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Client name:
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Street:
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City:
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State:
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Zip:
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Phone:
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Fax:
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Contact name:
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Title:
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Direct line:
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Select from the pull down menu:
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Start Date:
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Stop Date:
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This is to cover an absence due to:
Other
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Work hours:
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Start:Stop:
Lunch break:(30 min., 1 hour)
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Parking:
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Will
reimburse up to $ /day
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Suggested parking location:
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Job title:
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Other:
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Equipment proficiency required:
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Other:
Multiple selections can be made by holding down
the “Ctrl” key while clicking on each item.
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Telephone equipment (for receptionist assignments):
System Name: Number of
Incoming Lines:
Voicemail: Yes No
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Area(s) of practice:
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(Civil Litigation, Criminal, Corporate, etc.)
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Name(s) of attorney(s) to be assisted:
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General description of duties:
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Special instructions/requests:
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Thank you for allowing ProTem to assist you with
your staffing needs.
We will process
your information and contact you shortly.
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ProTem Legal Services is
an equal opportunity employer and is dedicated to a policy of
non-discrimination in employment on any basis including race, creed, color,
age, sex, religion, national origin, or physical disability. Any
information provided above will be used in a professional,
non-discriminatory manner to match job candidates with suitable employment.
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110 West C Street, Suite #700, San Diego,
CA 92101
Telephone: (619) 232-6191 •
Facsimile: (619) 232-6305
Web: www.protem.com • Email: info@protem.com
© Copyright 2000
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