Candidate Profiler

Last Name:

First Name: Middle Initial:

Address:

Apartment Number:

City: State: Zip:

Home Phone #: () Work Phone #: () ext.

Emergency Contact Number:

Pager/Voice Mail Number:

Car Available: yes no

How did you hear about Career Solutions:

Work History:

List most recent employment first - Please fill out completely

Job 1:

From: // to //
Company Name:
Type of Company:
Address:
City: State: Zip:
Phone: () ext.
Supervisor: Department:
Position: Title:
Duties:

Reason For Leaving:

How Did You Get This Job:

Job 2:

From: // to //
Company Name:
Type of Company:
Address:
City: State: Zip:
Phone: () ext.
Supervisor: Department:
Position: Title:
Duties:

Reason For Leaving:

How Did You Get This Job:

Job 3:

From: // to //
Company Name:
Type of Company:
Address:
City: State: Zip:
Phone: () ext.
Supervisor: Department:
Position: Title:
Duties:

Reason For Leaving:

How Did You Get This Job:

Education:
High School:
Graduate: yes no
Year:

College: # of years attended:
Graduate: yes no
Month Year: GPA
Type of Degree:
Major:
Minor:

Languages you speak or write fluently:

Skills:

Typing: WPM

Shorthand
Fastnotes
Dictaphone

Communication Equipment:

Switchboard
PBX
Reception -- # of lines

Data Entry:
AS400 CRT 10-Key Touch/Sight
DataBase

Accounting:

A/R
A/P
Bank Reconciliations
Credit/Collections
Full Charge
General Ledger
Trial Balance
Financial Statements
Cost
Payroll -- System -- # of employees

Have You Ever Been Convicted of a Felony? yes no

Disclaimer

I affirm that the facts set forth on this form are true and complete. I give permission to CAREER SOLUTIONS to verify my employment references and education background.

I understand there is no fee payable by me and I agree that if I accept any position that is a result of a CAREER SOLUTIONS referral within one year from the date of referral, I will notify CAREER SOLUTIONS immediately.

I agree to the above terms by submitting this form.