PRE-REGISTRATION FORM/Landover
IIS Career Fair
June 20, 2007
Landover, Md.
* indicates a required field.
*First Name:
*Last Name:
*E-mail:
*Address1:
Address2:
*City:
*State:
Select One
AK
AL
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
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KS
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LA
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MD
ME
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MO
MS
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OH
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OR
PA
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
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*Zip:
*Highest degree attained:
Select One
High School
Associates
Pre-Bachelors
Bachelors
Post Bachelors/Pre-Masters
MBA
Masters
Post Masters
Doctorate
*Number of years experience:
Select One
1
2
3
4
5
6
7
8
9
10
> 10
*Currently employed?:
Yes
No
Job Title:
Select One
Administrative Associate Sr
AIX System Administrator/IT Specialist
AquaLogic Business Process Manager/Fuego Subject Matter Expert
Chief Security Officer
COTS Software Engineer
Data Architect
Data Modeler
Development Environment Engineer (HP-UX)
GUI Software Engineer
HPC Systems Administration
Java/C++ Software Developer
Jr. Java Software Engineer
Lead COTS Software Engineer
Lead Java/J2EE Systems Software Engineer
Oracle DBA (8i/9i/10g)
Pr. XML/Java Software Engineer
Principal Supply Chain Spec
Program Manager - FDNY ECB Program
Scientific Software Engineer (C/C++/Fortran)
Senior .Net Architect
Senior Systems Enterprise Architect
Software Development Manager
Software Engineering Manager
Sr Program Cost Sched & Cont
Sr Software Engineer II
Sr Technical Editor/Writer
Sr. C++/Java Developer
Sr. COTS Software Engineer
Sr. Crystal Reports Writer
Sr. Data Architect
Sr. Documentum Specialist
Sr. Information Assurance/Intrusion Analyst
Sr. IT Project Coordinator
Sr. J2EE Software Engineer
Sr. J2EE/Java Software Engineer
Sr. Java/C++ Software Engineer
Sr. Java/J2EE Software Engineer
Sr. Sybase Developer
Sr. Systems Engineer-Governance & Standards Specialist
Systems Engineering Manager
Technical Writer
Test Engineer
Test Engineer II
*How did you hear about us?:
Select One
CareerBuilder
Craig's List
ClearanceJobs.com
Dice.com
Monster.com
Yahoo!HotJobs
Internet Search
Military.com
TechCareers
E-mail invitation
Washington Post
Comprint Military
WashingtonPost.com
Billboard
Radio
Cable TV
Friend/Referral
Other (Please specify)
*Security Clearance Status:
None
-No security clearance
Active
-- your present job requires use of your clearance
Current
-- you have had a job in the past two years that required use of your clearance
Expired
-- it has been more than two years since you had a job that required use of your clearance
Security Clearance Expiration:
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Year
2 years ago
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
What is your level of security clearance?:
Select One
DOE Q or L
Confidential
Secret
Top Secret
Top Secret / SSBI
Top Secret / SCI
NSA or CIA
What is your current level of polygraph (if any)?
Select One
Counterintelligence
Lifestyle or Full Scope
*Upload your Resume: