Questionnaire
 
Questionnaire

Please complete the following questionnaire to get started on your résumé presentation. 
You will notice that there is space available to make three entries under each subject heading.  If you have more information to submit, at the end of the form you will be provided an opportunity to attach a document with additional information.  You will also be provided an opportunity to attach your current résumé.      
 

 


 
NAME  (FOR RÉSUMÉ)
ADDRESS  (FOR RÉSUMÉ)
STREET/PO BOX
 CITY, STATE
ZIP
PHONE      (FOR RÉSUMÉ)   
HM
CELL
EMAIL       (FOR RÉSUMÉ)
OTHER PHONE (NOT FOR RÉSUMÉ)
OTHER EMAIL (NOT FOR RÉSUMÉ)
OTHER ADDRESS (NOT FOR RÉSUMÉ)
STREET/PO BOX
CITY, STATE
ZIP
1st BUSINESS NAME
BUSINESS LOCATION
STREET/PO BOX
CITY, STATE
ZIP
JOB TITLE
DATES OF EMPLOYMENT (MM/YY)
FROM
TO
MO
YR
MO
YR
MAJOR ACCOMPLISHMENTS/DUTIES
2nd BUSINESS NAME
BUSINESS LOCATION
STREET/PO BOX
CITY, STATE
ZIP
JOB TITLE
DATES OF EMPLOYMENT (MM/YY)
FROM
TO
MO
YR
MO
YR
MAJOR ACCOMPLISHMENTS/DUTIES
1st TITLE OF CERTIFICATE / LICENSE
WHERE OBTAINED / ISSUED
MO
YR
DATE OBTAINED  (MM/YY)
2nd TITLE OF CERTIFICATE / LICENSE
WHERE OBTAINED / ISSUED
MO
YR
DATE OBTAINED (MM/YY)
1st INSTITUTION NAME
INSTITUTION LOCATION
STREET/PO BOX
CITY, STATE
ZIP
MAJOR
MINOR
TYPE DEGREE AWARDED
DATE DEGREE AWARDED  
PROJECTED COMPLETION DATE 
OTHER NOTES: GPA, CUM LAUDE, ETC.
OTHER COMMENTS:
2nd INSTITUTION NAME
INSTITUTION LOCATION
STREET/PO BOX
CITY, STATE
ZIP
MAJOR
MINOR
TYPE DEGREE AWARDED
DATE DEGREE AWARDED
PROJECTED COMPLETION DATE
OTHER NOTES: GPA, CUM LAUDE, ETC.
OTHER COMMENTS:
1st NAME OF ORGANIZATION
STATUS (MEMBER, OFFICER, TITLE)
SPECIFIC CONTRIBUTIONS / RECOGNITIONS
2nd NAME OF ORGANIZATION
STATUS (MEMBER, OFFICER, TITLE)
SPECIFIC CONTRIBUTIONS / RECOGNITIONS
1st NAME
ADDRESS
STREET/PO BOX
CITY, STATE
ZIP
PHONE
HM
CELL
EMAIL
TITLE
BUSINESS NAME
PROFESSIONAL OR PERSONAL?
2nd NAME
ADDRESS
STREET/PO BOX
CITY, STATE
ZIP
PHONE
HM
CELL
EMAIL
TITLE
BUSINESS NAME
PROFESSIONAL OR PERSONAL?
1st TYPE LETTER REQUIRED
(COVER, THANK YOU, ETC)
BUSINESS NAME

CONTACT PERSON /

HIRING AUTHORITY NAME

CONTACT PERSON JOB TITLE /
POSITION IN COMPANY
CONTACT PERSON PHONE
CONTACT PERSON EMAIL
ADDRESS
STREET/PO BOX
CITY, STATE
ZIP

INTERVIEWER - OR BOARD

MEMBER NAME(S)

POSITION APPLIED FOR/
TITLE/JOB NUMBER
SPECIFIC NOTES/DISCUSSION POINTS
2nd TYPE LETTER REQUIRED
(COVER, THANK YOU, ETC)
BUSINESS NAME

CONTACT PERSON /

HIRING AUTHORITY NAME

CONTACT PERSON JOB TITLE /
POSITION IN COMPANY
CONTACT PERSON PHONE
CONTACT PERSON EMAIL
ADDRESS
STREET/PO BOX
CITY, STATE
ZIP

INTERVIEWER - OR BOARD

MEMBER NAME(S)

POSITION APPLIED FOR/
TITLE/JOB NUMBER
SPECIFIC NOTES/DISCUSSION POINTS
Completion

3rd BUSINESS NAME
BUSINESS LOCATION
STREET/PO BOX
CITY, STATE
ZIP
JOB TITLE
DATES OF EMPLOYMENT (MM/YY)
FROM
TO
MO
YR
MO
YR
MAJOR ACCOMPLISHMENTS/DUTIES
3rd TITLE OF CERTIFICATE / LICENSE
WHERE OBTAINED / ISSUED
MO
YR
DATE OBTAINED (MM/YY)
3rd INSTITUTION NAME
INSTITUTION LOCATION
STREET/PO BOX
CITY, STATE
ZIP
MAJOR
MINOR
TYPE DEGREE AWARDED
DATE DEGREE AWARDED
PROJECTED COMPLETION DATE
OTHER NOTES: GPA, CUM LAUDE, ETC.
OTHER COMMENTS:
3rd NAME OF ORGANIZATION
STATUS (MEMBER, OFFICER, TITLE)
SPECIFIC CONTRIBUTIONS / RECOGNITIONS
3rd NAME
ADDRESS
STREET/PO BOX
CITY, STATE
ZIP
PHONE
HM
CELL
EMAIL
TITLE
BUSINESS NAME
PROFESSIONAL OR PERSONAL?
3rd TYPE LETTER REQUIRED
(COVER, THANK YOU, ETC)
BUSINESS NAME

CONTACT PERSON /

HIRING AUTHORITY NAME

CONTACT PERSON JOB TITLE /
POSITION IN COMPANY
CONTACT PERSON PHONE
CONTACT PERSON EMAIL
ADDRESS
STREET/PO BOX
CITY, STATE
ZIP

INTERVIEWER - OR BOARD

MEMBER NAME(S)

POSITION APPLIED FOR/
TITLE/JOB NUMBER
SPECIFIC NOTES/DISCUSSION POINTS
Congratulations! If you have completed the form above, and attached any additional information, you have completed the first step in the preparation of your professional résumé presentation. Please hit the submit button to transmit your information to Parker-CPRW.

Uploads

If you have additional information for any of the sections above, please attach a simple word document. Be sure and label your information by section; such as employers, certifications, educational institutions, references, etc.

 




Please attach your current or previous résumé here. This is optional!

 

 

 

 

 

IMPORTANT NOTE: If you wish to upload a document, please label your file as follows: FirstNameLastName_Date.

For example: JohnDoe_August20_08. If you do not correctly name your documents, we will not know which document belongs to which person. Also, the file upload only accepts documents that do not have the same name as a file that has already been uploaded. By following the naming scheme outlined above, this prevents that from happening. If you do try to upload something of a file name that already exists ALL of your previously entered data will be erased.

 

For your records - If you would like to have a copy of your completed questionnaire, please send a quick email to me through the contact page.