| Last Name
First
Middle
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| Street Address
City
State
Zip
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| Home Phone
Work Phone
Mobile Phone
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| Email Address
Emergency Contact / Phone
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| Salary Desired
Minimum Salary
Date Available
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| Position Desired (1)
Position Desired (2)
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| Interview Availability
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Education |
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Convictions other than minor traffic violations?
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Have you ever been bonded?
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| Note: Each instance will be considered in relation to the position for which you are applying. |
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Employment |
| Last / Current Employer
Industry
|
| Address
|
| Employed from (date)
to
Next Review Date
|
| Position / Title
Salary
Bonus
|
| Supervisor Name
Supervisor Phone
|
| Reason for Leaving
|
Duties and Responsibilities (List and detail) |
|
|
Quantifiable Accomplishments (List and detail) |
|
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| Previous Employer
Industry
|
| Address
|
| Employed from (date)
to
Next Review Date
|
| Position / Title
Salary
Bonus
|
| Supervisor Name
Supervisor Phone
|
| Reason for Leaving
|
Duties and Responsibilities (List and detail) |
|
|
Quantifiable Accomplishments (List and detail) |
|
|
|
| Previous Employer
Industry
|
| Address
|
| Employed from (date)
to
Next Review Date
|
| Position / Title
Salary
Bonus
|
| Supervisor Name
Supervisor Phone
|
| Reason for Leaving
|
Duties and Responsibilities (List and detail) |
|
|
Quantifiable Accomplishments (List and detail) |
|
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Career Consultation |
| Please give the following questions serious thought and answer as candidly as possible. |
What is your most important career goal? |
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Where do you see yourself in two years / five years? |
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What criteria must be met before you will consider a job change? |
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List 3 things you like best about your current company. |
|
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List 3 things you like least about your current company. |
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Have you discussed the above listed issues with your manager? If yes, explain. |
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Under what circumstances could your present employer retain you? |
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Relocation / Travel |
| Are you able to relocate?
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| If yes, how soon could you relocate?
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| Are there any tangible issues such as a mortgage, bonus, etc, that could prevent or delay you from relocating?
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| If yes, please explain:
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| What are your preferred locations?
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| What are your non-preferred locations?
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| Are you willing to travel?
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| If yes, how often: nights per week
per month
weekends
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| Acceptable daily commute time
Any travel/commute restrictions?
|
| If yes, please explain:
|
| Valid driver's license?
State
Clean DMV?
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- I hereby affirm that the information I have provided on this form is true and complete. I understand that providing false, incomplete or misleading information to the company will result in the cancellation of this form or refusal of employment.
- I understand that if I am employed by Snelling on a temporary basis while pursuing my job search, such employment will be on an 'employee at will 'basis, which means that I and Snelling are free to terminate my employment at any time, with or without prior notice, except as may be required by law.
- I consent to submit to testing for the detection of illegally used drugs or controlled substances.
- I understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
- I understand that you may obtain information about my character, reputation, personal characteristics, criminal history and financial responsibility in order to evaluate me as a prospective employee. Some clients may, as a condition of using Snelling's services, require additional information relevant to a particular job or assignment, and may request copies of certain information obtained. I hereby authorize you to make inquires of my previous employers, educational institutions, personal acquaintances and references about these matters through personal interviews or other means if required by a Snelling client to provide such information to them. Upon written request, additional information as to the nature and scope of the report, if one is made, will be provided.
- I agree to resolve any dispute, claim or controversy that may arise between Snelling regarding failure to be hired or termination from employment exclusively in accordance with the Snelling Dispute Resolution Policy, including mediation and binding arbitration of all such disputes.
- I represent and warrant that I have fully read and completely understand the foregoing and seek employment under the conditions specified.
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| Name of Applicant
Date of Submission
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