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*Name: Address: Home Phone: Cell Phone: Alternate Phone: *Email: Position Desired: Specialty: Current Location: Availability date: Nationality: Languages: Interview Availability: PROFESSIONAL LICENSES: Home Country USA State: AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Other  Other Country Where? TECHNOLOGY: Equipment Used and Purpose? How was it used? How often was it used? EDUCATION: College: Continuing Education: CERTIFICATIONS/SEMINARS: WORK EXPERIENCE (click here for sample format): It is required that you put as many details as you can for the job duties in order for the interviewer to understand you capability. Indicate reason and dates where you did not work. Explain the reason why: REFERENCES (minimum of 3; click here for sample format): Comment/Note To The Interviewer: Use this section to indicate any information you are unable to provide above. ******* Foreign Applicant Only ******** VISA AVAILABLE:   Yes No   US Visa If Yes, enter expiration date: Other Visa If Yes, specify: Expiration Date: Have you ever been sponsored by a family member? If Yes, by whom: When: Have you ever been sponsored by a company? If Yes, what company: When: