Instructions: By filling out this
prescreening questionnaire you
will help me locate just the right type of employment you are
looking for. Send by clicking on the
submit button below, or
print a
copy and fax it to
512-206-3111.
CONTACT INFORMATION:
Candidate's full name:
Current Mailing Address:
City: State:
Zip:
Phone: Home: Work:
Cellular: Pager:
Best phone number to be contacted at:
Home
Work Cellular
Best time: Email:
EDUCATION INFORMATION:
Education: University Graduate:
Yes No
Date: Degree:
Major: GPA:
CURRENT EMPLOYMENT
INFORMATION:
Present Employer:
Present Title:
Function:
What would interest you enough to leave your current employer?
Do you have any non-compete
agreements with your present
employer or former employers which might limit your work?
Yes
No
Currently Interviewing? Yes
No
Companies:
Offers:
Date to accept/decline
pending offer:
Current Salary:
Base: $ Bonus: $
Stock Options:
Last/Next review date:
Review increase amount expected: $
Salary Expectations: $
Housing:
Rent
Own
Fair Market Value: $
Equity: $
POSITION INTEREST:
Please explain and be specific about the areas you are most
interested in and how you feel we can help you meet your
objectives.
Date available to interview:
OTHER ISSUES:
Are there any other issues or concerns that would prevent
you from joining our company?Yes
No
Explain:
