DIRECT JOB ORDER FORM
HR Serach, Inc. 710 N. Main Street Crown Point, IN 46307

CLIENT INFORMATION

Products/Services:
Job Title:		# Needed:			Job Order Date:			Job Order Number:
Company Name:			Projected Start Date:				Written By:
Address:		City:			State:			Zip Code:
Direct Phone:		Cell:			Fax:			Email:
Division Of:					Contact/Title:
Brief Description of Contact (How long with the company? Previous experiences, etc.):

POSITION INFORMATION

Duties and Responsibilities:

MINIMUM SKILLS / MANADATORY SKILLS / EXPERIENCE NEEDED FOR HIRE

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Position Reports To / Title:	Potential Advancement / Timing:
Education Required:	Degree / Certifications / Licenses, etc:

KNOCK OUT FACTORS  (TOP THREE MUST HAVES IN ORDER OF PRIORITY)

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COMMON DENOMINATORS OF SUCCESSFUL HIRES

PERSONALITY TRAITS PREFERRED

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Directions to Company / Parking / etc:
Fee Percentage:	Guarantee Discussed / Agreed Upon?:

STRENGTHS OF CANDIDATES INTERVIEWED

WEAKNESSES OF CANDIDATES INTERVIEWED

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COMPENSATION

Salary Range:			Bonuses? When?:				Based On:
Raises / When / %Amount:			Previous Person Earned:				Exempt / Non-exempt:
Working Hours:			Flex Time Available / Explain:				Overtime Expectations:
Sent HR SEARCH, INC. Info:			Requested Company Info:				Sent Copy of Job Order Letter:
Territory:			Overnight:				% Travel:

BENEFITS IF CONVERTED TO DIRECT HIRE

Insurance Carrier:
Check Off	Hosp		HMO		Dental		STD
	MM		PPO		Vision		LTD
	Sick Personal Days		Profit Share		Tuition Reimbursement		Pension Vesting
	Life Ins		401K		Vacation Weeks/Yr		Dependent Coverage Cost
	Individ'l Coverage Cost		Benefits Available After		Company Car/Details		Expenses Covered/Amount

HIRING PROCESS

	#		Time Lapse		Interviewer			Title		Location
PI
F2F
Panel
Offer
Hire
Final Decision Maker:						Location (Sell EIO):

STATUS OF SEARCH

Why Open:
Expansion		Transfer		Retired		Promotion		Termination		Other
How Long Open:			How Many Interviews:			Internal Candidates:			Other Strong Contenders:
Strengths of Candidates Interviewed:						Weaknesses of Candidates Interviewed:

COMPANY INFORMATION

Years in Business / Since:			# of Employee in Company / Department:				Industry Standing: Public/Private:
Project Growth:			Training Program:				Major Competitors:

ADDITIONAL INFORMATION

Interviewing Expenses Paid:					Willing To Relocate / Details:
Territory:			Overnight:				% Travel:
Other Pertinent Information / Interviewing Times: