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EDUCATION
Name of Company:
Position:
Duties (Summary)
Reason for leaving previous positions (refer to CV for details of previous positions)
Other:
Reporting structure:
Strengths:
Weaknesses:
On a scale from 1 to 5: How likely are you to accept a counter offer from your current employer (1 being Least Likley and 5
Most Likely)
Have you accepted a counter offer before? Elaborate:
Where else have you been for interviews or submitted your CV to in the last 3 months?
If given a choice, where would you want to work, name 3 companies that we could market you to? Why
Salary Required
Current Salary / Benefits Included (TCTC): (TCTC):