Please take a moment and share the following information on your organization. The items with an asterisk are required.
First Name*
Last Name*
Company*
Phone Number - - This is a cell phone
E-mail Address* user@example.com
Website
Address
City
State
Postal Code
Medical Staffing Type (PRN, Travel, etc.) Select one... PRN Travel PD HH M/M HH Locum Tenen Permanent Physical Therapists Rad Techs Allied Other
Number of employees that would use TSS
Number of offices/locations
Approximate size of resource pool
Do you currently use staffing software?
If yes, what software?
Integration with payroll & accounting?
If yes, what system?
Type of internet connection Select one... T1 DSL Cable Modem ISDN Dial up Other
Preferred way to contact you
Do you have a preferred demo date?
Do you have a planned software implementation date?
Current payroll cycle
Additional Information