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Resume Submittal
Employment Questionnaire
1
Personal Information
2
Questionnaire
3
Personal Traits
Contact Name
*
First
Last
Home Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Primary Email
*
Cell Phone
*
Home Phone
Job Sector
*
Accounting/Finance
Healthcare
Non-Profit/Volunteering
Administrative
Computer/Internet
Pharmaceutical/Bio-tech
Arts/Entertainment/Publishing
Hospitality/Travel
Real Estate
Banking/Loans
Human Resources
Restaurant/Food Service
Construction/Facilities
Insurance
Retail
Customer Service
Law Enforcement/Security
Sales
Education/Training
Legal
Telecommunications
Engineering/Architecture
Manufacturing/Mechanical
Transportation/Logistics
Government/Military
Marketing/Advertising/PR
Upper Management/Consulting
Other
Job Role
*
Referral Source
Name
Company
Name of last 3 employer and state/town located?
Employer #1
*
City/Town
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Employer #2
*
City/Town
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Employer #3
*
City/Town
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Last paid hourly or salary rate, total compensation?
*
Do you currently have health benefits?
*
Yes
No
Are you currently on unemployment?
*
Yes
No
(we are hiring 50% from the unemployed and veterans population)
Are you a Veteran with an honorable discharge?
*
Yes
No
We all want to get the economy back to its past pay level but currently we are looking to get unemployed back into a productive learning opportunities with health benefits. Considering we are and organization that will provide training/learning on a weekly basis and solid long term growth plus health benefits. Expected hours are 35-40 week.
What hourly or salary rate you are looking for in order to get back to workforce?
*
Do you have a criminal record?
*
Yes
No
Are you an entrepreneur at heart?
*
Yes
No
Do you consider your self a "techie"?
*
Yes
No
Extra details: (any extra details we should know?)
Resume Upload
*