CANDIDATE DATA FORM

Name:

Daytime Phone Number:

Evening Phone Number:

When is the best time/day to contact you?

e-mail address:

Address:

Apt.#:

City:

State:

Zip:

EXPERIENCE

Package

Role

Focus

Additional

(SAP, i2, Oracle, etc...)

(Functional, Tech, Manager, Partner, etc...)

(main module expertise, management, proposal, etc...)

(other relevant package experience, other modules, etc...)

Brief History

Package years:

Industry:

Industry Yrs.:

# of Implementations:

Company(s):

Configuration Exp.: YES NO

Modules:

Management Exp.: YES NO	Describe:
Certifications:	Relevant Training Courses:

TRAVEL/RELOCATION

Willing to relocate: YES NO

Willing to travel 50% - 100% (as needed):

Issues (with relocation or travel):

Are you legally authorized to work in the United States: YES NO

New:
Transfer:

How many years remain on visa?

COMPENSATION

Current Compensation:

Bonus/Other:

Desired Compensation:

ADDITIONAL INFORMATION

What are you looking for in your next position? Please specify what technical or focus area, and role are you interested in.

What challenges would you like in your new position.

Are you actively searching for a new position or getting a feel for what the market can offer you?

What would motivate you to change employers?

How soon would you be available to start if you were offered a position?

COMMENTS