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: