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Staffing agency request form template

This five-step staffing agency request form asks the type of staffing service, how many employees are needed, the hiring timeline and the company’s industry, followed by the contact details. Clone it into your Growform account and list your services.

What the form asks, step by step

Each answer helps a staffing coordinator decide which service to propose and how quickly to respond. None of the questions requires the employer to type.

  1. Step 1: “What type of staffing services do you need?”

    Temporary, direct hire or contract-to-hire decides the fee model you discuss.

  2. Step 2: “How many employees are you looking to hire?”

    Headcount from one to more than twenty shows the size of the opportunity.

  3. Step 3: “What is your timeline for hiring?”

    Immediate requests should reach a coordinator within the hour.

  4. Step 4: “What industry is your company in?”

    Healthcare, technology, finance or manufacturing routes the request to a specialist desk.

  5. Step 5: “How shall we contact you?”

    Name, email and phone come last.

  6. After submitting

    Employers see a thank-you message, and your agency can rewrite it to state its response time for urgent requests.

Who it’s for

Staffing agencies, temp agencies and workforce solutions providers use this template to take requests from employers. Every staffing request form submission states the service, the headcount, the urgency and the industry, which lets a coordinator prepare candidates before calling back. It suits agencies that run separate desks by sector. Agencies registering workers can use the candidate registration template alongside it.

Why this structure converts

  • Four button questions let a busy manager request staff in under a minute.
  • The service type question explains your options without a sales pitch.
  • Asking about the timeline shows the employer that urgent needs will be handled quickly.
Use this template

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Make it yours

  • Add a role description step

    An open text step asking for job titles and shifts gives recruiters the detail they need to start matching candidates.

  • Ask for the work location

    Add a city or ZIP code step if you staff several regions, so each request reaches the nearest branch.

  • Flag urgent requests

    Send immediate requests to a Slack channel so a coordinator responds before the employer calls another agency.

Frequently asked questions

What is the difference between temporary staffing and direct hire?

Temporary staff remain on the agency’s payroll for a set period, while direct hire places a permanent employee with the client. The first question on this form asks which one the employer needs.

Can the form handle several roles?

Yes. Add an open text step or repeat the role questions for each position the employer wants to fill.

Can requests go into Bullhorn?

Yes. Growform connects to Bullhorn, JobAdder, Vincere and Zoho Recruit, and to Slack for instant alerts.

What happens next?

  1. Step 1: Clone this form template

    Clone this template into your Growform account (create one first if you don’t already have one).
  2. Step 2: Edit your form

    Get creative and adjust your form's theme options, questions or layout in the Growform form builder.
  3. Step 3: Share or embed your form

    Share a link to your form, or embed it in your existing website. Receive new submissions by email or send them to 7,000+ apps via Zapier.

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