CLARENCE RICHARD COMPANY 3624 SUSSEX PLACE , MINNETONKA, MN 55345
TOLL FREE 800-372-7731 FAX 612-938-3304 email web WWW.croc.net
Candidate Name______Title______SSN______Address______City______
Home phone______Work phone______Fax______Home-Own___Rent__
HOME: what days and times , if any, may we contact you there? ______
WORK: what days and times , if any, may we contact you there? ______
Position Wanted ______Are you sending us a resume’?______
Job duty expectations at:
spring startup______
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construction season______
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winter shutdown______
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Salary/Wage Range______
What kind of vacation or lay off time is important to you?______
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How many mile radius from home will you travel for work?______Are you willing to relocate?_____
If so, where is desirable?______
Where are you not willing to relocate to?______
Starting date; desired when?______What is earliest acceptable starting date?______
Education :High school______location______If graduated, when?___
Technical school______location______years____If graduated when?___
Course title______, course description______
Technical school______location______years____If graduated when?___
Course title______, course description______
College______location______years____If graduated when?___,
Course title______, course description______College______location______years____If graduated when?___,
Course title______, course description______
What pieces of equipment or tasks are you certified, qualified or proficient at doing? ______
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Work history starting with most recent employer
1) Employer______, Office location ______May we contact them?_____
If no, why? ______
If yes, write in contact name______, Title______, Phone number______
Start salary/wage$______per____End Salary/Wage $______per____Start Date_____End____
Job description when hired______
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Job description before leaving______
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What did you like about the job and people?______
______
What did you not like about the job and people?______
Why did you leave?______
2) Employer______, Office location ______May we contact them?_____
If no, why? ______
If yes, write in contact name______, Title______, Phone number______
Start salary/wage$______per____End Salary/Wage $______per____Start Date_____End____
Job description when hired______
______
Job description before leaving______
______
What did you like about the job and people?______
______
What did you not like about the job and people?______
______
Why did you leave?______
______
3) Employer______, Office location ______May we contact them?_____
If no, why? ______
If yes, write in contact name______, Title______, Phone number______
Start salary/wage$______per____End Salary/Wage $______per____Start Date_____End____
Job description when hired______
______
Job description before leaving______
______
What did you like about the job and people?______
What did you not like about the job and people?______
Why did you leave?______
4) Employer______, Office location ______May we contact them?_____
If no, why? ______
If yes, write in contact name______, Title______, Phone number______
Start salary/wage$______per____End Salary/Wage $______per____Start Date_____End____
Job description when hired______
______
Job description before leaving______
______
What did you like about the job and people?______
What did you not like about the job and people?______
Why did you leave?______
5) Employer______, Office location ______May we contact them?_____
If no, why? ______
If yes, write in contact name______, Title______, Phone number______
Start salary/wage$______per____End Salary/Wage $______per____Start Date_____End____
Job description when hired______
______
Job description before leaving______
______
What did you like about the job and people?______
What did you not like about the job and people?______
Why did you leave?______
CANDIDATE CRCO RECRUITERS SERVICES EMPLOYMENT
DEAR PROSPECTIVE EMPLOYMENT CANDIDATE:
Welcome to an industry of many challenging opportunities. Along with the fascination and personal growth that undertaking opportunities have come risks of many types.
You must understand the agreement you make with a potential employer is between you and the employer only. Clarence Richard Company (C R Co.) shall not to be liable for any misunderstandings , misdeeds, misrepresentations between employer and employee. Any agreement between them concerning compensation and expenses of any type is no concern to Clarence Richard Company (other than Employer Paid Fee) and it is agreed that C R Co. shall not be held liable for any damages incurred by either party.
It is to your benefit to have in writing any and all important terms of your agreement signed and dated by both you and your future employer. We find this will help both parties have a more lengthy and successful relationship.
We look forward to helping you shop for opportunities to your future.
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AGENT DATE
I, the prospective employment candidate have read and understand the above and assume all risks with future employment opportunities furnished by Clarence Richard Company.
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Print Name Sign Name and Date if you agree to the above