APPLICANT DATA SHEET

Complete this form if you are interested in job opportunities available through Career Planners, Inc. A CPI representative will contact you to discuss job placement options.


PERSONAL

Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email:


POSITION DESIRED

Position Desired:
Location Desired:
Salary Requirements:
Benefits Required:
Presently Working?yesno
Open to Temping?yes


EDUCATION/SPECIAL SKILLS

Education/Degree:Major:Year:
Education/Degree:Major:Year:
Education/Degree:Major:Year:
Computer Skills:
Languages:
Special Skills:


WORK HISTORY

Employer:
Industry:
Position:
Total Salary:
From:To:
Reason For Leaving:
Comments:
Employer:
Industry:
Position:
Total Salary:
From:To:
Reason For Leaving:
Comments:


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