Today's Date:
Referred by:
Last Name:
First Name:
M.I.:
Address:
City, State & Zip:
Social Security #:
Phone: ( )
Academic Major(s):
Academic Minor(s):
G.P.A. (Cumulative):
Date of Graduation:
E-mail Address: |
Please check the type
of employment you are seeking:
___Internship/Co-op
___Full-time Professional
Date(s) you are available
for employment:
_______________________________________________
| Please check one (1) of
the following career categories you would like us to focus on
when we provide our resume referral service - The objective(s)
on your resume(s) must match each career category that you have
selected. If you have skills that apply to more than one
category, please contact our office directly.
___Accounting
___Education
___Math/Actuarial
___Allied Health:
(specify specialty) ___Finance
___Nursing
___Art/Design
___Gov't/Crim Justice/Law ___Performing
Arts
___Banking
___Human Resources
___Sales
___Communication/Journalism/PR
___Management
___Science(Bio/Chem/Geology)
___Computer Science ___Market
Research ___Social Services/Counseling
___Dental Education
___Marketing/Public Relations |
RELEASE AGREEMENT:
Pursuant to the Family Privacy Act
of 1974, I hereby authorize the release of information contained herein
to prospective employers and/or graduate schools.
I hereby give the
Indiana University Northwest Office of Career Services permission to
utilize this information to assist me in developing a credential file
and/or to send my resume to inquiring employers. Selection of
these employers will be based on my preferences as outlined above.
I realize that no guarantee of employment is stated or implied.
In respect to the disposition of my file, I understand that:
- All files are available for
resume referral for a period of 1 year at the costs indicated above
and all files may be renewed;
- All resumes (for resume referral
only) will be faxed or mailed to employers;
- All credential files will
be mailed to employers.
___________________________________
__________________________________
Signature Date
Privacy Statement
