Questionnaire

We would like you to answer a few questions so that we may better serve you. Please complete as much of this information as possible. Please paste a plain-text version of your resume in the resume field below. Note: If you have a Microsoft Word version of your resume, please attach it to regular email and send.

Please provide the following contact information:

First name

Middle initial

Last name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

FAX

E-mail

Are you currently employed?

Yes
No

If unemployed, enter the date you last worked in the space provided below.

Current or most recent position of employment?

Current or most recent employer?

Company product line or service?

Enter your current (or last) salary:

Bonus:

What position are you seeking?

What salary are you seeking?

Enter the minimum acceptable salary:

Are you a U.S. citizen?

Yes No

If not a citizen, what is your current status?

Relocation preferences:

Will not relocate to:

Own a home?

Yes
No

I have a degree in:

Enter your college's name in the space provided below.

Enter your year of graduation in the space provided below.

Any other degrees, licenses, special training?

Any special areas of expertise?

Please list 10 to 15 (or more) "KEY WORDS" that highlight your background and experience. These will facilitate computer searches of our database for key qualifications or credentials:

May we submit your resume to our national network of 300+ professional recruiters?

Yes No

Paste plain-text resume in the space below. Note: You may also fax your resume to (401) 624-8664.

How did your hear of David Souza & Associates, Inc?

First name
Middle initial
Last name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail

Home

Š2001, David Souza & Associates, Inc. Last revised: July 13, 2006.

Š2001, David Souza & Associates, Inc.
Last revised: July 13, 2006.