3972 Barranca  Parkway, Suite J279, Irvine, CA 92821  
Office-714-255-0954    /   Fax: 714-255-0194 
 
We look forward to working with you.  We have found that your answers to the following questions will ensure the role we play in your career change is a positive one. Please complete and return immediately. Also, if you have not sent your resume direct to us as a Word doc or .RTF file attachment, please do so now too.


Full Name
Primary Email Address
Reason for job change (be as specific as possible)
Type of position wanted

Will you relocate?

Location(s) desired
Will consider these areas
Will not consider these areas
How much relocation assitance ($) will you need
What amount of overnight travel is acceptable
When can you start?
Current base pay ($/hr)
Other current compensation
Desired pay ($/hr)
Minimum Acceptable
Current Housing Situation (Rent/Own)
List other contact info if not on resume
Emergency Contact and Phone #
How were you referred to CEC
Are you authorized to work in the United States
If a hiring company does a background check on you, is there any negative information there? (If yes, please explain)
Current activity regarding any other job interview and/or job offers
What languages do you speak?
Should we get your approval prior to contacting any prospective employers
Can we post your resume on our website with your name?
   
  
    

 
   
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