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Please read the following statements carefully, as they represent matters important to both you and Genesis in connection with this request for profile information. Fields with highlighted borders are required in order to save this form.%3C/p%3E\r\n%3C/div%3E\r\n%3C/div%3E\r\n%3Cdiv class=%22row%22%3E\r\n%3Cdiv class=%22col-sm-12%22%3E\r\n%3Cdiv class=%22row%22%3E\r\n%3Cdiv class=%22col-sm-6%22%3E%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.First_Name%22 name=%22Name.First_Name%22 placeholder=%22First Name*%22 title=%22First Name%22 data-required=%22y%22%3E%3C/div%3E%3C/div%3E\r\n%3Cdiv class=%22col-sm-6%22%3E%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Last_Name%22 name=%22Name.Last_Name%22 placeholder=%22Last Name*%22 title=%22Last Name%22 data-required=%22y%22%3E%3C/div%3E%3C/div%3E\r\n%3C/div%3E\r\n%3Cdiv class=%22row%22%3E\r\n%3Cdiv class=%22col-sm-6%22%3E%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Cell_Phone%22 name=%22Name.Cell_Phone%22 placeholder=%22Cell Phone*%22 title=%22Cell Phone%22 data-required=%22y%22%3E%3C/div%3E%3C/div%3E\r\n%3Cdiv class=%22col-sm-6%22%3E%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Home_Phone%22 name=%22Name.Home_Phone%22 placeholder=%22Home Phone%22 title=%22Home Phone%22%3E%3C/div%3E%3C/div%3E\r\n%3C/div%3E\r\n%3Cdiv class=%22row%22%3E\r\n%3Cdiv class=%22col-sm-4%22%3E%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Preferred Email%22 name=%22Name.Details.Preferred Email%22 placeholder=%22What is your preferred email?*%22 title=%22What is your preferred email?%22 data-required=%22y%22%3E%3C/div%3E%3C/div%3E\r\n%3Cdiv class=%22col-sm-4%22%3E%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.City%22 name=%22Name.City%22 placeholder=%22Which city do you live in?*%22 title=%22Which city do you live in?%22 data-required=%22y%22%3E%3C/div%3E%3C/div%3E\r\n%3Cdiv class=%22col-sm-4%22%3E%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Zip%22 name=%22Name.Zip%22 placeholder=%22What is your city zip code?*%22 title=%22What is your city zip code?%22 data-required=%22y%22%3E%3C/div%3E%3C/div%3E\r\n%3C/div%3E\r\n%3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Commute Miles Radius%22 name=%22Name.Details.Commute Miles Radius%22 maxlength=%22255%22 placeholder=%22How many miles radius from where you live are you willing to commute each way?*%22 title=%22How many miles radius from where you live are you willing to commute each way?%22 data-required=%22y%22%3E%3C/textarea%3E%3C/div%3E\r\n%3Cdiv class=%22row%22%3E\r\n%3Cdiv class=%22col-sm-12%22%3E%3Cdiv class=%22form-group%22%3E%3Cdiv class=%22reguploadcontainer%22 id=%22attcontainer_attachment1%22 data-required=%22y%22%3E%3Cdiv onclick=%22openAttachmentDialog(\'https://www2.pcrecruiter.net/pcrbin/jobboard.aspx?action=attachmentupload&source=attachment1&type=uploadresume&redirect=disabled&pcr-id=fGFyY2hlLn5xwomhDh%252FR516zmvUjZ2C3Lffun72VCZCpR%252BOLo%252FYqXTzmzXYWqXo%252FDYdiV9bEPm8%253D\');%22%3E%3Cbutton id=%22attachment1%22 type=%22button%22 class=%22btn btn-default uploadbutton%22%3E%3Cspan id=%22attachment1Text%22%3EUpload Current MS-Word Resume*%3C/span%3E%3C/button%3E%3C/div%3E%3Cdiv class=%22attachmentjabber%22%3E%3Cinput aria-hidden=%22true%22 type=%22hidden%22 name=%22Name.Upload_Resume%22 id=%22Name.Upload_Resume%22 value=%22%22%3E%3Cspan class=%22attachmentjabberlabel%22 style=%22display: none;%22%3E%3Cspan class=%22fileuploadspan%22%3E%3C/span%3E%3Ci onclick=%22deleteJabber($(this));%22 class=%22fa fa-close fa-cursorpointer%22 aria-hidden=%22true%22%3E%3C/i%3E%3C/span%3E%3C/div%3E%3C/div%3E%3C/div%3E%3C/div%3E\r\n%3C/div%3E\r\n%3Cdiv class=%22form-group%22%3E%3Cselect name=%22Name.Details.are you on the market%22 id=%22Name.Details.are you on the market%22 class=%22 form-control%22 data-required=%22y%22 title=%22Are you on the market right now looking for Consulting Engagements?%22%3E%3Coption default=%22default%22 class=%22form-control first-select-element%22 value=%22%22 selected%3EAre you on the market right now looking for Consulting Engagements?*%3C/option%3E%3Coption class=%22form-control%22 value=%22Yes%22%3EYes%3C/option%3E%3Coption class=%22form-control%22 value=%22No%22%3ENo%3C/option%3E%3C/select%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.currently working consult%22 name=%22Name.Details.currently working consult%22 maxlength=%22255%22 placeholder=%22Are you currently working Consulting or Direct Hire? If you are working, please list if Consulting or Direct Hire along with company and location. *%22 title=%22Are you currently working Consulting or Direct Hire? If you are working, please list if Consulting or Direct Hire along with company and location. %22 data-required=%22y%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Not Interested In Working%22 name=%22Name.Details.Not Interested In Working%22 maxlength=%22255%22 placeholder=%22Are there any companies or industries that you are not interested in working for (please explain if any)?%22 title=%22Are there any companies or industries that you are not interested in working for (please explain if any)?%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.How soon can start%22 name=%22Name.Details.How soon can start%22 maxlength=%22255%22 placeholder=%22If offered a new Consulting or Interim Manager engagement, how soon would you be able to start (sooner is better for best marketability)?*%22 title=%22If offered a new Consulting or Interim Manager engagement, how soon would you be able to start (sooner is better for best marketability)?%22 data-required=%22y%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Cselect name=%22Name.Details.Consult, cons to hire, bo%22 id=%22Name.Details.Consult, cons to hire, bo%22 class=%22 form-control%22 data-required=%22y%22 title=%22Are you interested in Consulting Only, Consulting to Hire or both?%22%3E%3Coption default=%22default%22 class=%22form-control first-select-element%22 value=%22%22 selected%3EAre you interested in Consulting Only, Consulting to Hire or both?*%3C/option%3E%3Coption class=%22form-control%22 value=%22Consulting Only%22%3EConsulting Only%3C/option%3E%3Coption class=%22form-control%22 value=%22Consulting to Hire%22%3EConsulting to Hire%3C/option%3E%3Coption class=%22form-control%22 value=%22All%22%3EAll%3C/option%3E%3C/select%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Remote Work%22 name=%22Name.Details.Remote Work%22 maxlength=%22255%22 placeholder=%22Are you open to remote work?%22 title=%22Are you open to remote work?%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Hourly Hr Rate Range%22 name=%22Name.Details.Hourly Hr Rate Range%22 maxlength=%22255%22 placeholder=%22What hourly rate range would you consider for new Consulting Engagements (Min - Max rates)?*%22 title=%22What hourly rate range would you consider for new Consulting Engagements (Min - Max rates)?%22 data-required=%22y%22%3E%3C/textarea%3E%3C/div%3E\r\n%3Cp%3EDo you have a LinkedIn profile online? If not, please create a LinkedIn account today online at %3Ca href=%22https://www.linkedin.com/%22 target=%22_blank%22 rel=%22noopener%22%3Ewww.linkedin.com%3C/a%3E, if you don’t already have one, it’s completely free and should only take 5 minutes or less to create. Please make sure to upload a photo of you there, we will link our internal database to your LinkedIn account so we can recognize you by face (photo) with the picture and stay in touch.%3C/p%3E\r\n%3Cdiv class=%22form-group%22%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Social_LinkedIn%22 name=%22Name.Details.Social_LinkedIn%22 placeholder=%22Please provide your LinkedIn profile URL here%22 title=%22Please provide your LinkedIn profile URL here%22%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Preferred Eng/ Co/ Indust%22 name=%22Name.Details.Preferred Eng/ Co/ Indust%22 maxlength=%22255%22 placeholder=%22What are your preferred type of Engagements, Companies, Industries?%22 title=%22What are your preferred type of Engagements, Companies, Industries?%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Expert Known for Skills%22 name=%22Name.Details.Expert Known for Skills%22 maxlength=%22255%22 placeholder=%22What are you an expert in, which skills are you known for doing extremely well in your career?%22 title=%22What are you an expert in, which skills are you known for doing extremely well in your career?%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Companies Interviewed wit%22 name=%22Name.Details.Companies Interviewed wit%22 maxlength=%22255%22 placeholder=%22Please list any companies you are currently in process with, interviewing with or have interviewed with in the past six (6) months or less?%22 title=%22Please list any companies you are currently in process with, interviewing with or have interviewed with in the past six (6) months or less?%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Ctextarea autocomplete=%22on%22 class=%22form-control%22 type=%22text%22 id=%22Name.Details.Candidate Notes/ Comments%22 name=%22Name.Details.Candidate Notes/ Comments%22 maxlength=%22255%22 placeholder=%22Notes or Comments (any notes or comments about your requirements and preferences such as planned vacations, etc. please list here)%22 title=%22Notes or Comments (any notes or comments about your requirements and preferences such as planned vacations, etc. please list here)%22%3E%3C/textarea%3E%3C/div%3E %3Cdiv class=%22form-group%22%3E%3Clabel for=%22Name.Details.Today\'s Date%22%3EToday\'s Date%3C/label%3E%3Cinput autocomplete=%22on%22 class=%22form-control%22 type=%22date%22 id=%22Name.Details.Today\'s Date%22 name=%22Name.Details.Today\'s Date%22%3E%3C/div%3E%3C/div%3E\r\n%3Cp%3EBy submitting this profile information you agree and give your express written consent for Genesis (including payroll affiliates when on engagement) to contact you using email and texting tools and/or automatic telephone dialing system. You agree and understand that you may withdraw your consent at any time with a written email or text to Genesis.%3C/p%3E\r\n%3Cp%3EAll persons will be considered for employment without regard to race, gender, color, religion, sex, pregnancy, national origin, ancestry, age, marital status, physical or mental disability, medical condition, sexual orientation, citizenship, status as a veteran or special disabled veteran, or any other basis protected by applicable federal, state or local law or ordinance or regulation. Genesis uses a variety of selection tools such as tests and interviews in its evaluation process. In accordance with the Americans with Disabilities Act and other applicable law, Genesis will provide reasonable accommodation necessary for you to participate in the application process. Requests for accommodation should be made to your Genesis Recruiting Representative at the time a test or interview is being scheduled. 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