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• Name First Last
• Email
• Are you currently employed?*Employed Full-TimeEmployed Part-TimeSelf-employedNot employed but looking for workHomemakerStudent
• What job search options are you using?*(for example, specific search sites, Career Link, Newspaper, etc.)
• What industry are you interested in?*Accounting/FinanceAdvertising/Public RelationsAerospace/AviationArts/Entertainment/PublishingAutomotiveBanking/MortgageBusiness DevelopmentBusiness OpportunityClerical/AdministrativeConstruction/FacilitiesConsumer GoodsCustomer ServiceEducation/TrainingEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareHospitality/TravelHuman ResourcesInstallation/MaintenanceInsuranceInternetJob Search AidsLaw Enforcement/SecurityLegalManagement/ExecutiveManufacturing/OperationsMarketingNon-Profit/VolunteerPharmaceutical/BiotechProfessional ServicesQA/Quality ControlReal EstateRestaurant/Food ServiceRetailSalesScience/ResearchSkilled LaborTechnologyTelecommunicationsTransportation/LogisticsOther
• If other please specify:
• What type of job are you looking for?*Full-TimePart-TimePer DiemEmployeeTemporaryContractInternSeasonal
• What is your highest education level?High SchoolAssociate DegreeBachelor's DegreeGraduate or Professional DegreeSome CollegeOtherPrefer Not to Answer
• Are you looking to:*
  • Enter or re-enter the work force?
  • Continue to preform the job tasks you currently preform for a different company?
  • Advance your Career?
  • Increase your potential?
• What is most important to you when choosing a job?*For example, growth opportunities, income potential, learning new skills, training, completing meaningful work, ect.)