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Recruitment Firm's Application for AMR Membership
Please provide 3 references. These can be other recruiters with whom you have worked
(not within your company)

Company Name

Street Address

City

State

Referred by

Zip

Number of Recruiters in Firm

Independent Office?

How many offices do you have?

Name/Recruiter & Experience

Name/Recruiter & Experience

Name/Recruiter & Experience

Name/Recruiter & Experience

Name/Recruiter & Experience

Name/Recruiter & Experience

Are above recruiters at
your physical office address?

Reference #1 & Phone

Reference #2 & Phone

Reference #3 & Phone

Have you or your company ever been disciplined by any organization?

What states do you work?

Member of other networks?

Areas of Discipline

Email

Your Web Site Address (If any)

Phone Number

Fax

Comments
(Please include past employment)

accepted