Name: 



                Street: 



                  City:  State: 



       ZIP/Postal Code: 



               Country: 



     Daytime Telephone: 



                 



                              



    At the office, I can usually speak:



                        



            		



                    Freely



                    Briefly



                    Leave Message



                    Leave Message at Home       



                    



                            







         Evening Phone:             



                   Fax:   



                 Email: 



                 



                 



                 Title: 



      Present Employer: 



       Current Project: 



       



  Which implementation  



 partner is on project? 



 



         Primary Skill: 



         



         



             Certified: Yes No



             				



             



         Years/Months   



         Primary Skill: 



         



   



   Most Recent Release: 



  Years Total Business: 



            Industries: 



            



        When Available: 



        



                



                Travel: 



                		No



                		Frequently



                		



                		



                        Note: Consultants willing to travel to the project 



                        site usually do have greater earnings opportunities 



                        and usually can restrict travel to a given area.



                        



                        



    Preferred Location: 



                		All



                		NE	



                		SE



                	    MW



                        SW



                        W



                        NW



                        



                   



                    



         International:  No



         



         



              Relocate: Yes No



              



          Incorporated: Yes No



         



                        



            Preference: Contract   Full-Time



          



 



    Base Salary / Rate: 



    



  Current Annual Bonus: 



  



    Citizenship / Visa: 



	



	



	Please help us better support you.



	



How did you become aware of us 

(e.g., which search engine)?   

                        



	



What term did you search upon?

                        



                         



              



   Additional Comments: 



              



  * Please forward a resume via e-mail (attachments preferably in rtf or Word format).