S L Collins Associates, Inc.
 

 

Candidate Services Register with S L Collins Associates, Inc.
 

Please take a few moments to register with us.  S L Collins Associates, Inc. will contact you to discuss current and/or future openings which match your expertise, geographical preferences, and salary expectations.    If you wish, please also forward a copy of your resume.  We will not forward this information to any person or company without your prior knowledge and approval.

PLEASE USE OUR NEW REGISTRATION FORM, CLICK HERE

  General Information

Name:

Address:

City:

  State:    Zip:

Home Phone:

Work Phone:   Ext:
Primary E-mail:
Secondary E-mail:  
Citizenship Status: -U.S. Citizen / Permanent Resident / Green Card   -H1-B Visa sponsorship required   -Canadian Citizen, TN Visa required
-Other 
  Education
College:

Degree:

2nd College:
If applicable.
2nd Degree:
If applicable.
 

Desired Employment
Are you willing to relocate?:

-Yes   -No
If so, where will you consider working?

-Anywhere in the United States   -Southeast    -Northeast  
-Mid-Atlantic   -New England   -Midwest   -Central States  
-South   -Mountain States   -West Coast   -Northwest

Or you can list specific cities or states:

Current Annual Base Salary:

Bonus:
Desired Annual Base Salary:

 

 Most Recent Employment

Employer:

Location:

Title:

Start / End Date:

Products & Dosage Forms:

 -Solid Dosage     -Liquid Dosage   -Creams & Ointments  
-Sterile Products   -Biological Products  
-API (Active Pharmaceutical Ingredients)   -Medical Device
-Other   
If your background is Sales or Marketing related, list therapeutic areas here.

Job Responsibilities:

 

 

Number of Direct Reports / Total Staff:
Why do you want to leave?
Or, why did you leave?
 

References
Reference checks will not be checked without first obtaining your approval:

 

Reference #1:

Title:

Company:

Phone:

E-mail:

 

Reference #2:

Title:

Company:

Phone:

E-mail:

 

Reference #3:

Title:

Company:

Phone:

E-mail:
 
Additional Comments:

Thank you for providing this information to S L Collins Associates, Inc.. 

 

 
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S L Collins Associates, Inc., P.O. Box 78945, Charlotte, NC 28271-7044        Phone: 704/321-2400, E Fax: 786-549-7970, collins@slcollins.com