Data Center Assistance Group, Inc.
78-17 164th Street
Flushing, NY 11366
Phone:  (718) 591-5553    Fax:  (718) 380-7322

  

DCAG  Candidate  Form

       First Contact Date: Referred by: 

Next Contact Date:      

     

Name  and  Address

Type and Revenue

Phone  and  Internet
       Name:             Category:      Home Phone:       
  Address:                    Type:    Work Phone:       
                           Availability:                Pager:       
         City:     Present Salary:   Pager Pin ID#:             
       State:      Asking Salary:                       Fax:       
  Zipcode:  Consulting Rate:       Cell Phone:       
 

     Email:

        

    Resume DB: 

Internet: 

 

     Title:        Your Birth Date:          Company: 

                        SS Number:                                                                        Fed ID #: 

   Comments:
                

 

Send mail to bronackt@dcag.com with questions or comments about this web site.
Copyright © 2001 Data Center Assistance Group, Inc.
Last modified: 03/18/04