First Name (*)
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Last Name: (*)
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Street Address: (*)
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City: (*)
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State: (*)
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Zip Code: (*)
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Home Phone: (*)
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Cell Phone:
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Work Phone:
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Home E-mail Address: (*)
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Work E-mail Address:
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Languages Spoken:
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US Working Status:
Permanent Permit
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Are you a homeowner?:
Yes No
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Education Information
First Degree Discipline:
Select from list Accounting (ACC) Acoustics (ACD) Advertising (ADV) Aeronautical Engineering (AE) Aerospace Engineering (ASE) Agricultural (AGR) Architectural (ARC) Automotive Technology (AUT) Aviation (AVI) Biochemistry (BIO) Bio-Medical Engineering (BIM) Biology (BIO) Broadcasting (BDC) Business Administration (BUS) Cartography (CT) Ceramin Engineering (CER) Chemical Engineering (CHE) Chemistry (CHM) City and Urban Planning (CUP) Civil Engineering (CE) Communications (COM) Computer Engineering (COE) Computer Information Sciences (CIS) Computer Science/Technology (CS) Construction Management (CNS) Control Systems Engineering (CTE) Criminal Justice (CRM) Drafting Technology (DFT) Ecology (ECL) Economics (ECO) Education (EDU) Electrical Engineering (EE) Electronics Engineering Technology (EET) Engineering (ENG) Engineering Technology (ET) English (EGL) Environmental Engineering (ENV) Environmental Science (ENS) Finance (FIN) Fisheries and Wildlife (FIS) Food Science (FS) Food Technology (FT) Forestry (FOR) Geography (GPV) Geological Engineering (GEE) Geology (GEO) Geophysics (GPH) Health Physics (HPY) Health Science (HEA) History (HIS) Human Resources (HR) Humanities (HUM) Hydrology (HYD) Industrail Education (IED) Industrial Engineering (IE) Industrial Hygiene (IHY) Industrial Management (IM) Industrial Technology (IT) Information Science (IS) International Government (IG) International Relations (INT) Journalism (JOU) Labor Relations (LR) Law (LAW) Law Enforcement (LEN) Liberal Arts (LAR) Library Science (LIS) Logistics (LOG) Management (MAN) Marine Engineering (MRE) Marketing (MKT) Marketing Management (MM) Material Science (MS) Materials Enginering (MTR) Mathematics (MAT) Mechanical Engineering (ME) Mechanical Engineering Technology (MET) Medical –All (MED) Metallurgical Engineering (MTE) Meteorology (MTY) Mfg Engineering Technology (MNT) Microbiology (MIC) Mining Engineering (MIE) Music (MUS) Naval Architecture (NVA) Non-Degreed (NON) Nuclear Engineering (NE) Nursing (NUR) Occupational Safety (OS) Oceanography (OCN) Operations Management (OPM) Organization Management (ORM) Organizational Leadership (ORL) Packaging (PKG) Paper Engineering (PAE) Paper Science (PAS) Performing Arts (PRF) Personnel (PER) Petroleum Engineering (PE) Pharmacy (PHM) Philosophy (PHI) Physical Education (PHE) Physics (PHY) Plastics Engineering (PLE) Plastics Science (PLS) Polymer Engineering (POE) Polymer Science (POS) Printing (PRT) Psychology (PSY) Public Administration (PUB) Quality (QUA) Robotic Engineering (RBT) Safety – All (SAF) Sanitary Engineering (SNE) Science (SCI) Sociology (SOC) Statistics (STA) Structural Engineering (SE) Systems Engineering (SYSENG) Technology (TEC) Telecommunications (TEL) Textile Engineering (TXE) Textile Science (TXS) Theology (THE) Urban Studies (URB) Veterinary Medicine (VET) Welding Engineering (WLE)
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First Degree Type:
Select from list C- Certificate A- Associate AS- Associate of Science B- Bachelor BA- Bachelor of Arts BS- Bachelor of Science M- Master MBA- Master of Business Administration MA- Master of Arts MD- Medical Doctor MS- Maser of Science PHD- Doctor of Philosophy
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Institution Name:
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Year:
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GPA:
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Second Degree Discipline:
Select from list Accounting (ACC) Acoustics (ACD) Advertising (ADV) Aeronautical Engineering (AE) Aerospace Engineering (ASE) Agricultural (AGR) Architectural (ARC) Automotive Technology (AUT) Aviation (AVI) Biochemistry (BIO) Bio-Medical Engineering (BIM) Biology (BIO) Broadcasting (BDC) Business Administration (BUS) Cartography (CT) Ceramin Engineering (CER) Chemical Engineering (CHE) Chemistry (CHM) City and Urban Planning (CUP) Civil Engineering (CE) Communications (COM) Computer Engineering (COE) Computer Information Sciences (CIS) Computer Science/Technology (CS) Construction Management (CNS) Control Systems Engineering (CTE) Criminal Justice (CRM) Drafting Technology (DFT) Ecology (ECL) Economics (ECO) Education (EDU) Electrical Engineering (EE) Electronics Engineering Technology (EET) Engineering (ENG) Engineering Technology (ET) English (EGL) Environmental Engineering (ENV) Environmental Science (ENS) Finance (FIN) Fisheries and Wildlife (FIS) Food Science (FS) Food Technology (FT) Forestry (FOR) Geography (GPV) Geological Engineering (GEE) Geology (GEO) Geophysics (GPH) Health Physics (HPY) Health Science (HEA) History (HIS) Human Resources (HR) Humanities (HUM) Hydrology (HYD) Industrail Education (IED) Industrial Engineering (IE) Industrial Hygiene (IHY) Industrial Management (IM) Industrial Technology (IT) Information Science (IS) International Government (IG) International Relations (INT) Journalism (JOU) Labor Relations (LR) Law (LAW) Law Enforcement (LEN) Liberal Arts (LAR) Library Science (LIS) Logistics (LOG) Management (MAN) Marine Engineering (MRE) Marketing (MKT) Marketing Management (MM) Material Science (MS) Materials Enginering (MTR) Mathematics (MAT) Mechanical Engineering (ME) Mechanical Engineering Technology (MET) Medical –All (MED) Metallurgical Engineering (MTE) Meteorology (MTY) Mfg Engineering Technology (MNT) Microbiology (MIC) Mining Engineering (MIE) Music (MUS) Naval Architecture (NVA) Non-Degreed (NON) Nuclear Engineering (NE) Nursing (NUR) Occupational Safety (OS) Oceanography (OCN) Operations Management (OPM) Organization Management (ORM) Organizational Leadership (ORL) Packaging (PKG) Paper Engineering (PAE) Paper Science (PAS) Performing Arts (PRF) Personnel (PER) Petroleum Engineering (PE) Pharmacy (PHM) Philosophy (PHI) Physical Education (PHE) Physics (PHY) Plastics Engineering (PLE) Plastics Science (PLS) Polymer Engineering (POE) Polymer Science (POS) Printing (PRT) Psychology (PSY) Public Administration (PUB) Quality (QUA) Robotic Engineering (RBT) Safety – All (SAF) Sanitary Engineering (SNE) Science (SCI) Sociology (SOC) Statistics (STA) Structural Engineering (SE) Systems Engineering (SYSENG) Technology (TEC) Telecommunications (TEL) Textile Engineering (TXE) Textile Science (TXS) Theology (THE) Urban Studies (URB) Veterinary Medicine (VET) Welding Engineering (WLE)
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Second Degree Type:
Select from list C- Certificate A- Associate AS- Associate of Science B- Bachelor BA- Bachelor of Arts BS- Bachelor of Science M- Master MBA- Master of Business Administration MA- Master of Arts MD- Medical Doctor MS- Maser of Science PHD- Doctor of Philosophy
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Second Degree Institution:
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Second Degree GPA:
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Second Degree Year:
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List any certifications you have. Examples- CPA, SPHR, PHR, CPIM, PE, CPM, Six Sigma Green or Black Belt, Other:
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Employment Information
Are you currently employed?:
Yes No
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If unemployed last date worked:
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Current / most recent employer:
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What do they manufacture sell?:
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Position/Title:
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If unemployed, why did you leave your last position?:
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If you are still employed, why are you considering an employment change?:
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Current Base Salary:
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Additional Compensation, ie. bonuses, overtime:
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Current vacation award:
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Do you have a non-compete clause?:
Yes No
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Are you responsible for reimbursement to your current employer for relocation or educational expenses?:
Yes No
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May we submit your resume to our National Network of Professional Recruiters?:
Yes No
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Relocation Information
Are you willing to relocate?:
Yes No
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Select your relocation preference:
Select from list Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware 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 Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
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Select any other places you might relocate. To select multiple, control+click on your selection:
Anywhere in the U.S. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware 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 Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
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Are there any special needs that might impact your job change -i.e. metro or rural locales, employment for spouse, schools for children, colleges nearby, ect?:
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Positions of interest to you (if applicable, Job # and Title):
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References
First Reference
First Name:
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Last Name:
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Title/Relationship:
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Company:
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Phone:
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Email:
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Second Reference
First Name:
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Last Name:
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Third Reference
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