The more we know about you, the better we can serve your needs.

Personal Information
First Name M.I.  Last Name 
Street Address   Address (cont.)
City State/ Country ZIP/Postal Code
Home Phone   Work Phone
Country USA Other:   Province:
    Are you legally authorized to work in any company in the United States?  Yes  No

    I understand that Norseman Recruiting reserves the right to verify all information on this form as well as on my resume. Yes  No  

    Are you working in conjunction with a Search Firm?  Yes  No

Do you have a Bachelors Degree?  Yes  No College Attended
Major   Other  
Do you have an Associates or Technical Degree? Yes No
School Attended  

Current Employment
Are you currently employed? Yes  No Employer  
Title   From  To  (MM/YY)

Enter all numbers in U.S. dollars only please.
Total Yearly Compensation(include Base, Bonus, Commission)$
  Base Salary $
  Bonus $
  Commission $
  Other $

In your current job, do yo have management responsibilities?  Yes  No
If yes, how many years experience do you have? 

Are you open to relocation?  Yes  No   If yes, where: 

Please list your current responsibilities broken down by percent of time (to equal 100%):
Responsibility   % (Percent)

If you have an updated resume, please paste it below:

If you have already posted your current resume, you may the next section.

Previous Employment
(Please fill in the name of the employer, your req title, the dates you worked (MM/YY), from present to past.)
From To: 
Total Yearly Compensation:
Reason for Leaving:


From To: 
Total Yearly Compensation:
Reason for Leaving:


  Cover Letter
You may enter or paste a cover letter below.

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