Sourcing Organization Request Form - My Pop-Up Management Professional Network

SOURCING TALENT REQUEST FORM

Use this form to request qualified management or operational talent for your short‑term assignments.

Organization Name *

Corporate Website URL (optional)

Business/Head Office Address *

Country

City/Town *

Province

Postal Code *

Primary Contact Details

First Name *

Last Name *

Organization Title *

Contact Phone (enter 10 digits) *

Email Address *

Talent Requirements

Role Title Needed *

How quickly does the role need to be filled? *Critical – ImmediateHigh Urgency – Time SensitiveMedium Priority – Important but not UrgentLow Urgency – Strategic or Opportunistic HirePipeline – Exploratory Hire

Preferred Work Hours? *

Role Responsibilities (short description) *

Required Credentials or Certifications

Preferred Start Date *

Duration (total # of business days) *

Work Location (select one) *

Additional Notes

IMPORTANT – Please read and acknowledge before submitting your Talent Request Form

By submitting this form, I consent to and acknowledge all of the following: 1. Consent to Share Organizational Information – I confirm that I am authorized to act on behalf of my organization. I consent to mypump.ca collecting and using the information provided in this request to identify, assess, and match suitable management professionals for short term or flexible work assignments. 2. Consent to Be Contacted – I agree that mypump.ca may contact me or other designated representatives of my organization to clarify role requirements, confirm details, or coordinate next steps related to this request. 3. Consent to Limited Profile Sharing – I understand that mypump.ca may share relevant details from this request with potential management professionals for the purpose of determining interest, suitability, and availability. Only information necessary for candidate matching will be shared with potential management professionals. 4. Privacy and Data Handling – I acknowledge that mypump.ca will store and handle data and information in accordance with applicable privacy legislation (PIPA/PIPEDA) and will not publish or publicly display any organizational information without explicit written permission. 5. Engagement Success Fee – I understand that my organization is responsible for an Engagement Success Fee (based on work duration) once a management professional begins their work term. MYPUMP will invoice the Engagement Success Fee five (5) days after the work term begins. 6. Confirmation – I confirm that the information provided in this request is accurate to the best of my knowledge.