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Please fill out
this form carefully
and completely.

To insure that you
have all the info you
need to fill out this
form, we highly
recommend that you
look over the entire
form before you
begin filling it in.

Required fields are
notated in BOLD
In order to perfectly match you to job opportunities, we need to know a great deal about you. The few minutes it takes to fill out this registration will save both of us many hours later in the process. All of the information in this registration including your resume and references will be held in the strictest confidence and will not be released to any prospective employers without your approval.

First name NOTE: At this time EnTech is making placements only for those who are currently eligible to work in the USA.
Last name
Email address
Street address 1
Street address 2
Zip/Postal Code  
Home phone  
Mobile phone  
Work phone  
Best way to contact Home phone   Mobile   Email  
Best time to contact Morning   Afternoon   Evening  
Attach your resumé < .doc, .rtf, or .txt files only
Positions seeking  
Locations seeking  
Min. accepted salary  
Willing to relocate? Yes   No  
If yes, where  
Currently employed? Yes   No  
Salary is/was  
Last employed by  
Start date  
End date  
Is your present employer aware of job search?  
  Yes   No   Not applicable  
Are you legal to work and live in USA?  
  Yes   No  
I have already contacted the following companies:  

  All fields in this section are
Full Name  
Job Title  
Email Address  
Phone Number  

Full Name  
Job Title  
Email Address  
Phone Number  
Additional helpful
comments and/or
Please let us know anything
else that you think will help
us match you to the perfect
How did you learn
about EnTech?

I certify that all the information given by me on this EnTech Applicant Registration Form is true and correct to the best of my knowledge.

I agree to not contact any prospective employers that have been introduced to me by EnTech without advising EnTech of any and all communication written or oral. Once the first introduction has been made, I agree to keep EnTech informed on any on-going talks and/or negotiations about the position or any other position within that company, now or in the future. If I decide to withdraw my candidacy for employment for any reason after being introduced by EnTech to any prospective employer, I agree to notify EnTech immediately.

Information Required by EnTech
I will provide EnTech with a list of any and all employers and or recruiters that I have already contacted for job opportunities in the past 3 months. Furthermore, I will provide EnTech with an up-todate resume and list of references.

Disclosure of Employment Documents and Confidentiality
I understand that EnTech will not release my employment documents to any prospective employer without my approval. I authorize EnTech and its officers, employees, independent contractors, associated recruiters, to share with each other, any and all information that I have provided to EnTech.

Once an opportunity has been found, EnTech will carefully review the position, responsibilities and requirements. Upon review and approval by me, EnTech may present me as a candidate for the opportunity. If the prospective employer accepts me as a viable candidate, EnTech will arrange an interview at a mutually agreeable time. I understand that EnTech does not negotiate salary and benefits unless agreed to the employer.

Placement Fees
I understand that EnTech essentially works for the employer and there are no charges to me for placement or consulting services.

I acknowledge that the answers to the questions I have provided are true and I agree and understand all the terms and conditions stated on this agreement.

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