New Employee Form | Existing Employee Form             All fields in RED are required.
  Employee Information

  Employee Name

  Job Title
  Job Type
  Address
  City, Province,
     Postal Code
  Home Phone

  Company Information

  Working At...

  Dept/Contact
  Company Name
  Address
  City, Province,
     Postal Code
  Phone        Fax   


  Send Invoice To...   

  Dept/Contact
  Company Name
  Address
  City, Province,
    Postal Code
  Phone        Fax   

  For New Companies...


  Approximate
  Size Of
  Company:

Large Nat'l or Internat'l Co.
Midsize or Regional Company
Local or Small Company
Start-Up, Sole Proprietor, or
       "Mom and "Pop" Company

  Have you done business with this company before?
   Yes No

  What is your comfort level with this company's
  ability to pay?
   High    Fair    Don't Know

  Comments:
  
Start Date
Approx. End Date


Recruiter Information...

Your Name

Company Name
Split Recruiter
E-mail

Rate Information...

 Company Bill Rate

$
 Less Employee Pay Rate$
 Less Payroll Burden
(% of Pay Rate)

$
 Less TFI Fee ( % of Bill Rate)$
 Recruiter Profit$
Overtime exempt? Yes No
Overtime Bill Rate $ (all employees will be paid at 1.5 times the pay rate unless exempt.
If exempt write .00)


Special Instructions (if any)...