Placement Forms Please fill out every field of the form. You will see a thank you message upon successful submission of the form. Direct Hire Placement FormPlease enable JavaScript in your browser to complete this form.Your Email *Is this candidate direct hire? *YesNoIs this candidate a temp to hire conversion? *YESNO Candidate Name *FirstLastCompany *Salary ($USD) *Fee ($USD) *Fee (% Percentage) *Bonus Required: *YesNoIf yes, How Much:Bonus Payable Date:Acceptance Date *Start Date *Position *Bullhorn Job Placement ID: *Account Manager *Recruiter *Is PO needed? *YesNoSection DividerInvoice Attention To:Name *FirstLastEmail *AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOther Special Instructions?Submit Consulting Placement FormPlease enable JavaScript in your browser to complete this form.Your Email *Is this candidate a consultant? *YesNo Candidate Name *FirstLastCompany *Pay Rate *Bill Rate *Acceptance Date *Start Date *Position *Bullhorn Job Placement ID: *Account Manager *Recruiter *Is PO needed? *YesNo1099 or W2 *1099W2Third ChoiceRemote or Onsite *RemoteOnsiteWork Location Address *Section DividerInvoice Attention To:Name *FirstLastEmail *AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTime-clock CTR Set UpYesNoTime-clock Approver Name *FirstLastApprover TitleApprover PhoneApprover Email *Other Special Instructions?Submit