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Name: Company Name: E-mail Address: Phone Number: Current Number of unfilled jobs: If your jobs are field specific (i.e. just programmers) please indicate the general field these jobs fit into: Do you anticipate continuous open jobs for the next year ? Yes No Estimated number of open jobs in the next year: How would you rate your Internet recruiting skills with 1 being no experience and 5 being expert: 1 2 3 4 5 Does your company have a Web site ? Yes No Does it list ACTIVE jobs ? Yes No Is the response time QUICK when you request changes to the job list ? Yes No Do you have 1 or 2 jobs that you just can't fill ? Yes No Are you willing to accept resumes from people in other states ? Yes No Are you willing to accept resumes from people in other countries ? Yes No Are there several people in your company that handle Internet recruiting ? Yes No Are your jobs located: Twin cities only throughout the state locally and nationally Other Comments or questions: Enter the code shown in the image: