GeoRapid Inc.
One Resource Square,
10925 David Taylor Dr, Suite 100 Charlotte, NC - 28262, USA
Tel: 704-944-5564
Pre-Application Form

Personal Information:
Full Name: (ex. Smith, Robert C.):
Address:
City/State/Zip Code:
Home Number: (including area code)
Work Number: (including area code)
Any other numbers you can be reached at: (please indicate: cell or pager)
E-mail address:
Please indicate what type of position you are interested in :
Availability: (start date: ex. 2 weeks)
Geographical Preference: (by city or region)
Are you open to a percentage of Travel? If yes, how much?
Are you open to overtime hours? Yes No
Are you open to a Credit background or Drug Test if our client requires it? Yes No
What is your visa status? US Citizen? H1-B? H1-B US Citizen
Why are you looking to leave your current company?
Technical Information:
Hardware: Yr. Exp. Last Used Languages: Yr. Exp. Last Used Databases: Yr. Exp. Last Used Networks: Yr. Exp. Last Used
References:(please specify if peer or managerial)
Name: Company: Phone Number:
Current Job Search Activity: (Offers Pending, Client interviews)
Company Name: Project: Rate/Salary:
Additional Comments:
Ideal Job Title:
Ideal Job Description:
Desired Salary/Rate:
Current Salary/Rate:
Any other information you feel is important
(Relocation, Contract limitations, Special needs, Certifications or Special Training):
Confirmed Salary/Rate:

Copyright 2000-2002 GeoRapid Inc.