Legacy Intake Form

TMG USE ONLY - LEGACY INTAKE FORM

* Indicates required field

Associate Name *

First

Last

Email *

Phone Number *

Current Title *

Hire Date / Estimated Years of Service *

Client Name *

Current Location (City, State) *

Current Scheduled Work Hours (M-F, 8AM-5PM) *

Desired Pay Rate *

Annual Time Off Allotment *

Additional Notes (Benefits, PTO scheduled, etc.) *

Intake Completed By *

First

Last

Submit