Name:

Mailing Address:
(Include city state and zip code)

Telephone:

*FAX:

*E-mail:

The best time to reach you is:

 AM   PM

Position / Title:

Job Type:

All Admin/Clerical Hospitality Light Industrial Sales/Marketing Technical Winery

Definition of Skills

*Desired Salary:

Availability Date:

Are you willing to accept temporary relocation?

  yes  no

Are you willing to travel?

 yes no

*If so, how much?

Type of position

All Temporary Assignment Temporary-to-Full-Time Permanent Placement

Definition of Services

Objective: (A short summary of ideal or next position desired):

*Summary of Skills:
(Also list special skills, including languages, research, etc.)

Are you currently legally eligible to work
in the United States?

 yes no