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Use the form below to register for permanent employment or consulting and subcontracting assignments. All information you send to us will be held in the strictest confidence. Under no circumstance will representation be made on your behalf without your prior authorization.
Basic Information
Please provide some basic contact information. This will help us communicate any opportunities to you as quickly as possible.
Name
Nickname
Address
City
State/Prov
Alabama
Alaska
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-None-
Zip
E-Mail
Current Employer
Current Title
Detailed Information
Soc. Sec. #:
Birthday:
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01
02
03
04
05
06
07
08
09
10
11
12
mth
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01
02
03
04
05
06
07
08
09
10
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12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
day
Highest Education:
- Select One -
AA Degree
BA
BS
MS
Ph.D
Some schooling, but no degree
Last Earnings:
Annual (e.g. 50,000)
Hourly
Desired Earnings:
Annual (e.g. 50,000)
Hourly
Source:
Type
Name of Source
- Select One -
CareerBuilder
Cold Call
Computerjobs
Dice
Google Search
iStaff Website
LinkedIN
Monster
MPC Call
Newsletter
Other (please list)
Other Internet Board
Referred by candidat
Referred by Client
Work Details
Days Available
From
To
Available Date:
(Ex.: 5/10/2001)
Eligible to Work in US?
- Select One -
No
Yes
Work Category:
- Select One -
Temp Only
Direct Hire Only
Temp or Direct Hire
Industry:
- Select One -
Advertising, Marketing
Aerospace, Defense
Airlines
Apparel
Automotive Retailing & Services
Banking
Beverages
Chemicals
Computer Software & Peripherals
Construction
Consumer Goods & Products
E-Commerce
Electronics, Electrical Equipment, Semiconductors
Energy – Oil, Gas, Petroleum refining
Engineering
Food Services
Forest and Paper Products
Furniture
General Merchandisers
Government
Health Care
Household & Personal Products
Industrial and Farm Equipment
Insurance
Legal
Logistics & Transportation / Trucking
Manufacturing
Medical Products & Equipment
Metals
Motor Vehicles
Network Communications
Non-Profit
Packaging & Containers
Pharmaceuticals
Photographic & Control Equipment
Pipelines
Printing/Publishing
Public Accounting
Railroads
Real Estate
Recruiting
Retail
Securities
Software Development
Specialty Retailers
Telecommunications
Textiles
Utilities
Waste Management
Wholesalers
Function:
- Select One -
Analyst
DBA
Developer
Director
Helpdesk
Manager
Network Administrator
Programmer
Project Manager
Software Trainer
Web Developer
Telephone Numbers
Tell us the numbers where we can reach you.
Home
Best Time:
Telephone
Best Time:
Other 2
Best Time:
Other 3
Best Time:
Work
Best Time:
Cell
Best Time:
Alt Phone
Best Time:
Other
Best Time:
Fax
Best Time:
Voice Mail
Best Time:
Resume
In addition to copy and pasting your resume into the database, you can upload your formatted resume that's in MS Word, RTF, HTML or PDF format by clicking the browse button and locating the document on your local drive. When you save your profile the document will be uploaded and available for recruiters to access.
Filename:
Title:
Paste your resume here from any word processor. To do this, go to your word processor, pull up your resume, hit your [Ctrl] [A] on your keyboard, hit your [Ctrl] [C] on your keyboard, click in the box below then hit [Ctrl] [V].
Future Access
It is very important that you keep a record of your Login and Password. We will not share this information over the phone, nor by any means. Write it down and keep it in a place you will remember.
Login:
(required)
Password:
(required)
It is OK to contact me via Email.
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