Candidate Service Assessment

First Name *

Last Name *

Address *

Telephone Number *

Email *

Independent search start date *

PR1ME search start date *

Desired Industry *
ExistingNewIndustry type

Search Reason *
Better PayGrowthScheduleLayoffNew InterestDistanceOther

Other areas of interest:

Previous applications submitted within past 30 days: (List company name & position applied) *

Total number of interviews within past 30 days: *

Resources used to job search: *
CareerBuilderMonsterCraigslistIndeedLinkedInOther

Provide desired salary range: *

Select current level of experience: *
---Entry Level (1yr or less)Experienced (2+ yrs.)Professional (10+ yrs.)

Preferred shift: *
MorningMid-shiftEveningOvernight

Preferred hours: *
Full-TimePart-TimeSeasonal TemporaryPermanentIndependent contractor

Mode of Travel: *
VehiclePublic TransportationTransportation ServiceOther

Last Employer: *

City, State

Position title: *

Final pay rate

Departure: *
---VoluntaryInvoluntary

Reason for departure? *

Active resume: *
---YesNoI don't know

Upload current resume for FREE Critique

Previous resume reconstruction: *
---YesNo

When:

Prepared by:

Cover Letter *
---YesNo

Last interview date: *

List professional skills: *

List possible schedule conflicts and commitments:

Comments / Special requests: