Date
Requestor’s First & Last Name
Requestor’s Phone
Requestor’s Email
Job‑site Contact
Name
Job Title
Phone
Email
Project Name
Job‑site Address
P.O. Number (if applicable)
Quantity & Title of Requested Talent
Job Details
Requested Job Start Date
Job Start Time
Estimated Length of JobEstimated Length of Job*1 Year +6 – 12 Months3 – 6 Months1 – 3 Months2 – 4 WeeksTemp to Hire after 480 hrs
Estimated Hours Per WeekEstimated Hours Per Week*40 – No Overtime40 to 50 – Some Overtime40 to 60 – A lot of Overtime
Language RequirementsLanguage Requirements *No Preference (Spanish is OK)Spanish Speaking OnlyEnglish Speaking Only
Company Pay Period (Mon–Sun, etc.)
Will this job require any special PPE, CCIP, Davis Bacon or Badging? Any additional PPE past the standard Unified issued (Unified Personnel provides employees with a standard issued hard hat, safety glasses, ear plugs, cut level 4 gloves, high visibility vests, and shirts in most instances.)
CCIP / OCIP / ROCIP Requirements (please attach insurance enrollment packet)Badging (please attach badging paperwork)Davis Bacon / Wage Determination (please include wage determination form)None of the Above
Upload related files (multiple allowed, max 20 MB total)
Who will approve time sheets?Who will approve time sheets?*MeOnsite ContactBoth me and the Onsite ContactSomeone Else
Additional Timesheet Approver (Name)
Approver Email
Approver Phone
