Live Oak Resources, Inc.
3301 Jamesborough St., Austin, TX, USA, 78703-1108
Telephone: 512-206-0607
Toll Free: (866) 202-0607
Facsimile: 512-206-3111
Cell: 512-695-6572
dschuhmacher@austin.rr.com
PRESCREENING
QUESTIONNAIRE
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: ___________ AM PM 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. (Use
a separate sheet of paper if necessary.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Date available to interview:
____/____/____
OTHER ISSUES:
Are there any other issues or concerns that would prevent you from
joining our company?
_____ Yes _____No ? Explain:
______________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Please return to:
Live Oak Resources, Inc.
3301 Jamesborough St., Austin, TX, USA, 78703-1108
Telephone: 512-206-0607
Facsimile: 512-206-3111
Cell: 512-633-0332
dschuhmacher@austin.rr.com
|