Candidate Data Analysis Form

CANDIDATE DATA ANALYSIS FORM

This form is for individuals who are faxing or mailing their resumes to us for inclusion into our database for consideration. Please print, complete, and fax or mail the form to us. Our contact information is found at the bottom of this page.

Date: _________ Name: _______________________________________________________

Telephone: home: _____________________ work: ________________________ cell: ____________________

Email: __________________________________________________________

Address: ________________________________________________________________________________

Are you currently employed? Yes ___ [spacer] No ___ Are you currently seeking a new position? Yes ___ No ___

What is your reason for seeking a new position? ____________________________________________________

What job titles or descriptions are you seeking? ____________________________________________________

Are you currently attending school? Yes ___ [spacer] No ___ If yes, when do you anticipate graduation? Year ______

Do you have a Degree? Yes ___ [spacer] No ___ What In? _______________________

Degree: None ___ 2 Year ___ 4 Year ___ Graduate ___

Looking for a: full time only ___, [spacer] part time only ___, either full or part time ___ position

Are you willing to relocate? Yes ___ [spacer] No ___ If yes, give geographic preferences: ____________________________

If no, how far will you commute from your home? _________________

Are you a U.S. Citizen? Yes ___ [spacer] No ___ Do you have a government security clearance? Yes ___ No ___

Are you currently using a recruiting firm or employment agency? Yes ___ [spacer] No ___ For how long? ________________

Job Category Characteristics: (Please indicate up to 5 categories where 1 = most preferred to 5 = least preferred.)

___ Accounting	___ Education/Teaching	___ Management	___ Economics
___ Administration	___ Electronics	___ Manufacturing	___ Safety Management
___ Advertising	___ Electrical Engineering	___ Marketing	___ Maintenance
___ Art	___ Mechanical Engineering	___ Media	___ Bookkeeping
___ Aviation	___ Executive	___ Public Relations	___ E-Commerce
___ Banking	___ Financial	___ Research (R & D)	___ Work-From-Home
___ Broadcasting	___ Health/Medical	___ Retail	___ Environmental
___ Materials Management	___ Hospital	___ Recruiting	___ Statistician/Mathematics
___ Clerical/Office	___ Human Resources	___ Outside Sales	___ Inside Sales
___ Computer Programming	___ Telemarketing	___ Social Services	___ Production Management
___ Mental Health Counsel	___ Hospitality/Hotel	___ Technical	___ Production Scheduler
___ Legal Secretary	___ Human Resources	___ Telecommunications	___ Legal/Attorney
___ Customer Service	___ Insurance	___ MIS/IS	Other: _________________
___ Law Enforcement	___ Operations Management	___ Data Entry	Other: _________________
___ Security	___ Import/Export	___ Benefits Coordination	Salary range you are seeking: From: _____________ To: _______________ Current salary:___________
___ D & A Counseling	___ Metallurgy	___ Pharmaceutical
___ Commission Sales	___ Purchasing	___ Interior Design

Would you like us to post your resume on the Internet? This will give you the opportunity to announce your skills to literally thousands of employers (local or national). There are two ways we can provide this service:

Resume postings are done confidentially without your name, address, and names of places of employment. Any employer who would want to contact you will have to go through our firm first. This will alleviate your worries of having your present employer locate your resume on the Internet. The posting and maintenance cost is $30.00 per month with a three month minimum fee, payable at this time. Yes ___ No___

Resume postings are done which reveal your name, address, names of places of employment, and contact numbers to get a hold of you. The posting and maintenance cost is $25.00 per month with a three month minimum fee, payable at this time. Yes ___ No___

How to contact us:
Postal Mail: Frissora & Associates P.O. Box 232 Greenville, PA 16125	Phone: Voice: 1.724.475.3333	Electronic: Via Email. Send only Rich Text, ASCII, or WordPerfect attachments www.frissora.com

How to contact us: