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:

A47494 C42233 C45789 D85166 E25767 F75337
J87163 K18372 K21388 K56637 L10346 L17646
L23827 P17881 P37745 S33489 V84465 X37832
X51632 X62637 Y16290 Y25446 Y61594 Y66350
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?