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<meta name="GENERATOR" content="Microsoft FrontPage 5.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<title>CAREER NETWORK BANK Data Sheet</title>
</head>
<body>
<form method="POST" action="cgi-bin/formmail.pl">
<input type="hidden" name="recipient" value="[email protected]">
<input type="hidden" name="print_blank_fields" value="1">
<input type="hidden" name="print_config" value="email,subject">
<table border="0" cellpadding="3" width="100%" height="667">
<tr>
<td width="25%" height="29"></td>
<td valign="top" width="50%" height="29">
<p align="center">
<p align="center"><font face="Arial" size="2"><b>CAREER NETWORK BANK<br>
<u>
Data Sheet</u></b></font>
<p align="center"> </td>
<td width="25%" height="29"></td>
</tr>
<tr>
<td width="25%" height="3"></td>
<td width="50%" height="3"><font size="3"></font>
<div align="center">
<center>
<table border="0" width="265" cellpadding="4">
<tr>
<td width="96" align="left"><font face="Arial" size="2">Name:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="Name" size="20"></font></td>
</tr>
<tr>
<td width="96" align="left">
<p align="left"><font face="Arial" size="2">Address:</font></p>
</td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="Address" size="20"></font></td>
</tr>
<tr>
<td width="96" align="left"><font face="Arial" size="2">City:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="City" size="20"></font></td>
</tr>
<tr>
<td width="96" align="left"><font face="Arial" size="2">State:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="State" size="2"></font></td>
</tr>
<tr>
<td width="96" align="left"><font face="Arial" size="2">ZIP code:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="ZIP" size="20"></font></td>
</tr>
<tr>
<td width="96" align="left"><font face="Arial" size="2">Country:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="Country" size="20"></font></td>
</tr>
<tr>
<td width="96" align="left"><font face="Arial" size="2">Telephone:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="Telephone" size="20"></font></td>
</tr>
<tr>
<td width="96" align="left"><font face="Arial" size="2">Fax:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="Fax" size="20"></font></td>
</tr>
<tr>
<td width="96" align="left"><font face="Arial" size="2">E-mail:</font></td>
<td width="150" align="left"><font face="Arial" size="2"><input type="text" name="Email" size="20"></font></td>
</tr>
</table>
</center>
</div>
<p> </td>
<td width="25%" height="3"></td>
</tr>
<tr>
<td width="25%" height="610"></td>
<td valign="top" width="50%" height="610">
<div align="center">
<center>
<table border="0" width="320" cellpadding="4">
<tr>
<td width="293" colspan="2"><font face="Arial" size="2">Education</font></td>
</tr>
<tr>
<td width="165"><font face="Arial" size="2">School:</font></td>
<td width="171"><font face="Arial" size="2"><input type="text" name="School" size="20"></font></td>
</tr>
<tr>
<td width="165"><font face="Arial" size="2">Dates:</font></td>
<td width="171"><font face="Arial" size="2"><input type="text" name="Dates" size="20"></font></td>
</tr>
<tr>
<td width="165"><font face="Arial" size="2">Major Concentration/Degrees:</font></td>
<td width="171"><font face="Arial" size="2"><input type="text" name="Degrees" size="20"></font></td>
</tr>
</table>
</center>
</div>
<div align="center">
<center>
<table border="0" width="462" cellpadding="4">
<tr>
<td width="126"><font face="Arial" size="2">Language Fluency:</font></td>
<td width="310"><font face="Arial" size="2"><input type="text" name="Languages" size="44"></font></td>
</tr>
<tr>
<td width="126" valign="top"><font face="Arial" size="2">Skills:</font></td>
<td width="310"><font face="Arial" size="2"><textarea rows="4" name="Skills" cols="37"></textarea></font></td>
</tr>
</table>
</center>
</div>
<div align="center">
<center>
<table border="0" width="466" cellpadding="4">
<tr>
<td width="403" colspan="2" bgcolor="#FFFFFF" valign="middle" align="center">
<p align="center"><font face="Arial" size="2"><b>Recent Employment</b></font></p>
</td>
</tr>
<tr>
<td width="122" valign="top"><font face="Arial" size="2">Company:</font></td>
<td width="318"><font face="Arial" size="2"><textarea rows="3" name="Company" cols="37"></textarea></font></td>
</tr>
<tr>
<td width="122" valign="top"><font face="Arial" size="2">Title:</font></td>
<td width="318"><font face="Arial" size="2"><textarea rows="3" name="Title" cols="37"></textarea></font></td>
</tr>
<tr>
<td width="122" valign="top"><font face="Arial" size="2">Duties:</font></td>
<td width="318"><font face="Arial" size="2"><textarea rows="3" name="Duties" cols="37"></textarea></font></td>
</tr>
<tr>
<td width="122" valign="top"><font face="Arial" size="2">Salary:</font></td>
<td width="318"><font face="Arial" size="2"><textarea rows="3" name="Salary" cols="37"></textarea></font></td>
</tr>
<tr>
<td width="122" valign="top"><font face="Arial" size="2">Dates:</font></td>
<td width="318"><font face="Arial" size="2"><textarea rows="3" name="Dates" cols="37"></textarea></font></td>
</tr>
</table>
</center>
</div>
<div align="center">
<center>
<table border="0" cellpadding="4" width="469">
<tr>
<td width="137" height="60" valign="top"><font face="Arial" size="2">Type of Position Sought:</font></td>
<td width="324" height="60" colspan="3"><font face="Arial" size="2"><textarea rows="3" name="PositionSought" cols="37"></textarea></font></td>
</tr>
<tr>
<td width="137" height="24" valign="top"><font face="Arial" size="2">Are you willing to work overseas?</font></td>
<td width="65" height="24"><font face="Arial" size="2"><input type="radio" value="Yes" name="Overseas">
Yes</font></td>
<td width="132" height="24"><font face="Arial" size="2"><input type="radio" name="Overseas" value="No">
No</font></td>
<td width="103" height="24"></td>
</tr>
<tr>
<td width="137" height="19" valign="top"><font face="Arial" size="2">Preferred Locations:</font></td>
<td width="324" height="19" colspan="3"><font face="Arial" size="2"><textarea rows="3" name="PreferLocations" cols="37"></textarea></font></td>
</tr>
<tr>
<td width="137" height="19" valign="top"><font face="Arial" size="2">Areas/Countries you would not
consider:</font></td>
<td width="324" height="19" colspan="3"><font face="Arial" size="2"><textarea rows="3" name="NotConsider" cols="37"></textarea></font></td>
</tr>
<tr>
<td width="137" height="19" valign="top"><font face="Arial" size="2">Additional Employment Comments:</font></td>
<td width="324" height="19" colspan="3"><font face="Arial" size="2"><textarea rows="3" name="Comments" cols="37"></textarea></font></td>
</tr>
</table>
</center>
</div>
<a href="mailto:[email protected]">
<p align="center">
<input type="submit" value="Submit" name="submit"><input type="hidden" name="redirect" value="http://www.agribusinesscouncil.org/career_network.htm"> </a>
</p>
<p align="center">
<input type="reset" value="Clear Form">
<p align="center">
<font face="Arial" size="2">or mail to:
</font>
<p align="center"><font face="Arial" size="2"><strong>
The Agribusiness Council<br>
P.O. Box 5565<br>
Washington DC 20016</strong></font></p>
<p align="center">
<font face="Arial" size="2"><br>
</font><img border="0" src="images/agrilogo-small.gif" width="100" height="111"><br>
<font face="Arial" size="2"><a href="default.htm">Home</a></font>
<p> </td>
<p> </td>
<td width="25%" height="610"></td>
</tr>
</table>
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