Please enter the type of employment term they are interested in:

Website Solutions Design Solutions Both

First Name:	M.I.
Last Name:
E-Mail Address:
Address 1st Line:
Address 2nd Line:
City:
State:	Zip/Postal Code:
Daytime Phone:
Evening Phone:
Fax:
Are they a US Citizen?	Yes No
If No, type of work visa:

Availability Date:	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2001 2002 2003
Highest Degree Attained:	Please Select a Degree High School Associate Bachelors MBA Masters Doctorate
Years of Experience in your field:
Annual or Hourly Pay Rate or Range:

What Operating Systems do they have experience with?
SunOS	Solaris	HP-UX
Windows	Windows NT	Windows 95/98
NetWare	Guardian	Banyan
Others	AIX	MVS
If you selected others, please comment.
What Data Bases do they have experience with?
Oracle	Sybase	Informix
DB2	TeraData	Others
If you selected others, please comment.
What Hardware do they have experience with?
Sun	SGI	PC's
Apple	IBM Mainframe	Others
If you selected others, please comment.
What Languages and Tools do they have experience with?
C	C++	Visual C++
Visual Basic	asp.NET	HTML
VB.NET	Perl	SQL
Java	Others
If you selected others, please comment.
Relevant Industry experience?
Pharmaceutical	Finance	Telecom
Manufacturing	Insurance	Others
If you selected others, please comment. Post their resume below: