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Employee Profile Form

Employee Profile Form

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Published by Cheri Ho
HR
HR

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Published by: Cheri Ho on Jan 19, 2014
Copyright:Attribution Non-commercial

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01/19/2014

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AddressPhoneTotal staff Final dateStart dateStaff - # of direct reportsTitle of immediate supervisorWhat do / did you like
least
 about your job?Reasons for leaving or desiring changeWhat do / did you like
most
 about your job?Salary Base $Name of immediate supervisorSalary starting $Business typeCity, State, ZipFirm name
1.
BUSINESS EXPERIENCE
Please begin with your present or most recent position.
EDUCATION INFORMATION
Name of SchoolDates AttendedGPAGraduated?Degree / TitleMajor / SubjectsFrom / ToFrom / ToFrom / ToHigh SchoolCollege / UniversityGraduate SchoolExtracurricular activities
 EMPLOYEE PROFILE FORM
Federal law prohibits discrimination based on age, race, religion, sex, or national origin. Information given through your profile cannot and will not be used for any discriminatory purpose.
PLEASE PRINT
Last nameFirstMiddleToday's dateAddressCityStateZip Cell phoneBusiness phoneHome phoneEmail addressExpected earnings $ Position applying forDesired location(s)Bilingual skills?If yes, to:If yes, from:If yes, which?Military service?Memberships: Prof. / SocialHobbies/ interests
 
2.
Reasons for leaving or desiring changeWhat do / did you like
least
 about your job?Title of immediate supervisorWhat do / did you like
most
 about your job?Name of immediate supervisorSalary starting $Salary Base $Staff - # of direct reportsTotal staff Final dateStart dateBusiness typePhoneCity, State, ZipAddressFirm name
3.
PhoneAddressFirm nameCity, State, ZipBusiness typeStart dateFinal dateTotal staff Staff - # of direct reportsSalary Base $Salary starting $Name of immediate supervisorTitle of immediate supervisorWhat do / did you like
least
 about your job?What do / did you like
most
 about your job?Reasons for leaving or desiring change
4.
PREVIOUS POSITIONS HELD
Compensation final: $Compensation initial: $Name of supervisorReason for leavingType of work Final dateStart dateYour titleCompanyCompensation final: $Type of work Final dateCompensation initial: $Start dateName of supervisorYour titleReason for leavingCompany
5.
 
6.
Compensation final: $Type of work Final dateCompensation initial: $Start dateName of supervisorYour titleReason for leavingCompanyCompensation final: $Type of work Final dateCompensation initial: $Start dateName of supervisorYour titleReason for leavingCompany
7.
Compensation final: $Type of work Final dateCompensation initial: $Start dateName of supervisorYour titleReason for leavingCompany
8.
Compensation final: $Type of work Final dateCompensation initial: $Start dateName of supervisorReason for leaving
9.
Your titleCompany
DateX
AUTHORIZATION
I, the undersigned candidate for employment, authorize Disher Design & Development to make reference checks which may include employment records, general reputation, personal characteristics, and finances. I also understand that under the Fair Credit Reporting Act, I have the right to request a copy.
VISA INFORMATION
 
Can you provide evidence that you are legally able to work in the United States?
Please note that as required by the Immigration Reform and Control Act of 1986,
you cannot be employed
unless you can produce work authorization and identity documents as specified by the law. If you cannot provide proper documentation, you should discuss this with your recruiter immediately.
CRIMINAL INFORMATION
 
Within the past seven years have you been convicted of an offense against civil or military law, or been released from a prison or other detention facility?
(Omit [1] traffic violations with a fine under $100 except where liquor or drugs were involved and [2] any offense committed before your 21st birthday which was finally adjudicated in a juvenile court or under a youth offender law.) A conviction record will not necessarily bar you from employment. If yes, please indicate the nature of the offense, date, court, and deposition:

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