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

Reference 3
Type
select
Name
Title
Company
Mobile Phone
Email

Reference 4
Type
select
Name
Title
Company
Mobile Phone
Email

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4201 Spring Valley Rd Suite 350
Dallas, TX 75244
214.343.1700
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