Cincinnati, OH
  Phone: 513-814-4785  
  Garry W. Harper
       Please include Personal Resume if available.         
 Full Name:      

Office Use Only:    Code1:     Code2:

                           First                           Middle                             Last    

 Street Address:   City:    State:      Zip Code:    country:

 Home Phone:

Cell Phone:

Marital Status:       You: Own:   Rent:

 Business No.:


Relative's Tele: 

 Salary required:

When Available:

Foreign Languages:

 Job Interest:   a.    b.    c.   

 Willing to relocate: No   Yes    Location Preference:  Home State:
 Willing to travel:       No Yes    As required:  -OR-  Number of Weeknights willing to be away from home:   0   1   2   3   4
 Military Service:         No   Yes    Highest Rank:  Branch:     Dates: 

 Education, beginning with highest degree first: 



         major                                                               minor


    Year Graduated









 Experience: List last three employments, most recent first. Please indicate types of products or services.

Names and City/State of employers

Title & Responsibilities

Yearly Earnings

Dates Employed


From         To    


From         To    


From         To    

 References: List names and addresses of professional and business associates (e.g. past or present supervisors) if possible.
Name & Position Firm & Address Phone or Email

 Community organizations, professional Memberships, honors, college activities, other:

 Reason for leaving or wanting to leave latest employment and add additional information pertinent to a potential employer:
 Agri-associates recruits personnel for equal opportunity employers. Accordingly, personal information that is disclosed on this form shall not be used to   
 discriminate against any person because of age, race, sex, creed, color, national origin, personal handicap, or veteran status.

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