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Job Seeker Registration
Please complete the form below and press submit to send us your registration. Fields marked with an "*" are required.
 
Username & Password
User Name: *
5-50 letters and/or numbers. Email ok.
Password: *
5-50 letters and/or numbers. At least one number.
Confirm Password: *
 
Name
First Name: *
Nickname:
Middle Name:
Last Name: *
  Suffix(es):  
 
Address
Home Address:


City:
Country:
State: Zipcode:
 12345-1234
 
Phone and Email
Home Phone & Email: *
Dialing Code:
Phone Number: *
()   ext:
Email Address: *
 
Work Phone & Email:
Dialing Code:
Phone Number:
()   ext:
Email Address:
May we call you at work?
Yes   No
 
Mobile Phone:
Dialing Code:
Phone Number:
()   ext:
 
History
Have you ever been convicted of a felony? *
If yes, when?

( mm/dd/yyyy ) 
Disposition?
Do you have the legal right to work in the United States? *
 
Website
Your Website URL:
 
Resumé
Upload Resumé:
.doc, .txt, .htm, .html
 
RMA Consultant
Consultant Name:
 
Disclosure Statement
I understand that an investigation consumer report may be obtained by you in order to enable you to evaluate me as a prospective candidate. This investigation report may include information concerning my character, general reputation, personal characteristics, mode of living, and financial responsibility and may be obtained through personal interviews with friends, neighbors and associates.

I further understand I have the right to make a written request to you to learn the complete nature and scope of this investigative consumer report.

I hereby acknowledge that I have read this statement and hereby authorize you to obtain an investigative consumer report as described above.
Date: *

( mm/dd/yyyy )