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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*
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Oklahoma
Texas
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
Yes
No
I am authorized to work in the U.S.
ONLY
for my present employer*
select
Yes
No
I require work authorization to work in the U.S. either now or in the future*
select
Yes
No
Have you ever been convicted of a felony?*
select
Yes
No
If yes, please explain:
Have you ever been convicted of a misdemeanor?*
select
Yes
No
If yes, please explain:
Reference Information
(Please list 2 peers and 2 managers or subordinates)
Reference 1
Type
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Peer
Manager
Subordinate
Name
Title
Company
Mobile Phone
Email
Reference 2
Type
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Peer
Manager
Subordinate
Name
Title
Company
Mobile Phone
Email
Reference 3
Type
select
Peer
Manager
Subordinate
Name
Title
Company
Mobile Phone
Email
Reference 4
Type
select
Peer
Manager
Subordinate
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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