Employment Questionnaire

First Name*

Last Name*

Your E-mail Addresss:*

Telephone*

Mailing Address*

Career Objective (List top 3 positions in order of preference)

Is this a Career change?

Employment History (most recent first),  Location (City & State), Title of Position, Dates of Employment (Month & Year)

Education History (After High School) Name of School / Institution, City & State, Dates Attended*

Degree / Certificate

Accomplishments / Achievements / Successes

Professional Development (Training Courses / Seminars / Workshops)

Computer Skills (Hardware, Software, Internet, etc.)

Technical Skills (Specialized Knowledge & Abilities)

Areas Of Expertise (Key Strengths)

Awards, Certificates, Honors, Etc.

Professional Affiliations

Community / Volunteer

Are you willing to travel / relocate*

Military (Branch of Service, Rank Achieved, Years of Service