Nutraceutical Employee Requisition Form

Nutraceutical Employee Requisition Form

Please complete the below information to request a new, or replacement, employee from our contracted staffing providers. If you have any questions or problems with this form, please contact Randall Miller at 801.334.1543 or randall.miller@nutracorp.com.
Staffing Provider*

Premier Employee SolutionsElwood Staffing
Supervisor Name*
Email*
example@example.com
Department
Please enter your department
New Position or Replacement

New PositionReplacement
If replacement, who is this a replacement for?
Position Title*
Shift
# Requested
# of people needed
Requested Start Date*

MonthDayYear
Date
Any Additional Info
Additional details (F/T, P/T, shift, skills, experience, etc.)
Enter the message as it's shown*
Should be Empty: