Job Search and Placement Assistance
REGISTRATION AND DATA FORM

We will make every effort to contact each qualified applicant as soon as we receive the form.
Donnelson & Bond Recruiting is a company-fee-paid firm, so there is never any cost to you.

The information contained in this form will be used for the sole purpose of arranging potential employment matches.

TO BE SURE YOU ARE SEEING THE MOST RECENT VERSION OF THIS FORM, PLEASE CLICK "REFRESH" OR "RELOAD" ON YOUR BROWSER MENUBAR.

REQUIRED FIELDS are indicated by red text.
Your form will be ignored if required information is left blank.
CONTACT INFORMATION
The information requested in this form is used to help us determine your qualifications for the specific job you may have seen posted, as well as any new or unlisted jobs that may be a match. Many of our placements are made as a direct result of specific information from this form. Several of these placements have occurred weeks or even months after the original submission, since we continually search through new and previous submissions as each new job order arrives.
Your Name (required)

Email (required)
Street Address

Address 2

City, State
Postal Code
Country (if not U.S.)
Home Phone (required)
Office Phone
Mobile phone
Pager
Fax
Do you rent or own your home?
(required)
Rent
Own
Select your Citizenship status (required)
EMPLOYMENT
Are you currently employed?
(required)

Yes  No
Most recent BASE salary
NOT including OT or bonus (required)

(in U.S. $)
Most recent actual Overtime pay
(in U.S. $)
Most recent actual Bonus
(in U.S. $)
Name and location of your
most recent employer (required)

Dates of employment there (required)
Company Product(s) (required)
Company/Facility size

What are your salary expectations?
Please elaborate.

Most recent position/title (required)
Most recent job duties
Reason for leaving last job OR
motivation for pursuing a new job (required)

What type of position(s) are you looking for (required)
What professional goals do you wish to address?
Do you have a preferred industry or industries?
Any additional comments
Please list any language skills you may have
LOCATION PREFERENCES

Are you willing to relocate NATIONWIDE? (required field) YES (Click HERE to skip to the next section)
NO (Please choose your locations below)

IF YOU SELECTED "NO" TO NATIONWIDE RELOCATION,
PLEASE CHOOSE YOUR DESIRED LOCATIONS BELOW.

Please select ONLY the states that you will consider as relocation options.
We WILL NOT consider you for any job in locations you do not select.

You may choose by regions (i.e. Midwest, Southeast, etc.) and/or by individual states.
Click HERE for a U.S. map to assist you.


No relocation, local area only
If you will not relocate, what distance are you willing to commute?

PLAINS - CO, KS, MT, NE, ND, SD, WY Choose by region by checking the boxes to the left, -OR- choose by individual states by checking the boxes in the section below
MIDWEST - IL, IN, IA, KY, MI, MN, MO, OH, WI
SOUTH - AL, AR, LA, MS, NM, OK, TN, TX
SOUTHEAST - FL, GA, NC, SC
MID-ATLANTIC - DE, MD, NJ, PA, VA, WV
NORTHEAST - CT, ME, MA, NH, NY, RI, VT
NORTHWEST - ID, OR, WA
SOUTHWEST - AZ, CA, NV, UT
OTHER - AK, HI

Colorado Kansas Montana Nebraska North Dakota
South Dakota Wyoming
Illinois Indiana Iowa Kentucky Michigan
Minnesota Missouri Ohio Wisconsin
Alabama Arkansas Louisiana Mississippi New Mexico
Oklahoma Tennesee Texas
Florida Georgia North Carolina South Carolina
Delaware Maryland New Jersey Pennsylvania Virginia
West Virginia
Connecticut Maine Massachusets New Hampshire New York
Rhode Island Vermont
Idaho Oregon Washington
Arizona California Nevada Utah
Alaska Hawaii

Do you prefer urban or rural locations? (required field)
Travel on the job (required field)
Specific relocation comments
EDUCATION
Required field - please complete all the information for each degree, most recent first.

Degree Major Grad. Date GPA
Degree #1
Degree #2
RESUME
You can EMAIL your resume, or you may send your resume with this form by following these instructions:
  1. Open your resume file using your word processor program of choice;
  2. Highlight the text, or choose "Select All" from your word processor menu;
  3. Copy the text, using Ctrl-C, or choose "Copy" from your word processor menu;
  4. Return to this window and paste your resume into the space below, using Ctrl-V, or choose "Paste" from the menu.
  5. That's it! This form does not support pasting of files - you must highlight the actual text of the resume and paste it below.
  6. Don't worry if the format is not perfect - we will make all necessary format adjustments.

If you encounter difficulties pasting your resume, click HERE to email it separately.

If you wish, visit our Resume Tips Page to help brush up the form and content of your resume.

SURVEY
Please help us out by telling how you found
our site! What Magazine, Journal, Search Engine,
Web Site link or contact led you to our site?
Please press the Submit button only once!
It may take a few moments for the send function to finish.

By clicking on the Submit button, you are agreeing to have us conduct a job search for you, and to discreetly contact companies and other recruiting offices we work with concerning any job order matching your qualifications and preferences. There is absolutely no cost to you for any of our services.

        

If you experience difficulties with the form,
CLICK HERE for assistance.


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Donnelson and Bond Recruiting LLC, Council Bluffs, Iowa.