First Name
MI
Last Name
Suffix 
Street Address
City
State
Zip Code
Type of Business
Position
Office Phone
Fax Phone
Mobile
E-Mail Address
Proposed Start Date
Number of Years of Experience
Security Clearance Requirement
Required
Skills 
(must have, 
no exceptions)
Desired 
Skills (preferred, 
not mandatory)
SECTION # 2 - POSITION REQUIREMENT
A MiJoi Recruiter will contact you to discuss your request.
THANK YOU for considering MiJoi to help fulfill your requirements.
SECTION #1 - CONTACT INFORMATION
Title
Division/Department
Company
Job Location
Salary Range (annual)
Telecomute Requirement
Percentage of Travel Required
Relocation (if required, indicate Location and Date)
Citizenship Required
Length of Contract
# Years Left on Contract
Position Description
Required Certifications 
Computer Requirements (software knowledge required)
Staffing Services
STAFFING REQUEST FORM
Having trouble staffing 
your contract? 
Allow MiJoi to assist
 in your recruitment efforts.