Join Our Team Part Two

Name

Email*

Work History

Company Name

Company Address

Street Address Address Line 2 City State ZIP Code

Company Phone

Position/Title

Start Date

End Date (Leave blank if still employed)

Compensation

Starting Salary

Select One

Hourly
Weekly
Monthly
Annual

Ending Salary

Select One

Hourly
Weekly
Monthly
Annual

Manager and Performance Information

Manager Name

Manager Title

What is your best guess as to how this manager would rate your overall performance?

Other Information

What did you like most about this job?

What did you like least about this job?

If you are leaving (or have already left) this position, was the reason for leaving?

100% Mine
Mutual
100% Theirs (terminated)
Not leaving the company

Reason for leaving

Please be aware that prior to a job offer, you may be required to arrange an interview with your previous boss/supervisor. May we conact your employer? (select one)

Yes
Not at this time
Never

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