1. * Position applied for?
   Technician Services Sales Quality Liason Officer
   
   
2. * What is your current title?
   
   
   
3. How long have you held this position?
   Less than 1 year At least 1 year At least 2 years 3 to 5 years More than 5 years
   
   
4. * Briefly describe your current responsibilities:
   
   
   
5. * Describe the position(s) you are looking for:
   
   
   
6. * Describe your relevant experience (other than your current position):
   
   
   
7. If you have a minimum salary requirement, enter it here (in US dollars):
   
   
   
8. How long should we keep your information on file?
   3 months 6 months 9 months 1 year Indefinitely
   
   
9. What geographic area (or areas) do you prefer? check all that apply
   Grass Valley (Sacramento) San Jose Los Angeles (Garden Grove) San Diego
   
   
10. May we contact your present employer?
    Yes, it is okay to contact employer.

We'll need to know how to reach you if something turns up. Enter whatever contact information you feel is most appropriate below:

* Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
* Country
Work Phone
* Home Phone
FAX
* E-mail
Curriculum Vitae