APPLICATION

Thank you for taking the time to add your information to our database. Please note that your resume will NOT be submitted to any prospective employer without your express written consent. Should our firm identify an appropriate position, you will be notified immediately and asked permission at that time.

Please fill out this form in its entirety. All fields containing an asterisk (*) are required. The SUBMIT button is at the very bottom of this form.

Today's Date

* Month

* Day

* Year

Contact Information

* First Name

M.I.

* Last Name

Home Address 1

Home Address 2

* City

* State

Zip Code

Home Telephone

* [Tel1]

_

* [Tel2]

_

* [Tel3]

Office Tel.

[Tel1]

_

[Tel2]

_

[Tel3]

[Ext.]

Mobile Tel.

[Cel1]

_

[Cel2]

_

[Cel3]

* Email Address

Getting To Know You

* I am willing to relocate:

Yes

No

If YES, where would you be willing to relocate?

* I have access to a car for commuting purposes.

Yes

No

* I was referred to Marketing Pro Resources by:
(If you found us on the Web, please indicate search engine or advertisement)

Please email new job announcements and other updates to me.

* Desired type of work:

Please state your current/last salary and bonus. If you are a freelancer, state your desired hourly rate.

* Would you consider temp-to-perm job opportunities?

Yes

No

* Please write a brief cover note to us here describing your situation.

Your Resume

We ask that you copy and paste the TEXT of your resume to the field below -- this will allow our recruiters to find your resume using a keyword search.

We also ask that you upload your FORMATTED RESUME (in Word) to our database. This will allow us to send it to a client (with your permission only). To be included in our database, you MUST finish both steps.

* STEP 1: Please copy and paste your resume to this space.

* STEP 2: Please attach your formatted Resume (in Word, WordPerfect or other program) here.

Your References (Recommended)

If you are a freelancer, please list references. For each reference, include the person's Name, Current Title, Current Company, Telephone Number, Email Address and your relation to the reference.

Important Additional Information

* Are you a citizen of the United States or are you otherwise authorized to be employed in the United States under the Immigration and Control Act of 1986?

Yes

No

* Have you ever been convicted of, or pleaded guilty to, any felonies?

Yes

No

* Are you presently under indictment or are you currently a defendant in any criminal proceeding?

Yes

No

If you answered "yes" to either of the previous two questions, please describe the details indicating the date, nature and place of the offense, and the sentence received. Conviction of a crime or being under indictment will not eliminate from consideration.

Please Read Carefully

Marketing Pro Resources, Inc. is incorporated in the state of New York. Marketing Pro Resources, Inc. acknowledges that it does not discriminate against individuals on the basis of race, color, sex, religion, national origin, physical or mental disability, status as a Vietnam-era or special disabled veteran, or on any other basis prohibited by applicable law.

By submitting this form, you hereby acknowledge all information in this application and/or interview is true and may be subject to verification. You hereby authorize that all such information as well as character and performance evaluations may be checked and confirmed. You release all persons, companies, organizations and corporations supplying or retrieving information about you from any liability.

You understand that any misleading, false or incomplete information supplied by you in your application or interview is sufficient grounds for disqualification as an associate of Marketing Pro Resources, Inc. You understand that any permanent or temporary assignment, unless otherwise subject to specific written agreement, is considered employment at will and may be terminated at any time and for any reason.

Submission of this form using the button below, and placment of your name and today's date in the fields below means that you understand and agree to all of the terms set forth above.

* Name

* Today's Date (mm/dd/yyyy)

* Indicates Response Required