X-DIRECT Request

CLIENT INFORMATION

Company Name*

Office Phone*

Email*

Mobile Phone*

Position Title*

Department

What is the hourly or salary pay?*

Preferred Start Date*

What % of HEALTH insurance does the company match or pay for?*

Please enter a number from 0 to 100.

What % of DENTAL insurance does the company match or pay for?*

Please enter a number from 0 to 100.

What % of VISION insurance does the company match or pay for?*

Please enter a number from 0 to 100.

What % of RETIREMENT does the company match?*

Please enter a number from 0 to 100.

Describe company's Paid Time Off accrual policy:*

(Ex. Company provides 10 paid days off after 1 year of employment.)

Other details about your benefits:

(Ex. company vehicle, gas card, per diem, roaming holidays, etc.)

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What internal steps have been done to fill this position?

(Ex. Company has posted job on Indeed and emailed all of their existing employees for referrals.)

Job Duties

Please provide details on what duties the employee will be expected to perform during a normal work day.

Qualifications

Please list any qualifications, requirements, and/or certifications needed for this position.

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Requirements/Certifications

Company Description

(Ex. Company X has been in business for 50 years and our employees are our top priority... etc.)

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Describe the company's interview process?

What state are you seeking service in?*

X3 Employee Email*