Title of the position:

Why is this position open?

Describe this person's function in general terms:

Please list the qualifications, experience or educational background the person "must" have:

Please list the qualifications, experience or educational background you "would like" the person to have:

Please list the top 5 responsibilities for this individual:
1.
2.
3.
4.
5.

Please identify specific processes, materials or equipment this person should be experienced with.

When are you scheduled to have this person hired?
Salary/rate (range please):
Shift:
Travel:	%
Paid Overtime?	Yes No
Bonus opportunities?	Yes No
If yes, what percent (range)?	%
Relocation Assistance?	Yes No

Your name:		Title:
Alternate contact:		Title:
Company name:		Telephone #:	Ext:
E-mail:		Fax #:
Best time to call:		Web Page Address/URL:
Describe your business and primary products:
Who do you compete with?