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 Sample IPA Candidate Submission

    Please fill out the following form.   This will assist us in finding you the perfect job.

First name 
Last name 
Street address 
City 
State 
Zip/Postal code 
Country 
Work Phone 
Home Phone 
Cell Phone 
Home E-mail 
Work E-mail 
Other than English, list any languages you speak 
Are you a US citizen?  Yes No
Are you a permanent resident?   Yes No
Are you a home owner?  Yes No

Employment Information

Are you currently employed?   Yes No
Current/most recent employer  
Position Title 
What do they manufacture/sell?  
They are a division of... 
Are there any companies we should not contact when finding you a postion? 
What is your Current Salary?  
What is your Desired Salary?  
What is your Minimum Salary?  

Education Information

What is your First degree in? 
Select the appropriate discipline 
Select the type of degree 
Institution Name 
Year of completion 
GPA 
What is your Second degree in? 
Select the appropriate discipline 
Select the type of degree 
Year of completion 
Institution Name 
GPA 
List any licenses you have  

Relocation Information

Select your First relocation preference 
Select your Second relocation preference 
Select any other places you would relocate to 

(hold down the CTRL key to make multiple selections) 

        Paste your resume here...