Job Assignment Form

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Job Assignment Form

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JOB ASSIGNMENT FORM

Please fill out the information below that pertains to the position your firm would like Computer Image to place with a highly-qualified technology professional. Leverage our technology connections to fill this position efficiently and move your firm forward.

Company Information:

* Company Name:
* Address Line 1:
Address Line 2:
* City:
* State:
* Zip:
* Phone:
Fax:
Contact Information:
* First Name:
* Last Name:
* Title:
* Phone:
* Email:
Job Information:
* Job Title:
Start Date:
* Position Type:
* Compensation:	-
Work Hours:
Relocation Assistance:	Yes	No
US Permanent Residency Required?	Yes	No
Work Offsite?	Yes	No
Position Status	New	Replacement
Short Job Description:
	* Indicates a required field.