| * Your Name: |
|
| Company: |
|
| Address: |
|
| * Town: |
|
| * Postcode: |
|
| Phone Number: |
|
| Email Address: |
|
| Additional Comments: |
|
| How did you hear about Kelly: |
|
Please provide a brief description of your needs
|
| * Todays Date: |
[None]  |
* Have you ever used Kelly Services before:
|
|
| Is your Staffing Request for: |
|
| Number of People Needed: |
|
| Start Date: |
[None]  |
| Job Title(s): |
|
| Length of Assignment: |
|
Please provide details of the role
and skills required:
|
|
|