Questionnaire
First Name
Last Name
Mailing Address
City
State
Country
United States
Other
If other, which country
Home Phone
Office Phone
Ext.
Cellular Phone
Email address
Preferred method of contact
HomeCel
Work
Email
Job Information
Current or most recent job title:
Why have you left or why have you considered leaving your employer:
What is your desired job title:
What would you consider to be an ideal position? (Please be as descriptive as possible. Vague statements such as A position that will allow me to grow as an individual while being a team player is not descriptive enough.)
Current Remuneration: $
Annual base salary
Annual base wage
$
Annual bonus/incentive
Desired Remuneration: $
Annual base salary
Annual base wage
$
Annual bonus/incentive
Is your interest in direct or contract employment or either?
Direct employment
Contract employment
Either
How soon can you report to employer after acceptance of an offer?
Are you immediately available for telephone or on-site interviews?
Yes, I am immediately available for an interview
No, I am not immediately available for an interview
Do you currently have any offers with another company.
Yes, I have an outstanding offer.
No, I have no outstanding offers.
If an offer(s), what company(s)?
Are there any employers that you do not wish us to contact?
Yes
No
Which employers?
Please list employers who have your resume so that we do not contact them also. (If we contact an employer that already has your resume, a conflict results and your resume that's submitted by us will be rejected.)
How many other wireless industry search firms have you submitted your resume to?
Citizenship, Travel, Relocation
Citizenship:
If H1-B, what employer is sponsoring your visa?
Are you willing to travel?
Occasionally
Frequently
Do you wish to remain local or are you willing to relocate?
I would like to relocate
I would like to remain local
If relocate, what are your geographical preferences? (Holding the control key down while clicking on a choice will allow you to choose more than one location.)
Any US Location
Western U.S.
Eastern U.S.
Northeast U.S.
Northwest U.S.
Southeast U.S.
Southwest U.S.
Other Countries
Particular states, cities or countries?
If you have family, are they amenable to relocation also?
Not applicable.
Family is willing to relocate.
Depends on location.
Do we have permission to submit your resume to companies that are within your required salary range and location requirements? (Your resume will not be submitted to employers that you've already contacted).
Yes, please submit to appropriate employers.
No, submit only after contacting me.
Please attach your DOC, DOCX or PDF formatted resume and/or other documents using the following:
Resume:
Cover Letter:
References:
Miscellaneous:
Please submit your resume, cover letter, references, miscellaneous and completed questionnaire by clicking on the Submit button below.
All resumes remain in confidence. Resumes are never submitted to employers or anyone else without the express permission of candidates.
