Profile Submission

Agri-Associates needs specific information about your professional experience and interests. All information is secured and treated with strict confidentiality. Please complete the form below to get started:

Your Full Name (required)

Your Email (required)

Your Phone (required)

Complete Mailing Address (Street, City, ST, Country if International)

Salary Required:
When Available:
Foreign Language:
Job Interest:
Willing to relocate: yesno
Location preference: OpenMidwestSouthWestEastNorthInternational
Willingness to travel: NoneAs needed1 (night a week)234+

Military Service:yesno
Highest Military Rank, Branch and Service Dates.

Education: Degree(s), major, minor school and year graduated.

Industry Experience: Please list or paste professional experience, most recent first.

References: Please list names and addresses of at least 3 professional associates, past of present.

Professional Involvement: Include any professional memberships, honors, awards, activities or community involvement.

Reason for leaving, or wanting to leave latest employment:

Additional information pertinent to a potential employer:

Office Rep of choice, or office nearest you:

All of the information listed above is true and can be proven. Agri-Associates has my permission to use this information for recruitment purposes. AGRI-associates recruits personnel for equal opportunity employers. Accordingly, personal information that is disclosed on this form shall not be used to discriminate against any person because of age, race, sex, creed, color, national origin, personal handicap or veteran status.