SPCI Job Order Selection Form
Keep one copy of this page active and press "Submit Form" after you have made all your selections.

Check the job order numbers for which you would like more information:

A24919 D84597 E94321 F28093 F75337 G61391
H74587 K23054 K80124 L70282 N28551 N32706
P17881 P37745 P63468 P81100 Q13849 Q63154
Q86244 Q87494 R10879 R11325 R14333 R38598
R53836 T24561 U91871 V60603 X25915 X26806
X31304 X61115 Y16290 Y66350 Z67554 Z81589
Personal Information:
First   Last
City State   Zip
Home Work   Cell
Primary Email Home Work
Other Email Home Work
Travel: Up to. %

Willing to relocate: Yes No
If yes, would you consider paying your own relocation expenses? Yes No Maybe

Will do vendor support (check all that apply):
Product Support Level 1 Level 2
Product Development 
Technical Marketing
Quality Assurance

Citizenship Status:
U.S. Green Card Canadian Other
(choose the leftmost one that applies)

Least Acceptable:

Job Type you will consider: 
Employee (W2)
Consultant (1099) 

  Attach a resume:

Additional information?