Questionnaire
Please answer the following questionnaire. Upon completion of these questions, you may be contacted by an RJ Byrd representative for further assistance in your job search.
Personal Information
*Full Name:
*Cell Number:
*Primary Email:
*Home Number:
Secondary Email:
Work Number:
Who is your RJ Byrd contact?
How did you learn about RJ Byrd?
Positions
*Why are you leaving your current position?
What positions are you targeting your job search?
Important factors in a new position include:
Compensation
*Current base salary:
*Current total incentives:
*Base salary seeking:
*Total incentives seeking:
Employment Eligibility
*I am authorized to work in the United States solely for my present employer.
*I am authorized to work in the United States for any employer.
*I require work authorization to work in the United States.
*Have you ever been convicted of a felony?
If yes, please explain:
*Have you ever been convicted of a misdemeanor?
Reference Information (Please list 2 peers and 2 managers or subordinates)
Name
Title
Company
Cell Phone
Email
Type
Paste your resume here:
I certify that the information contained in this questionnaire is true and accurate to the best of my knowledge. I understand and agree that misrepresentation or falsification of any part of this questionnaire may cause for withdrawal any candidacy, offer of employment or immediate termination of employment with RJ Byrd.
Blue fields and those marked with an asterisk (*) are required.
