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Please complete this form to register as a job seeker

Step 1 Fill Out This Form

*Fields in BLUE are required

 
Prefix:
 
First name:
    M.I.
 
Last Name:
 
Suffix:
 
 
 
Street Address:
 
City:
 
State/Prov:
 
Country:
 
Zip Code:
     
 
Home Phone:
 
Alt Phone:
 
Can you take calls at work?
Yes  No
 
Work Phone:
 
E-mail:
 
Residency or Visa Status
 
Current Employer:
 
Current Title:
 
List here the Products or Services of your Current Employer:
 
 
 
What is your current job-seeking status?
 
 
 
  Objectives:
 
Select one or more of these Specialties  
Accounting Engineering Manufacturing
Administration Entry Level Marketing
Administrative Assistant Executive Medical
Advertising Facilities Miscellaneous
Banking Finance Mortgage
Clerical Hospitality Nursing
Construction Human Resources Quality
Corporate Training Information Technologies Research
Customer Service Insurance Sales
Distribution Legal Secretarial
E-Commerce Management/Executive Telecommunications

  Job Objective:
  Career Objective:
  List your degrees:
  List your Certificates/Licenses:
  List your other education:
   
 
  Skills Inventory:
 
  Years of experience :
  What products have you had experience with in your industry? 
  Describe Your Relevant Skills:
  What Software:
  What Equipment:
 
  Compensation:
 
     
  Current or Last Salary/Wage:
  Bonus Received Last Year:      +
  Total Current/Last Package:     =
  Desired Salary:
  Minimum Salary to consider a job change:
     
 
  Relocation and Travel:
 
  Check the boxes to indicate your relocation preferences on this chart: 
 
  best maybe no
  ME, VT, NH, MA, RI, CT
  NY, NJ, PA, DE, DC, MD
  KY, TN, WV, VA, NC
  MS, AL, GA, FL, SC
  MN, WI, IA, IL, MO, IN, MI, OH
  OK, TX, AR, LA
  KS, NE, ND, SD, WY, MT, ID
  UT, CO, AZ, NM
  CA, NV, OR, WA
   
Do you own or rent?
How long at present address?
List any special relocation needs/requirements:
   
How much travel you are willing to do in your job?
   
  Shift preferences:  
  First Shift (8am-4pm)  
  Second Shift (4pm-12am)  
  Third Shift  (12am-8am)  
 Resume: please paste your text resume in the box below.


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