Dual Career Services Request Form

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Person Being Recruited or Employed by JMU:
Full Name:
Department Recruiting/Employing You:
Position Title:
Hiring Status:
Date Hired/Expected Date of Hire

Spouse/Partner Information
Contact Information
Spouse/Partner Full Name:
Phone Number:
E-mail:

*About Your Job Search*
Are You Authorized to Work in the United States?
Job Preferences: (check all that apply)	Full-time Part-time JMU Only Other university/college Instructional faculty Non-academic position Local employer (20+ miles) Regional employer (20+ miles) Other
When do you intend to begin your job search?
When would you be available to begin employment?
What job titles(s) describe the types of positions you are most interested in finding?
Are there companies/institutions in the area for whom you are particularly interested in working for?
If you were to market yourself in a few sentences, what would you say? This information is used when sharing your resume/CV with potential employers, with permission.
Permission:	I give my permission to forward my resume/CV and my self-summary to potential employers and community contacts. I do not give my permission to forward my resume/CV and my self-summary to potential employers and community contacts.
Requested Services:	Job search Assistance Resume Assistance Interview Preparation Networking Opportunities
Do you have any additional information you would like to provide to us at this time?