NAME:   ADDRESS:   CITY:   STATE: Please Select AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY   ZIP:   PHONE:   E-MAIL ADDRESS:   ARE YOU CURRENTLY EMPLOYED? Please Select YES: Full-Time YES: Part-Time NO YES, but am interested in replacing current job   WHAT IS YOUR WEEKLY AVAILABILITY? Please Select Available anytime Available certain times   DO YOU HAVE ACCESS TO AN INSURED VEHICLE? Please Select Yes, I have my own insured vehicle No, I use public transportation   DO YOU HAVE ACCESS TO AN IBM-COMPATIBLE COMPUTER WITH WINDOWS 2000 OR BETTER AND ACCESS TO THE INTERNET AND A PRINTER? Please Select Yes, I have my own computer with high-speed Internet access Yes, I have my own computer with dial-up Internet access Yes, I have my own computer but no Internet access Yes, I use a friend's/family's/library's computer No, I don't have access to a computer and the Internet   ARE YOU ABLE TO LIFT, BEND AND STAND FOR LONG PERIODS OF TIME? Please Select YES NO   WHAT IS THE BEST TIME TO CONTACT YOU? Please Select Morning Afternoon Evening   WHAT IS THE BEST METHOD OF CONTACT? Please Select Please call me Please email me Please call and email me   HOW DID YOU HEAR ABOUT NEWS AMERICA MARKETING? Please Select AARP Snag A Job NARMS ShadowShopper Craig's List Career One-Stop Newspaper Flyers Internal Referral External Referral Newsamerica.com Job fair Former Employee RetailServiceIndustry.com www.smartsource.com COMMENTS:(1000 Characters) characters left