FutureFlux Registration

Registration Form

Personal Information

First Name

Last Name

Preferred Name on Resume

Date of Birth

LinkedIn Profile

Contact Information

Email Address for Resume

Phone Number for Resume

Resume Email Credentials

Personal Email Address

Personal Phone Number

Preferred Address

Work Experience

Please highlight your previous work experience across any *3 of the following sectors:

Technology & Software – Google, Microsoft, Apple
Healthcare & Pharmaceuticals – Pfizer, Johnson & Johnson, UnitedHealth Group
Banking & Financial Services – JPMorgan Chase, Bank of America, Goldman Sachs
Retail & E-commerce – Amazon, Walmart, Target
Manufacturing & Industrial – General Motors, Boeing, 3M
Energy (Oil, Gas, Renewables) – ExxonMobil, Chevron, NextEra Energy
Telecommunications – AT&T, Verizon, T-Mobile
Education & EdTech – Coursera, Chegg, Khan Academy
Transportation & Logistics – FedEx, UPS, Tesla
Media & Entertainment – Netflix, Disney, Warner Bros.

Client

Start Date - End Date

Client Address

Client

Start Date - End Date

Client Address

Client

Start Date - End Date

Client Address

Education Summary

Masters University

Graduated/Completed

Major/Field of Study

School Address with Zip Code

Bachelors University

Graduated/Completed

Major/Field of Study

School Address with Zip Code

Visa Details & Availability Information

Current Visa Status

Date of Arrival in the USA

Certifications & Achievements

Mention any relevant certifications you have

Preferred Specialization Within Marketing

I confirm that all the information I have provided is true and accurate to the best of my knowledge. You have my full consent to apply for jobs on my behalf. I also authorize you to access and use my email account, using the credentials I have provided, for the sole purpose of managing job applications and handling career-related communications, including checking and sending emails when necessary.

Your Legal Name

Signed Date