Hiring Intake

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Empowering Tech Careers, One Connection at a Time

80% placed ≤ 3 months

1:1 coaching included

Remote + hybrid friendly

Interview prep support

Hiring Intake Form

Find the Right Tech Talent – Start Here

Section 1: Company Information

Company Name

Company Website

Industry (e.g., SaaS, Healthcare, Finance, GovTech, etc.)

Email Address

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Primary Contact Name (required)

Section 2: Role Details

Job Title

Number of Openings

Is this a new role or a replacement?New RoleReplacement

Type of Role (check one)Full-TimePart-TimeContract / FreelanceInternshipTemp-to-PermOpen to Discussion

Work Location (check all that apply)OnsiteRemoteHybridOpen to All

Section 3: Candidate Requirements

Required Technical Skills / Tools / Technologies (e.g., Python, AWS, React, Kubernetes, Power BI)

Minimum Years of Experience Required0–2 Years2–4 Years5–7 Years8+ Years

Minimum Education or Certifications Required (if any):

Section 4: Role Description

Brief Summary of the Role (can paste job description here)

Key Responsibilities

Team Structure (Who will this person report to? Will they be working on a team?)

Tools, Platforms, or Tech Stack Used in the Team (e.g., Jira, Git, Azure, Linux)

Section 5: Compensation & Hiring Timeline

Additional Benefits / Perks (e.g., health, equity, PTO, learning budgets, etc.)

Salary / Hourly Pay Range (or write “Open” or “Negotiable” if applicable)

Urgency of HireImmediate (0–2 weeks)Within 1 Month1–2 MonthsFlexible

Ideal Start Date

Section 6: Screening Preferences

• Would you like us to conduct initial screening interviews?YesNoOpen to Discussing

• Is there anything else we should know to help you find the best candidate? (textarea input)

Do you require technical assessments or code tests?YesNoPreferred Interview Process (if known):(e.g., Phone Screen > Technical Interview > Final Interview)

Section 7: Final Notes

Consent *

Yes, I agree with the privacy policy and terms and conditions.

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