USA Job Form

Personal Information

Full Name * Email * Phone (US) * Address (Street, City, State, ZIP) * LinkedIn URL (optional)

Eligibility

Are you legally authorized to work in the United States? * Select one Yes No Do you now or will you in the future require sponsorship (e.g., H-1B)? * Select one No Yes Unsure

If “Yes” or “Unsure”, please share details

Position Details

Position Applied For * Employment Type * Select one Full-time Part-time Contract Internship Temporary Available Start Date * Desired Salary (Annual USD) or Hourly Rate

Experience

Total Years of Relevant Experience * Key Skills (comma-separated) * Cover Letter Upload Résumé (PDF/DOC, max 5MB) * Portfolio/Website (optional)

Location & Schedule

Preferred Work Setting * Select one On-site Hybrid Remote Open to any Willing to relocate within the U.S.? * Select one Yes No Maybe Time Zone (if remote) Select (optional) ET (Eastern) CT (Central) MT (Mountain) PT (Pacific) AKT (Alaska) HST (Hawaii)

Voluntary Self-Identification (EEO)

The following is voluntary and will not be used in hiring decisions. It helps us comply with U.S. EEO reporting.

Gender (optional) Prefer not to say Female Male Non-binary Self-describe Race/Ethnicity (optional) Prefer not to say American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Two or More Races Protected Veteran Status (optional) Prefer not to say Yes No Disability Status (optional) Prefer not to say Yes No

Consent

I certify that the information provided is true and complete. I understand that employment is at-will and may be contingent upon a background check where permitted by law. *

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