| So that we may better develop your professional prifile, please fill out the |
| following form and submit (along with your resume). Note: You must submit a resume. |
| CONTACT INFORMATION |
|
|
|
| First Name |
|
| Last Name |
|
| Street Address |
|
| City |
|
| State |
|
| Zip |
|
| Work Phone |
|
| Home Phone |
|
| Cell Phone |
|
| Home Email |
|
| Work Email |
|
|
|
| Other than English, list any languages you speak |
|
|
|
| What is your working status in the US? |
o Permanent o Permit |
|
|
| Our firm is part of a private network of recruiters which |
|
| share resumes and job orders. May we share your |
|
| resume with these other recruiting firms? |
o Yes o No |
|
|
| EMPLOYMENT INFORMATION |
|
|
|
| Are you currently employed? |
o Yes o No |
| If no, when was your last day of employment? |
|
|
|
| Current/most recent employer |
|
| Position Title |
|
| What do they manufacture/sell? |
|
| They are a division of: |
|
| If you are unemployed, why did you |
|
| leave your last position? |
|
| If you are still employed, why are you |
|
| considering an employment change? |
|
| What date would you be available for |
|
| employment? |
|
| Are there any companies we should |
|
| not contact when considering you for a position? |
|
| What is your current salary? |
|
| What is your desired salary? |
|
| What is your minimum salary requirement? |
|
| List other types of compensation or |
|
| benefits, ie.., bonuses, overtime, etc. |
|
| In order to avoid conflicts, please |
|
| list any companies which you |
|
| have recently contacted |
|
| Do you have a non-compete clause? |
o Yes o No |
| If yes, please describe. |
|
| Are you responsible for reimbursement |
|
| to your current employer for relocation |
|
| or education expenses if you leave |
|
| before a certain date? |
o Yes o No |
| If yes, please give details. |
|
|
|
| EDUCATION INFORMATION |
|
|
|
| What is your first degree? |
|
| Type of degree |
|
| Institution Name |
|
| Year of completion |
|
| GPA |
|
| What is your second degree? |
|
| Type of degree |
|
| Year of completion |
|
| Institution Name |
|
| GPA |
|
| List any licenses/certifications. |
|
| Examples: CPA, ASP, CMA, CPIC, CSP, |
|
| SPHR, PHR, CPIM, PE, CEBS, CCP, CPM |
|
|
|
| RELOCATION INFORMATION |
|
|
|
| Are you willing to relocate? |
o Yes o No |
| Are there any special needs that might |
|
| impact your job change - i.e., employment |
|
| for spouse, schools for children, etc.? |
|
| List your relocation preference |
|
| List any other places you would relocate to. |
|
| Are there any locations which |
|
| you wish to rule out? Please list. |
|
| Is there anything else we need to know |
|
| about relocation? |
|
|
|
| REFERENCES |
|
| Reference 1 |
|
| First Name |
|
| Last name |
|
| Relationship |
|
| Phone |
|
| Email |
|
|
|
| Reference 2 |
|
| First Name |
|
| Last name |
|
| Relationship |
|
| Phone |
|
| Email |
|
|
|
| Reference 3 |
|
| First Name |
|
| Last name |
|
| Relationship |
|
| Phone |
|
| Email |
|
