Company name:

Company location:

Street address #1:


Street address #2:


City:


Zip Code:


County:

State:

Contact first name:

Contact last name:

Contact title:

Contact telephone number:
Area Code ( )   Ext.

Contact fax number:
Area Code ( )

Contact email address:

Are you interested in an: 
Engineer   Designer   Draftsman   Cad Operator

What type of personnel are you looking for?:
Temp   Temp/Hire   Direct

Experience Required? 
0 to 3 years   3 to 5 years   5 to 10 years   10 to15 years   15 to 20 years

Description of work/Assignment:

Software skills required (i.e.: AutoCAD, Solid Works):

Start date:

Estimated completion date:

What are your hourly pay requirements? (i..e.: $15-$20/hr):

Do you request a criminal background check for employee? (no charge to client):
Yes   No

Do you request drug testing for employee? (no charge to client):
Yes   No

For additional personnel please submit additional forms.
Thank you for submitting this questionnaire with Orion Resources, LLC we look forward to working with you.