Candidate Resources : Background Information Form

Once you have registered with our firm and are actively pursuing opportunities, your Recruiting Manager may request that you fill out this electronic form giving us additional insight into your background.

Please print clearly. 
Name  (Last)
Name (First)
Middle
Nickname
Present Address
City
State
Zip
Telephone
Permanent Address
City
State
Zip
Telephone
E-Mail Address   
Mobile telephone number
Are you currently authorized to work in the U.S.?   
         
If your work authorization is based upon a nonimmigrant visa (e.g., F-1, G-1, H-1, TN, B-1, E-1), please list your visa classification:
Have you ever been convicted of a felony or misdemeanor agreement  or any other agreement to restrict your employment? 
         
If yes, please explain:
POSITION INTERESTS
Have you previously applied to our firm for a position?  
If Yes, (Year) and (Office) 
I am primarily interested in the following functional areas/roles:
City Location Preference(s):  1st Choice 2nd Choice
Please describe interest in your 1st Choice:
Please describe interest in your 2nd Choice:
How did you hear about Shikare? Salary Expectation
Are you willing to travel? Travel Expectations:
 
EMPLOYMENT HISTORY
Current/Most Recent Employer
Position Title
Reporting To
Address
Dates Employed
Phone Number
Nature of duties
May we contact employer?
Compensation $
Discharged or asked to resign?
     
Previous Employer
Position Title
Reporting To
Address
Dates Employed
Phone Number
Nature of duties
May we contact employer? 
Compensation $
Discharged or asked to resign?
     
Professional References                                                     List 3 References. Do not include relatives.
Name
Phone Number
Title or Occupation
Years Known
 
EDUCATION
High School
Undergraduate
Graduate
School Name
University
University
University
City and State
City and State
City and State
City and State
I stood
scholastically in a class of
Attended From
To
Attended From
To
Attended From
To
College Board SAT Scores
English
(200-800)   Math
(200-800)
Composite
(400-1600)
College ACT Scores
English
(1-36)  
Math
(1-36)   
Composite
(1-36)
Degree Mo.& Yr.Of Grad.
Degree    Mo.& Yr. Of Grad.
DegreeMo.& Yr. Of Grad.
Concentration or Major
Concentration or Major
Concentration or Major
Grade Point Averages:

Overall

Major

Grade Point Equivalent of "A”
Grade Point Averages:

Overall

Major

Grade Point Equivalent of “A”
Grade Point Averages:

Overall

Major

Grade Point Equivalent of “A”
Total Hours Accumulated Upon Completion of Final Degree
Total Hours of Accounting Upon Completion of Final Degree

Approximate Number of Hours per Week of Outside Employment During this Academic Year
Test Results, if Taken:
LSAT Total
(120-180)  
GMAT  Verbal

Quantitative

Total
List Computer Classes Completed or In Progress:

Operating Systems (Win95, Win98, Win2000, MacOS, Unix):

Software Applications:

Programming Languages:
 

I here by authorize you to make such investigations and inquiries into my employment and educational history and other related matters, as may be necessary in arriving at an employment decision.  I hereby release employers, schools and other persons from all liability in responding to inquiries connected with my application, and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me on this form. I understand that I have the right to request information about the nature and scope of the reference material you obtain.

I also authorize and consent to the release of my personal information to Shikare, LLC.

* required
* By checking this box, I agree to release my personal information to Shikare, LLC.

All representations by me in this data sheet are true and correct to the best of my knowledge and belief, and I have not knowingly omitted any related information of any adverse nature. Inaccurate information may make me ineligible for employment.

Electronic Signature:  

PLEASE TYPE YOUR FULL NAME ABOVE, THIS WILL BE CONSIDERED YOUR ELECTRONIC SIGNATURE