Candidate Profile

Please fill out all information accurately and truthfully. After clicking on the submit button, you will be taken to another screen where you can e-mail us your resume as a MS Word attachment. To navigate through this form, use your "Tab" key or mouse. If you wish to back up, press the "Shift" and "Tab" key simultaneously.

Last Name:       First Name:

Home Phone:         Business Phone:

Permissible to call you at work? Yes No         Have

Have home answering machine?  Yes No
Ever check it while at work? Yes No

E-Mail:            How often do you check it?    

Pager/Cell Phone: 

Phone number of someone who knows where you are always at (Parents/Brother, etc.):
(Note this number will only be used should we need to contact
you and you have changed jobs and/or moved from present address).

What time do you get home from work? 

Leave for work? 

What time do you usually have supper? 


Will you relocate? Yes No     If you selected Yes

    What cities:

    Where not:

    Have you had a family meeting concerning relocation? Yes No

Own a home? Yes No How many years? Do you rent? Yes No

Will you move at your own expense? Yes No

Spouse's Name:  

     Number of children:   Ages:

    Spouse's Occupation:

Your hometown:  

Spouse's hometown:

What does your spouse think of moving?


Do you smoke? Yes No


Current Salary: Per:

Do you get a bonus? Yes No     How Much?     When?

Number of years at present company?    When are you vested?

Why would you want to leave?

What do you want that you don't have now?

What do you have that you don't want?

What don't you like about where you are at right now?


Could you give two weeks notice? Yes No

Business/Vacation dates:

Phone number where you can be reached while away?


Programming languages you are best at:

Databases you are best at:

Operating Systems you are best at:

Title you're best suited for:


How much advance notice needed for a telephone interview?

During work hours? Yes No

For a face to face interview?   Can you take a half day off? Yes No

How much is too much travel?  None 20% 40% 60% 80%

What are your salary expectations?

List below three companies you WOULD LIKE to work for:

1)
2)
3)

List below three companies you WOULD NOT like to work for:

1)
2)
3)

Any companies you can't work for? (i.e. non-compete)

Would you work for a consulting company? Yes No


What companies have you interviewed with or sent them your resume within the last six months?

Are you working with any other recruiters? Yes No
Are you contemplating an offer right now or are you up for a pay raise? Yes No


Press the "Submit Profile" button below to send your information.  If you would like to start over, press the "Reset Profile" button.