Candidate Questionnaire

We take the business of matching candidates and employers very seriously. It is important we efficiently and accurately gather candidate background information. We want the opportunity to be the right one for you and for your skills to be on-target for our client.

Before moving ahead, we ask that you complete the questionnaire below.  This will give us both a head start in evaluating our common ground.  After you have completed the questionnaire, please send us your resume.
Name:
Address 1:
Address 2:
City:
State:
Zip:
Email:
Home Phone:
Cell Phone:
Work Phone:
Title (please select from the list in the appropriate category or, if none fit your title, type it into the "Other" field):

Human Resources:

Finance:
Marketing:
Sales:

Engineering:

Specialty:
Ops & Logistics:
Admin:
General Management:
IT & Computer:
Other:
Curent or most recent employer:
Date of Employment: from: to:
Current or most recent base salary
Current or most recent bonus or commission
What is the minimum compensation you require (Base and bonus or commission combined)
School:
Attended from: (Month/Year) to (Month/Year)
Percentage of nights available for overnight travel?

How far would you be willing to commute? (please state in time, rather than miles)

What is your reason for leaving your current or most recent employer?
If you receive a job offer, would you consider a counteroffer from your current employer?
Are you willing to relocate? (If yes, please give preferences.)
To which Account Executive should this information be directed? Please select from the list: