CANDIDATE APPLICATION FAX FORM

Note: This form is provided for those who would prefer not to email 
inquiries to Career Sources. You may print this form directly from your 
web browser, fill it out and FAX or mail it to Career Sources Unlimited.

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TO: Career Sources Unlimited, Inc.
    2211-A Lakeside Drive, Bannockburn, Illinois 60015
    Phone: 847 735-0990 
    Email: jobs@careersources.com

FAX: 847 735-0999
ATTN: Shelly Burchett, C.P.C.
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Please note: Items that have an asterisk (*) in front of them, must be
completed so we can help you!

*Name:__________________________________________________

Email:__________________________________________________

Street:_________________________________________________

City:______________________________  State:_____________

Zip Code:_____________  Country:________________________

*Day Phone:_________________ Evening Phone:______________

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___I want to know more about your services.  Please have 
    a representative call me.

___I would like a permanent position.

___I would like a temporary position.

The type of position I seek:

_________________________________________________________________

_________________________________________________________________

Do you have any special skills or capabilities?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Notes: 

_________________________________________________________________

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Career Sources Unlimited, Inc. provides complete full-time and 
part-time permanent and temporary placement services to companies 
and candidates in Chicago, northeastern Illinois and southern 
Wisconsin. 

Web Site Location:http://www.careersources.com/