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Candidate Profile

*Name: Email:
*Address:
*City: *State: *Zip:
*Home: Cell:
Work: Fax:

Position Desired:

List all degrees with graduation date (mm/yyyy) & GPA's

Degree: Date: GPA:
Degree: Date: GPA:
Degree: Date: GPA:

Presently Employed:
If unemployed, Last Day Worked:

Name of Present/Last Employer:

What do they Manufacture or Service:

Main Product(s):

SIC Code for current and past employers:

Attach Resume:
Accepted file types: PDF (.pdf), Word Document (.doc), Text File (.txt)

SALARY INFORMATION: (If your present or last position is/was a contract, please advise your asking salary and minimum acceptable salary based upon a permanent position).

Present/Last Salary $
Salary Desired $
Minimum Salary $

WHAT HAS MOTIVATED YOU TO LEAVE EACH OF YOUR PAST EMPLOYERS?

PLEASE CHECK THE FOLLOWING THAT APPLY:

U.S. Citizen Permanent Resident Other
Homeowner Renter Other

GEOGRAPHICAL PREFERENCES: (Check all regions you would consider. If open to all, check the appropriate line. If you only desire a very specific area, advise what area and DO NOT check a region. PLEASE BE VERY SPECIFIC).

Northeast Mid-Atlantic Southeast
Southwest Midwest Rockies
Northwest West Coast Gulf Coast
Specific Area (Describe):

I am actively pursuing opportunities and forwarding my resume. Please contact me upon receipt.
I am not currently active, but would like my information entered into your system
I will be active in the future.
Please contact me on this date: