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Career History Form

Name: Tax Samaritan
Price range: $$

This information will not be the only basis for hiring decisions. You are not required to furnish any information that is prohibited by federal, state or local law.

Career History Form

Name*
First Middle Last Suffix
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Position applied for*
Annual earnings expected $*
Business Experience
Please start with your present or most recent position
A. Firm*
City, State/Province, Country*
Phone*
Kind of business*
Starting Date (mo/yr)*
Ending Date (mo/yr)*

If still employed, enter “Present”
Title*
Total Compensation (Starting)*
Total Compensation (Ending)*
Name of immediate supervisor*
What do (did) you like more about your job?*
What do (did) you least enjoy?*
Reasons for leaving or desiring to change*
B. Firm*
City, State/Province, Country*
Phone*
Kind of business*
Starting Date (mo/yr)*
Ending Date (mo/yr)*

If still employed, enter “Present”
Title*
Total Compensation (Starting)*
Total Compensation (Ending)*
Name of immediate supervisor*
What do (did) you like more about your job?*
What do (did) you least enjoy?*
Reasons for leaving or desiring to change*
Activities
Membership in professional or job-relevant organizations*
Professional licenses, special honors or awards*
What qualifications, abilities and strong points will help you succeed in this job?*
What are your weak points and areas for improvement?*
Other
Would you be willing to arrange reference calls with supervisors you've had in the past as a last step before a final job offer?*
Accuracy*
I certify
I certify that the answers given in this Career History form are true, accurate and complete to the best of my knowledge. I authorize investigation into all statements I have made on the Firm as may be necessary for reaching an employment decision.

I understand that I may be asked to arrange reference calls with managers I’ve worked for.

In the event I am employed, I understand that any false or misleading information I knowingly provided in my Career History Form or interview(s) may result in discharge and/or legal action.

I understand that if employed, I am required to abide by all rules and regulations of the employer and any special agreements reached between the employer and me.
Please upload a copy of your resume*
Max. file size: 50 MB.
Name
This field is for validation purposes and should be left unchanged.

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Career History Form

Career History Form

Business Experience

Activities

Other