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 C85649 D84597 E39305 E94321 F75337
G72520 H99781 K23054 K79467 K80124 K88049
P17881 P37745 Q13849 Q20606 Q87494 R53836
R80139 R83096 T24561 V60603 W80443 X20543
X25915 X26806 X61115 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?