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candidate information center
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Management Recruiters Home Page

Candidate Data Form

Please send Resume by
E-mail as a MS Word attachment or
Fax to 859-236-0488
Name:
(REQUIRED TO SEND FORM)
Address:
City:
State:
ZIP Code:
Home Phone:
Work Phone:
Email Address:
(REQUIRED TO SEND FORM)
Job Order Number(s)
Are you currently employed?
If unemployed, what was your last day of work?
Name of current or last employer:
Location (City/State):
What do they manufacture?
Current Job Title:
Current Salary: Base $
Bonus $
Total W-2 $
Education: Degree?
Other training?
Marital Status:
Children:
Ages:
Spouse's Occupation:
Home: Own or Rent?
Hometown:
What motivated you to make a job change?
What do you like about your current job?
Are you willing to relocate?
What are your top three choices?
1.
2.
3.
Open to Anywhere
Please list three references
(One previous supervisor and two peers)
1. Name
Company
Title
Phone
2. Name
Company
Title
Phone
3. Name
Company
Title
Phone

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Management Recruiters of Danville, Kentucky
140 Stonecrest Road Suite 202
Shelbyville, KY 40065
502-633-4002
502-633-4944 Fax
staci@mriky.com

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