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Career History -Form Fill
Section One
Q1
Sign Here: Signature
Q2
Full Name*
First Name
Q3
Full Name*
Last Name
Q4
Employer*
Q5
Starting Date Mo/Yr*
Q6
Final Mo/Yr*
Q7
Location*
Q8
Type of business*
Q9
Description of company*
Q10
Your Title*
Q11
What were your managers expectations of you within that role?*
Q12
Responsibilities/Accountabilities given?*
Q13
What did you find there? (List your Major Challenges)*
Q14
Notable Successes/Accomplishments (How did you achieve them?)*
Q15
Failures/Mistakes (Why did they happen, what would you do differently?)*
Q16
Most enjoyable part of your job? Be descriptive.*
Q17
Least enjoyable part of your job? Be Descriptive.*
Q18
Where did your talents shine in this job? Go into detail.*
Q19
Reasons for leaving this job?*
Q20
What was your supervisors Name*
Q21
What was your supervisors Title*
Q22
Where is your supervisor now?*
Q23
Do you give us permission to contact?*
Q24
His/Her Strengths*
Q25
His/Her Shortcomings*
Q26
His/Her thoughts on your Strengths
Q27
His/Her thoughts on your Weaknesses
Q28
His/Her thoughts on your overall performance rating
Q29
Responsibilities/ Accountabilities given?*
Q30
What did youfind there? ( List your Major Challenges )*
Q31
Notable Successes/Accomplishments ( How did you achieve them? )*
Q32
Faliures / Mistakes ( Why did they happen, what would you do differently? )*
Q33
Supervisors Name*
Q34
Supervisors Title*
Q35
Where is your supervisor now*
Q36
Permission to contact?*
Q37
His/Her thoughts on your Strengths*
Q38
His/Her thoughts on your Weaknesses*
Q39
His/Her Overall performance rating of you? 1-10*
Q40
Responsibilities/Accountabilities?*
Q41
Found (Major Challenges)*
Q42
Most enjoyable part of your job? Be Descriptive*
Q43
Least enjoyable part of you job? Be Descriptive*
Q44
Where did your talents shine in this job? Go into detail*
Q45
What was your supervisors title*
Q46
Strenghts
Q47
Weaknesses
Q48
Overall performance rating 1-10*
Q49
What are you looking for in your next job?*
Q50
What are other job possibilities, and how do you feel about each one?*
Q51
Describe your ideal position and what makes it ideal*
Q52
How does this opportunity square with your ideal position? What do you view as opportunities and advantages as well as risks and disadvantages in joining us?*
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