What is your name?
How did you hear
about us?
Yellow Pages
Internet Search
Friend or Family
Co-Worker
Careerbuilder.com
Monster.com
Usenet
Newspaper
What is motivating your decision
to leave your current job?
What type of work
are you currently doing? (Explain
technical/management environment in some
detail)
What do you consider
to be the things you do best/your specialty?
What would you
ideally like to do in your next position?
(Please describe in some detail the type
of position you are in search of and also
include if you prefer a permanent position
or a contract position. The more detail
you provide the better for us to understand
your career aspirations)
What type of company
environment do you thrive in?
Do you have a preference
as to the size or industry of the company?
Are you eligible
to work in the United States?
Yes
No
Comments:
Are you willing
to relocate, and if so, are there certain
parts of the country that would be more
desirable?
How far (or commute
time) are you willing to travel to and from
work?
What percentage
of travel, if any, are you willing to do
for work?
Do you have any
relocation assistance expectations? (if
so please list them)
What is your current
(or most recent) total compensation package?
(Please include base, bonus, incentives,
stock, etc. and list each separately.)
What compensation
package do you expect in your next move?
(We understand cost of living adjustments
may need to be calculated base on location,
so please base this on your current residence.)
How do you prefer
I contact you – what is the easiest way
to contact you? (Can we call you
at work for brief questions such as arranging
times to schedule an interview?)
Do you have an
e-mail address? (If it is your
e-mail at work, I need you to send me an
email granting me permission to send you
messages to your work e-mail address. Is
your work e-mail secure?) (Is your voice
mail at work secure?)
Yes
No
Do you have references
available that are willing to give you a
character reference opposed to just verifying
your employment?
Yes
No
How far along are
you in your job search? (Offers
pending etc.)
What is your availability
to start a new position?
Please add anything
else that we have not covered that you feel
would help me assist you in your search?
It is important for us
to be able to make sure we have given you
all the information you need to make a decision
on any given opportunity. So, if there is
anyone else involved in your decision making
process, please let us know any issues that
would be important to them.