For Candidates

Our promise applies to all our clients—employers and candidates alike. We won’t waste your time on fits that aren’t ideal, or on matches that don’t make perfect sense.

If you’re ready to work with someone who creates success for ALL parties involved, please fill out this CONFIDENTIAL form.

And you can be confident that the information you provide will remain safely—and only—in our hands. It will never be revealed without your prior knowledge and approval.

First Name: MI: Last Name: Date:

Work Phone: EXT: Home Phone:

Cell Phone: Email:

Address: Address Line 2:

City: State: Zip:

Years at this address:


Do You Own A Home?: NoYes


Employment Information

Present Employer: City: State:

Start Date: End Date:

Product of Service: Your Title:

Duties/Responsibilities:

Forte/Specialty:

Supervisor's Name: Supervisor's Title:

Your Salary: Bonus/Overtime: ...How Much Total Comp: $

Last Raise Date: Last Raise Amount: $

Is there an alternate source of income?: NoYes,
  - If Yes, please describe source and annual earinings:

What are some of your accomplishments?:


To Change

Why would you change?:

What would be your ideal job/position?:

Minimum $ to change:

List 2-3 companies you would work for:


Relocation

Would You relocate?: NoYes

If yes, where?:

Do you have any special needs regarding relocation?:


Previous Employers

Previous Employer 1: City: State:

Start Date: End Date: Your Title:

Duties/Responsibilities:

Supervisor's Name: Title:

Total Compensation: Why you left?:


Previous Employer 2: City: State:

Start Date: End Date: Your Title:

Duties/Responsibilities:

Supervisor's Name: Title:

Total Compensation: Why you left?:


Previous Employer 3: City: State:

Start Date: End Date: Your Title:

Duties/Responsibilities:

Supervisor's Name: Title:

Total Compensation: Why you left?:


Personal Information

Married: NoYes - If Yes,Spouse's Name: Spouse's Employer: Position:

Spouse's Work Phone: EXT. Spouse's Cell Phone: Years There:


Alternate Contact: Alternate Phone: Relationship to this Contact:


Do you have children: NoYes - If Yes,Number of Children: Ages (separate ages by commas):

Hometown: Spouse's Hometown

Memberships, Associations, or Civic Activities


Educational Background

School Attended
YR/GRAD: Degree:


Other School Attended
YR/GRAD: Degree:


Other School Attended
YR/GRAD: Degree:


Miscellaneous:

Professional Certifications and Designations:

What are your hobbies?

If I reference check you, what would we find?


References

Reference 1: Employer: Phone #:


Reference 2: Employer: Phone #:


Reference 3: Employer: Phone #:


Upload Resume