For a Direct Placement Search Services fill out the application below on this page. We will follow up with you shortly. Taking the time to fully understand our client’s needs is what makes our placement process so successful. The application details all of the specific requests and will help us make a placement to refine our sourcing and recruiting process. We are dedicated to making sure that you are completely happy with the process and the end result.  The form below is not only a needs assessment, it specifies what you can expect from us as a client and is a contract defining our terms of service. We look forward to being an extension of your company and helping you reach your goals. Please call our office any time if you need additional assistance or simply would rather discuss by telephone at 844-952-0085.

You will be prompted to fill out billing information after this form is completed on the submission page. To complete the process you must fill out our secure billing collection form.

Direct Placement Search Client Form

Direct Placement Search Services
  • Indicate the position you will be using Steelman Staffing & Associates for.
  • If applicable provide second contact at company.
  • Schedule and Assessment

    Please be as descriptive as possible when filling out the hours of care you will need. Specify if you will need a.m., p.m., or 24 hour shifts.
  • MM slash DD slash YYYY
  • Please print and retain all of our agreements as listed at the top of this page.
  • Fees for employment services will be based on the original booking confirmation. Should the hours be extended they will be audited in our weekly billing based off time card review and will automatically charged to your billing credit card.
  • **Please print and retain a copy of your completed Client Application for your records.**

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