Please fill out the following application: Candidate Profiler Last Name: First Name: Middle Initial: Address: Apartment Number: City: State: Zip: Home Phone #: () Work Phone #: () ext. Emergency Contact Number: Cell/VoiceMail Number: E-mail: 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 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 Software     MAC   WIN MS Word       Excel       Excel       Powerpoint       Access       Outlook       QuickBooks       Other: DataBase Data Entry: Data Entry AS400 10-Key Touch by Sight 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.