Job Number you are interested in   

Name       
Address   
City          
State              Zip Code
Phone   Home Work Ext.
May we contact you discreetly at work?    Yes No  
e-mail address   

Are you currently eligible to work in the United States?    No US Citizen Green Card Canadian Citizen Mexican Citizen H-1B Visa F-1 Student Visa Other

Is there a person we could contact if you should change phone numbers of address?
    Name   
    Phone   
    e-mail   

Residence    Own Rent

Are you willing to relocate?    Yes No Maybe
If yes, what area(s) would you consider living?    Anywhere Northeast East Coast Southeast South Central Midwest Southwest Northwest West Coast Canada
                                                             (to select multiple areas hold down Ctrl key)

Are there any personal considerations that would impact your ability to relocate such as continuing education, spousal career, etc.?    No Yes
If yes, please explain:  

Education: highest level attained    4 Year BS 4 Year BA Masters Ph.D. Culinary AOS 2 Year AA Major   

Are you employed now?    Yes No     Current or previous employer   

Salary    $25 - 30,000 $30 - 35,000 $35 - 40,000 $40 - 45,000 $45 - 50,000 $50 - 55,000 $55 - 60,000 $60 - 65,000 $65 - 70,000 $70 - 75,000 $75 - 80,000 $80 - 85,000 $85 - 90,000 $90 - 95,000 $95 - 100,000 over $100,000     Bonus   No Yes     Percentage    5 % or under 5 - 10 % 10 - 15 % 15 - 20 % 20 - 25 % over 25 %

I do not have a resume but would like to talk to a counselor    
        Best time to contact    Morning Afternoon Evening     Phone Number   
I will send my resume:  via e-mail as an attachment to hastingsgroup@msn.com   via Fax (423) 307-8406

Area of Expertise?    Product Development Quality Assurance Engineering Production Supervision Management Research Sales Marketing Regulatory Purchasing Flavorist
                 (to select multiple areas hold down Ctrl key)

If your area of Expertise is not listed or you would like to give more detail about your experience or background please use form below:

Thank You for your time and Interest in   theHastingsgroup