Confidential Resume Information


Name

First name: Middle name: Last name:

Address

Address: City: State: Zip Code:

Contact Information

Home Phone: Cell Phone: Marital Status:
Business No.: Relative's Tele: Email:

Salary Required: When Available: Foreign Languages:

Job Interest

a.b.c.

Location

Willing to Relocate: Yes No Location Preference: Home state:

Travel

Willing to Travel: Yes No As Required: Or Weeknights away from home: 0 1 2 3 4

Military

Military Service: Yes No Highest Rank: Branch: Dates of service:

Education

Degree(s): Major: Minor:
School: Graduated in:

Experience

List last three employments, most recent first. Please indicate types of products or services.

Name of Employer: Address of Employer:
Yearly Earnings: Date Employed FromTo
Title and Responsibilities:


Name of Employer: Address of Employer:
Yearly Earnings: Date Employed FromTo
Title and Responsibilities:


Name of Employer: Address of Employer:
Yearly Earnings: Date Employed FromTo
Title and Responsibilities:

References

List names and addresses of professional or business associates (e.g. past or present supervisors) if possible.

Name of Reference: Position of Reference: Firm:
Firm Address: Phone:


Name of Reference: Position of Reference: Firm:
Firm Address: Phone:


Name of Reference: Position of Reference: Firm:
Firm Address: Phone:

Activities

Community organizations, professional memberships, honors, college activities, other:


Reason for leaving current employer

Reason for leaving or wanting to leave latest employment and additional information pertinent to a potential employer:

Additional Comments:





AGRI-associates recruits personnel for equal opportunity employers. Accordingly, personal information that is disclosed on this form shall not be used to discriminateagainst any person because of age, race, sex, creed, color, national origin, personal handicap, or veteran status.