Experience |
 |
| Client #1 |
|
|
| Primary Responsibilities: |
|
|
| Accomplishments: |
|
|
| Compensation (annual salary, hourly rate or project fee): |
| Bonus: |
|
| Project Duration: |
| From: To: |
|
 |
 |
|
| Client #2 |
|
|
| Primary Responsibilities: |
|
|
| Accomplishments: |
|
|
| Compensation (annual salary, hourly rate or project fee): |
| Bonus: |
|
| Project Duration: |
| From: To: |
|
|
|
|
| If you have been a consultant for longer than one year, please describe additional projects on which you have worked: |
|
|
| Please briefly indicate the types of positions and/or consulting assignments for which you feel you are best suited: |
|
|
| |
Education |
|
| Please list the degree(s) received, school name and year awarded: |
 |
|
|
| |
Certifications or Professional Credentials Awarded |
|
| Check all which apply: |
|
|
| |
Language Fluency |
|
| Please check all languages in which you are fluent in either oral or written communication: |
|
|
| |
Systems Expertise |
|
| Please check any systems areas (in column 1) where you are qualified to act as a consultant or part of a technical project team. |
|
| For IT recruitment professionals, please indicate (in column 2) in which areas you have recruited professionals |
|
|
|
|
|
|
|
|
|
|
|
|
| |
Employment Preferences |
|
| Please rate in order of preference: (1 being the highest, 6 being the lowest) |
|
| Permanent part-time employment |
|
| Regular full-time employment |
|
| Full-time consulting work |
|
| Part-time consulting work |
|
| Project work leading to full-time employment |
|
| Consulting from home office only |
|
|
| |
Locations |
|
| What locations are acceptable? Check all that you will consider: |
|
|
|
| |
Compensation |
|
| Hourly billing rate range: |
| Minumum Acceptable : $ to preferred: $ |
|
| Our candidates typically bill our clients, directly, on a 1099 basis. However, if the client requires a W-2 arrangement, would you be willing to work on a W-2 basis as a temporary employee? |
|
|
|
| |
Professional References |
|
| Once you have been chosen for a specific project/position, we contact your professional references. |
|
|
|
| |
Additional Comments |
|
| Please enter additional comments here: |
|
|
| |
| Notice: |
| By clicking on the button below, I hereby confirm that the information
stated above is accurate, to the best of my knowledge.
It also authorizes Executive Options to contact my references when
I am being selected for a project/position.
|
| |
|
|
