Vensure Supplier Network

Vensure Supplier Network Request For Information

VSN RFI
The following information is required to provide your organization with tailored solutions. Your information is handled with the utmost of privacy considerations. Please do not print this form and attempt to hand-write the information in. Your signature will be captured electronically at the end of this form and you will receive a confirmation email upon submission. Thank you.
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CLIENT OVERVIEW
Supplier Legal Company Name*
DBA / Trade Names (If Applicable)
Key Contact Name*

First NameLast Name
Key Contact Title*
Key Contact Email Address*
Your personal email address, not work, is suggested for privacy.
Key Contact Phone*

Country CodeArea CodePhone Number
Company FEIN*
Company Website*
Date of Incorporations / Years in Business*
Headquarter Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list the top 3 which industries you service:*

	Industry Name / Description
#1
#2
#3

What industries are you able to serve?
What is your typical turnover rate experience? *
%
What is the most common attributor to this turnover rate? *
Typically, how much notice is needed for you to find and place a temporary employee? *
Business Hours, Days
What is your typical implementation timeline to bring on a new customer?*
Business Days, Hours
What is your expected mark-up range?*
% or $ Amount
Number of employees in total: *
Top Line Revenue:*

Current Year Previous Year

$ Amount
States you are able to service:*

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaGuamMarshall IslandsNorthern Mariana IslandPuerto RicoVirgin Islands
Are you a Minority Owned Business Enterprise?*

Not ApplicableAfrican AmericanAsianHispanicNative AmericanWomen OwnedOther
Do you currently use Recruitment Process Outsourcing services?

YesNo
Are you interested in learning more about Vensure’s RPO services for our staffing clients?

YesNo
Any other information or capability you would like to submit?
CERTIFICATION & SIGNATURE

The undersigned attests that the information contained in this document is true and correct to the best of the undersigned’s knowledge. The undersigned understands this document is not a contract for service or employment nor will it bind coverage of any kind. In the event that information has been intentionally omitted or misrepresented, VensureHR may deny or limit services. I will notify VensureHR of any changes to the information imparted here that occur after signing this form.
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First NameLast Name
Your Title*
Your Email*
example@example.com
Signature*

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Vensure Supplier Network Request For Information

CLIENT OVERVIEW