Get To Know You Form

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1. Career:

*Company: Title:
*First Name: *Middle Initial:
*Last Name: Name you go by:
*Referred by:    
*Phone: Ext:  Fax:
*Mobile: *E-mail:
Company Address: City:
State: Zip:
Web Site:    

2. Personal Information:

Gender:    
*Are you legally allowed to work in the U.S.?   Yes    
*Nearest Major Market/Big City    
Distance to Major Market In Miles: miles In Time:
*Home Address: *City:
*State: *Zip:
*Home Phone: Personal E-mail:

3. Availability, Transportation and Skills (Check for Yes):

Anytime Weekdays Weekends No Weekends Evenings No Evenings
Large SUV Medium SUV Large Truck Medium Truck Medium Car Small Car
Good Phone Skills Lift over 50 lbs Own Lap Top Speak Spanish Customer Svc Experience Out of Box Thinker

* required fields 

 
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