candidate profile

APPLICANT INFORMATION
Birthday
Last Name First M.I.
(M/D)
Street Address Apartment/Unit #

City State ZIP

Cell Number &

E-mail Address
Carrier:
Date Available

Desired Position

How did you hear about

us?
Presently employed? YES NO Are you authorized to work in the U.S.? YES NO

Available for relocation? YES NO

Have you ever been convicted of a felony? YES NO If yes, explain

Referrals?

EDUCATION
College Address

From To Did you graduate? YES NO Degree

Other Address

From To Did you graduate? YES NO Degree

CERTIFICATIONS:

REFERENCES
Please list three professional references.

Full Name Relationship

Company Phone ( )

Email

Address

Full Name Relationship

Company Phone ( )

Email

Address

Full Name Relationship

Company Phone ( )

Email

Address

1266 east main street 203.588.9500

stamford ct 06902 www.rightclickrecruiting.com 1
 PREVIOUS EMPLOYMENT

Company Phone ( )

Address Supervisor

Job Title Starting Salary $ Ending Salary $

Responsibilities Accomplishments

From To Reason for Leaving

May we contact your previous supervisor for a reference? YES NO

Company Phone ( )

Address Supervisor

Job Title Starting Salary $ Ending Salary $

Responsibilities Accomplishments

From To Reason for Leaving

May we contact your previous supervisor for a reference? YES NO

Company Phone ( )

Address Supervisor

Job Title Starting Salary $ Ending Salary $

Responsibilities Accomplishments

From To Reason for Leaving

May we contact your previous supervisor for a reference? YES NO

PLEASE LIST COMPANIES TO WHICH YOU HAVE BEEN PRESENTED (resume sent and/or interviewed)
WITHIN THE PAST 6 MONTHS (This avoids previous employment contact duplication)

PLEASE INDICATE HOW YOU DIFFERENTIATE YOURSELF FROM YOUR PROFESSIONAL PEERS

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.

Signature Date

1266 east main street 203.588.9500

stamford ct 06902 www.rightclickrecruiting.com 2
1266 east main street 203.588.9500
stamford ct 06902 www.rightclickrecruiting.com 3