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HIRE STANDARD REGISTRATION FORM
When this form is filled in and finished to your satisfaction, print
it out and sign the permission statement. Please bring it with you
when you come for your appointment... or include the signed copy with
your faxed or snail-mailed copy. Then Copy (& Paste) this into
an e-mail and send it to us. It will give us permission to
check your references and background. Thank you.
POSITION(S)
YOU'RE QUALIFIED TO APPLY FOR:
NAME:
MAIDEN OR OTHER LAST NAMES:
STREET ADDRESS, APT #:
CITY, STATE, ZIP:
SOCIAL SECURITY #:
CITIZEN OF USA? YES or NO
DO YOU HAVE A WORK PERMIT OR RESIDENT ALIEN CARD??
HOME PHONE #:
BUSINESS PHONE #:
CELL/ PAGER #:
E-MAIL:
EMERGENCY PHONE & CONTACT NAME (LOCAL):
AVAILABILITY:
TITLE: Note your Job Title-
EDUCATION:
COLLEGE/ BUSINESS SCHOOL:
DID YOU GRADUATE?
DEGREE:
MAJOR:
MINOR: YEAR:
WHAT IS YOUR GREATEST PROFESSIONAL ACCOMPLISHMENT?
WHAT ARE THE TWO MOST IMPORTANT REASONS YOU'RE IN THE JOB
MARKET?
WHICH COMPANIES HAVE ALREADY INTERVIEWED YOU?
POSITION YOU ARE SEEKING:
WHAT SKILLS/ DUTIES WOULD YOU LIKE TO LEARN ON YOUR NEXT
JOB?
WHAT DUTIES/ RESPONSIBILITIES WOULD YOU REFUSE TO ACCEPT?
PRESENT COST OF HEALTH INSURANCE/ MONTH?
PRESENT BENEFITS: Bonus
Vacation Medical
Tuition
REQUIRED BENEFITS: Bonus
Vacation Medical
Tuition
BEST TIMES FOR INTERVIEW
MIN. SALARY
START DATE
SKILLS: Please fill in technical skills
on this document. Include all software with which you are
familiar. Please include the latest versions in which you
are confident you have skills. This information will be
used to set up your WinValuate testing.
KEYBOARD Speed: Operating System:
PC/ Mac
Languages:
Word Processing (software & version):
Spreadsheet (software & version):
Database (software & version):
Graphics (software & version):
DTP (software & version):
Presentation (software & version):
Accounting (software & version):
E-Mail(software & version):
Web(software & version):
Utilities(software & version):
Misc. Skills that make you valuable:
Accounting Expertise:
WORK HISTORY:
Present or last position (Include Temp Agency):
Dates employed: from: (month/year)
to: (month/year)
Company Name:
Address:
Type of Business:
Phone #:
Supervisor's Name & Title:
Your title
Annual base salary
Software used:
Co-workers who know your work:
Reason for Leaving:
Previous position 2 (include Temp Agency):
Dates employed: from: (month/year)
to:(month/year)
Company Name:
Address:
Type of Business:
Phone #:
Supervisor's Name & Title:
Your title
Annual base salary
Software used:
Co-workers who know your work:
Reason for Leaving:
Previous position 3 (include Temp Agency):
Dates employed: from: (month/year)
to:(month/year)
Company Name:
Address:
Type of Business:
Phone #:
Supervisor's Name & Title:
Your title
Annual base salary
Software used:
Co-workers who know your work:
Reason for Leaving:
Additional References
Name Title
Company
Phone
How Did you hear about Hire Standard? Ad? Referral
Internet?
Previous Search activities: (In order to prevent
embarrassing duplication
or possible lost employment opportunity through conflict,
please list companies
you have sent resumes to or otherwise contacted on your
own or through other sources.
Company name: Interviewed by:
Date:
How found?
PERMISSION
TO VERIFY:
I certify that the following information is true to the
best of my knowledge.
I give permission to Hire Standard to verify my
statements and I understand
that copies of references and education verification will
be provided to
prospective employers. I release Hire Standard from any
liability associated
with the background checking or referral procedures.
Signature________________________________ Date / /
(Print out and sign
a copy to bring with you)
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