GrayPool Questionnaire

Work Preference

All fields marked with an * are required.

Date
Resume* If you do not have a resume please contact recruiter@renuke.com	Resume to upload:
First Name/MI/Lnast Name
Home Phone*
Cell Phone
Street*
City/State/Zip*
E-mail*
Type(s) of Work you would be willing to do:
1.
2.
3.
4.
Working Conditions you are willing to accept:
Travel*:	Yes No
If Yes:	Duration (1-2 weeks) Duration (1-2 months) Duration (Up to 6 mo) Other
Minimum Hourly Rate Required*:	$35 - $50 $50 - $75 $75 - $100 >$100
Comments/Additional Conditions:
Click on submit, to forward this questionnaire to a GrayPool Representative or click print and fax to 865-483-8619