Job 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.

*Required fields are marked by an asterisk

Personal Information

Full Name*

Email*

Mobile Phone*

State of Residence*

select

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 in 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*

select

I am authorized to work in the U.S. for any employer now and in the future*

select

I require work authorization to work in the U.S. either now or in the future*

select

Have you ever been convicted of a felony?*

select

If yes, please explain:

Have you ever been convicted of a misdemeanor?*

select

If yes, please explain:

Reference Information

(Please list 2 peers and 2 managers or subordinates)

Reference 1

Type*

select

Name*

Title*

Company*

Mobile Phone*

Email*

Reference 2

Type*

select

Name*

Title*

Company*

Mobile Phone*

Email*

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RJ BYRD SEARCH GROUP
4201 Spring Valley Rd Suite 350
Dallas, TX 75244
214.343.1700
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