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Job Agent / Staffing Specialist Registration Form
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First Name:
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Home Phone: e.g.(4161230000)
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How did you hear about us:
1. Are you looking for a part time or full time opportunity? Part Time Full Time

2. Do you have a reliable computer and access to the Internet from home?
3. How many hours (per week) are you able to commit to this opportunity?

Please choose one of the following:
4. What aspect of the industry would you like to focus your efforts on?

     a) Do you want to focus on both servicing employers and job seekers?
     b) Do you want to focus on servicing and signing up employers?
     c) Do you want to focus on screening and referring job seekers?

5. What geographic locations would you like to focus your efforts on?

     Everywhere & Anywhere
     All of North America
     Canada and USA
     All of Canada
     All of USA
     My State or Province only

Please paste your resume here or additional comments.       

    

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