* Required Field Full Name*: Email Address*: Home Phone*: Cell Phone*: Address*: City*: State*: Zip Code*: Why Are You Currently In the Job Market? Target Salary/Hourly Rate Range*: Desired Number of Hours Per Week: Date Available to Start Work: Target Work Type/Job Title*: Target Commuting Distance: Do You Require Medical Benefits? —Please choose an option—YesNo Some of Our Clients Require Background Investigations. Are You Willing to Submit to and Can You Pass a Background Investigation? —Please choose an option—YesNo Which types of positions would you like us to contact you about? (Please check all that apply): Temporary Temp to Direct Hire Permanent Contract Full Time Part Time Do you have a clearance or have you had a clearance in the past? —Please choose an option—CurrentPast If So, What Level of Clearance Do You/Have You Had? Please List Three Professional References - Individuals You Have Worked With or Worked For (please no personal references). Reference Name 1: Reference Phone 1: Company: Reference Email: Work Relationship: Worked ForWorked WithOther (Specify Below) Other: Reference Name 2: Reference Phone 2: Company: Reference Email: Work Relationship: Worked ForWorked WithOther (Specify Below) Other: Reference Name 3: Reference Phone 3: Company: Reference Email: Work Relationship: Worked ForWorked WithOther (Specify Below) Other: How Did You Find Us? Note about FILES below: Files must be attached from your local system (your computer). They will not upload from a remote drive like Dropbox, OneDrive, or Google Drive. Please include your resume as an attachment*: Please include your cover letter as an attachment: We distribute a quarterly bulletin of available candidates. If you would like to be included please write a brief summary of your background, strengths and personality here: You may upload additional information in PDF or Word Format: Δ