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:

A30237 B30394 C85649 D66859 E71459 G41131
H23254 H47895 H74850 J44293 J70972 K28606
K50595 P79666 Q11089 Q25935 Q67997 S70316
T27843 T36185 T44098 T57980 W48868 W73549
W88621 X19345
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?