WE SUPPLY QUALITY CANDIDATES TO MEET YOUR NEEDSUS Staffing is committed to providing the highest level of service in the industry. Complete this form and one of our Executive Staff Coordinators will contact you shortly. JOB INFORMATION Job Title* Industry* Please Choose the Duration of Position Requested* Temp to perm positionFull Time / ongoing positionShort term / daily position Number of People* Number of Days* List Days and Shifts / Hours* Report to Name* Duties & Responsibilities* Additional Requirements / Comments YOUR CONTACT INFORMATION Full Name* Company* Address* Phone* Email* Respond by: PhoneEmail Best Time to Respond