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Client Questionnaire
Please complete the form below
Company Name
*
Primary Contact
*
First Name
Last Name
Phone
(###)
###
####
Email
*
Billing Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Physical Address
If different
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Website
http://
Is this a virtual position?
Yes
No
Is this a full-time or part-time position?
Full-Time
Part-Time
Is this a temporary or permanent position?
Temporary
Permanent
What is the pay structure?
Salary Only
Salary/Bonus
Hourly
Hourly/Bonus
What is the rate of pay?
What benefits do you offer?
Insurance
Paid Vacation
Retirement Plan
Other
What is the title of the position you are hiring for?
What is the job description and duties to be performed?
What skills or experience MUST the candidate have?
What skills or experience would you like them to have?
What is the expected start date?
MM
DD
YYYY
Why is this position vacant?
How long has this position been vacant?
Has a candidate turned down this position?
Yes
No
If yes, why?
Are there any internal candidates?
Yes
No
What are the core values of your company?
What is the 5-year goal of your company?
One sentance
Do you have a WIzeHire account and what is your login?
Yes
No
Thank you!
