Clients should fill in this form to request Haztek to find them a suitable recruit.

Client name:

Company name:

Telephone:

Email:

Select discipline:

Duration (months):

Salary/Rate:

£ per

Type of employment:

Location:

Minimum qualifications:
(ie Degree, HND, NEBOSH etc)

Minimum experience:

years

Special Skills:
(detail any special requirements)