Consultant Form - The Windshire Group

Name*

First Last

Phone*

Time Zone*

Hours Generally Available to Be Contacted

Non-Windshire Email

Windshire Email (if known)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Years of experience

Open to long term projects > 3 months?

Yes
No

Open to long term assignments with most time on site with client?

Yes
No

Open to traveling ex-USA?

Yes
No

Any geographical area or lenght of stay limitations? Describe

Open to overseas assignments > 2 weeks?

Yes
No

New consultants- please provide names of two references, contact information, and relationship. References will not be contacted without your authorization.

Any geographical area limitations? Describe

Any general comment on assignment preferences?

List all areas of expertise (list all separated by commas, e.g., QC lab auditing)

Degree 1 example PhD

Area 1 example Microbiology

Degree 2:

Area 2:

Degree 3:

Area 3:

Current Professional Societies/Please Use Acronyms

Past Employers (list all separated by commas)

Commercial Products (list all product separated by experience)

Name

This field is for validation purposes and should be left unchanged.