By submitting my resume I hearby authorize Hispanic Network Magazine, and its affiliate companies to release the above information to prospective employers. I further attest that the information provided is true and correct to the best of my knowledge. The information provided will be used to assist me in my job search efforts only. I understand my resume will be networked for one year, and can be updated upon request.

NAME

HOME NUMBER(_____)

BUSINESS NUMBER(_____)

E-MAIL ADDRESS

GENDER: MALE_____ FEMALE_____

ETHNICITY (Optional)

LANGUAGES FLUENT?

POSITION DESIRED?

WILLING TO RELOCATE? YES / NO

IF YES WHERE

SIGNATURE

DATE

Print and return this form with your resume to: Hispanic Network Magazine Attn: Resume Dept. Hispanic Network Magazine , 22845 Savi Ranch Pkwy #A    Yorba Linda, CA. 92887 Ph # (800) 433-WORK     Fax # (714) 974-3978 For more information E-mail the: Resume Dept.