First Name:  

Last Name:  

Street:  

City:  

State:  

Zip:  

Daytime Phone:  

Evening Phone:  

Cellular Phone:  

e-mail:  

Desired Position:  

Current Status in US:
Please select None F-1 (Student) F-1 (PT) Working permission (H1, L1, E1) Without work permission GC US citizen Visiting (B2) Other

Job Location:  

Relocation:
Please select Yes Depend on No

Availability:  

Salary Range:  

Annual/Hourly

/Year   /Hour  

Employment Type:

Corporate Employee (Perm.)   Contract Employee (Temp.)  

English Skill:
Please select Native Business Basic Level N/A

Japanese Skill:
Please select N/A Native Business Basic Level

Skill Summary:  

Comments: