MIDLAND 

CONSULTANTS 

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                       CANDIDATE CONTACT INFORMATION FORM

Thank you for contacting Midland Consultants, Inc.  We are an excellent resource as you search
for your next position.  Leading companies depend on us to locate qualified candidates to fill
top positions.  Upon receipt of your resume and information, we will match your skills and desires
against our current and future client assignments and contact you accordingly.

Please complete the form below.  All information and requests will be kept confidential
If you need assistance, please feel free to call our office at 440-234-1800.
    
                   Please hit the tab key after each entry.  When finished, click Submit.
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 NAME:                                   
ADDRESS:
CITY:
STATE:
ZIP CODE:
HOME PHONE:
CELL
WORK PHONE:  
E-MAIL
CURRENT TITLE:
CURRENT EMPLOYER:
CURRENT SALARY:
OPEN TO RELOCATION?
IF YES, LOCATIONS:
JOB CODE# (IF APPLICABLE):
PROFESSIONAL REFERENCES

RESUME AREA
(
You may cut-n-paste your resume here)



 

 

 

 

 

 

 

 

 

 

 

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