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Thank you for choosing A.T. Temps to assist you with your staffing needs. Please fill out the form below and our Associate assigned to your account will contact you within 24 business hours to discuss the filling of your job order. If you need to fill a job order immediately, please contact us at 212-213-5656 between the hours of 8:30a.m. and 5:30p.m. or at 917-624-4486 after 5:30p.m..

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Fields marked with an asterisk (*) are required

General Information
Date (mm/dd/yyyy)*:
Company*:
Contact Person*:
Phone Number (xxx-xxx-xxxx)*:	Extension:
FAX Number (xxx-xxx-xxxx)*:
E-Mail Address*:
Billing Address*:
Billing Address (cont.):
City*
State*:
Zip/Postal Code*:
Billing Contact Person*:

Job Information
Address of Work Location*:	Street Address: Street Address (cont.): City: State: Zip:
Job Title*:
Number of People Required*:
Estimated Start Date (xx/xx/xxxx)*:
Estimated length of assignment*:
Will this job be "Temp-to-hire?"*	Yes No
Shift Hours (i.e. 8:00a.m. to 5:00 p.m.)*:	From To
Shift Days (i.e. Monday through Friday)*:
To whom should our temporary employee report to?*:
Job Description (Please Be Specific)*:
Special Skill/Software Requirements:
Is there a dress code for this position?*:	Yes No If yes, please describe below:
Comments/Questions:

An A.T. Temps Associate will contact you within 24 business hours to acknowledge receipt of your job order.
Thank you for Using A.T Temps!

A.T. Temps Ltd. is an Equal Opportunity Employer and is dedicated to diversity in the workforce.