Fill out a Job Datasheet

We would request you to fill out a data sheet to help us with our information about you and how we present you to our client companies. We definitely need to know if you are open to relocation or not and what areas of the country you would consider. After we receive the data sheet back, we will call you and get more information. This is just a starting point to help us fill in the details from your resume. Remember, the more we know, the easier it is for us to present your background to our client companies.

Items in Red ARE REQUIRED

Contact Information: Name: Address 1: Address 2: City: State: Zip Code: Home Phone: Work Phone: Cell Phone: E-Mail: Residence:

Educational Background: Degrees: Dates: GPAs: Languages:

Citizenship Status: U.S. Citizen?: Perm. Resident Visa?: Security Clearance:

Position Objective:

Employment History: Company: Products/Services: Parent/Divisions: Last Date Worked: Interviewed With:

Salary: Present: $ Desired Salary: $ Min. Acceptable: $

Availability: Why Available?:

How was the contact made?: Contact By: Other: Initial Contact Date:

Location Preferences & Resume: First Choice: Second Choice: Third Choice: Details:
Attach Resume (1.5MB Max):