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COMPANY DETAILS
Legal Business Name
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Trade/Operating Name (if different)
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Head Office Address
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City
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State
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Zip Code
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Website
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Business Structure
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e.g., Sole Proprietor / LLC
Year Established
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Number of Employees
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CONTACT INFORMATION
Primary Contact Person
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Designation
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Email Address
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Phone Number
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Alternate Contact (Optional)
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SERVICE OFFERINGS
Type(s) of Manpower Provided
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IT STAFFING
HEALTHCARE STAFFING (RN, LPN, ALLIED HEALTH)
GENERAL LABOR (WAREHOUSE, INVENTORY, PACKAGING, ETC.)
SKILLED TRADES (TECHNICIANS, ELECTRICIANS, ETC.)
ADMINISTRATIVE & CLERICAL
OTHERS
Geographic Areas Covered
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Industries Specialized In
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JOB PORTALS & SOURCING TOOLS
Job Portals Used
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e.g., Dice, Monster, Indeed
Social Platforms Used
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e.g., LinkedIn, Facebook
Applicant Tracking System (ATS)
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Resume Harvesting / Automation Tools
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DECLARATION
Authorized Signatory Name
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Title
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Date
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