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The Directory of Executive Recruiters
The Directory of Executive and Professional Recruiters

Please complete the following form to be considered for Professional Position search and placement. 

This form requires that you have a stand alone E-mail Client
(Outlook, Outlook Express, Eudora, etc.) in order to send the form. 


Name

Address

City       State       Postal Code

Home Telephone   Work Telephone

E-mail Address

Education

 Degree   Date    GPA

 Degree    Date    GPA

 Degree    Date   GPA

Are you a Homeowner or Renter?

 Homeowner   Renter   

Are you Eligible to work in the United States?

Yes    No

Are you a Citizen or Permanent Resident?

Citizen     Permanent Resident      Other

What is your current Employment Status?

Currently Employed
Yes      No       If no, what was your last date of employment?

Your Current or Last Employment information.

Company Name

Division of

Company Product Line

What is your Position Objective 

Salary

Present

Desired

Minimum Acceptable

Why are you searching for employment?

When will you be available?

Geographic Preferences (e.g. Cities, States or Regions)

Are there any additional comments or information that would help us in your search?

We are a member of Inter-City Personnel Associates (IPA), a National Network of 340 Recruiting Firms.
May we share your resume' with them?

Yes      No

Please E-mail your latest resume' as a Microsoft Word Document attachment to ed@currierwinn.com

           


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