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: *

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: *

I am authorized to work in the U.S. ONLY for my present employer: *

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

Have you ever been convicted of a felony? *

If yes, please explain:

Have you ever been convicted of a misdemeanor? *

If yes, please explain:

Upload Resume

File Upload:

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.