First Name*     

Last Name*    

Address*        

Address           

City*                  

State*              AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY           

Zip*                 

Country           

E-Mail*           
Verify E-Mail*

Home Phone   

Work Phone    

Employment:  Permanent      Contract      Either

Salary Range, Minimum

  $25,000 $30,000 $35,000 $40,000 $45,000 $50,000 $55,000 $60,000 $65,000 $70,000 $75,000 $80,000 $90,000 $100,000 $120,000 $150,000 $180,000 $200,000 $200,000+

Discipline (what do you do?) (select up to 5)

  All Other Disciplines Aerospace/Aviation Architecture Automotive Banking/Mortgage Communications/Media/PR Construction Customer Service Education Engineering, Chemical Engineering, Electrical Engineering, Mechanical Engineering, Other Environmental/Safety/Occupational Finance/Accounting Food Service/Hospitality Human Resources IT - Consulting IT - Management IT - Networking IT - Programming IT - Technician IT - Web Design IT - Other Insurance International Internet/Web/Graphic Design Legal Management - General Management - Senior Manufacturing Marketing Materials Management Medical/Healthcare Operations Program Management Public Quality Or Project Management Research & Development/Scientists Retail Sales Software Engineer Technical Sales Technicians/All other technical fields Telecommunications Training Transportation/Logistics/Distribution Utilities/Energy

Industry Preference  (select up to 5)

  Agriculture/Forestry Automotive Biotech Communications/Media Computer Consulting Construction Education Entertainment Environmental Financial Fishing/Mining Food Service/Hospitality Generalist Government Healthcare High Tech Human Resources Insurance Law Enforcement/Security Legal Management Consulting Manufacturing Other Packaging Pharmaceutical Real Estate Retail Trade Software Telecommunications Transportation Wholesale Trade

Willing to Relocate?   Yes      No      Maybe

Geographic Preference (select up to 5)

All U.S. AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY All Canada All Mexico All United Kingdom All Europe All Asia All Southeast Asia All Middle East All Africa All North America All South America Other International

Acceptable Travel

0% 10% 25% 50% 75% 90%

Desired Job Title

Experience Level

0-2 years 3-5 years 6-10 years 11-20 years 21+ years

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