Swift Staffing Agency: Initial Intake
Thank you for your interest in Swift Staffing Agency! Please fill out this brief initial intake so that we can best assist you. 
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What is your full name?  *
What is your organization/agency name?  *
What is your title/role?  *
What is your email address?  *
What is the best phone number to contact you?  *
What type of program do you run?  *
Required
Primary location(s) served?  *
How many staff members needed? 
When is your desired start timeframe?  *
What pay rate are you targeting?  *
Our current requirements for our staff are as follows:
-First Aid & CPR certified
-Clear of Tuberculosis
-CORI approved
-DPPC approved
-DDS Fingerprint approved 
-annual QBS Safety Care Training
*All of our staff are fluent in English plus some are multilingual. 

Any other specific requirements beyond our standard screening?
 *
What is your preferred next step?  *
How did you hear of Swift? 
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