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Job Placement Questionnaire
Job Placement offers students guidance in acquiring the skills necessary for finding suitable employment. Informative meetings with our guidance counselor address such issues as how to write a resume and cover letters, and how to conduct a job search. Job Placement arranges interviews for students and graduates seeking full time, freelance and internship positions. For assistance, please complete and submit this questionnaire. A placement specialist will get in touch with you. Thank you.
   
First Name:
Last Name:
Company:
Address:
City:
State: Zip:
Country:
Day Phone:
Eve Phone:
*E-Mail: (a required field)
Position seeking: Full Time Part Time Freelance Internship
Presently employed: Yes no
Current / last salary:
What salary range are you seeking: $20-25,000 $26-30,000 $31-40,000
$41-50,000 $51,000+
Interview Availability: Mornings Afternoons Early Evenings
College Attended:
Major:
Years Attended:
GPA
Graduated: Yes no
Please list skills / qualifications:
List hardware / software skills:
Typing Speed - Words Per Minute:
Please list any certificates, licenses, or affiliations you may have:
Most Recent Employer:
City:
State: Zip:  
Country:
Phone:
Position / Title:
Dates Employed:
Reason for Leaving:
Last / Current Salary:
Supervisor's name:
Position you're seeking:
Classes you're taking now:
How did you hear about us? Newspaper TV Friend Internet
Email Other


(It may take a moment to acknowledge. Please do not request twice. Thank you.)


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