2. 

4. Important Instructions!

   Please complete as much of this information as possible, going back 10 years. Use as much space as you need and be as thorough as you can in providing information. The more thorough you are, the better the outcome will be for your résumé. Please note that all of your information may not be used for your résumé. Please note, that any field with an * must be completed.

6. First Name*
7. Last Name*
9. Phone number*
10. Email address*
12. How would you prefer your consultation to be conducted?*
    -- Select One --PhoneVirtual platform
14. Which staff member referred you to this service?*

    1. Mike Bozeth
    2. Pam Elliott
    3. Charletta Gore
    4. Racquel Johnson

    1. Karen McClelland
    2. Shelly Rodriguez
    3. Stephanie Wolo
16. LinkedIn URL
18. 3 PRIVATE SECTOR Target Job Titles and Links to sample jobs of interest
20. 1. Position Title:*
21. 1. Position Link*

    This needs to be a web link directly to the position title listed.

23. 2. Position Title:*
24. 2. Position Link*

    This needs to be a web link directly to the position title listed.

    
    

26. 3. Position Title*
27. 3. Position Link*

    This needs to be a web link directly to the position title listed.

    
    

29. Please list the executive skills you consider to be your biggest strengths that have helped you to be successful in your career. Some examples below:

    Strategic Visioning Change Leadership/Change Management Organizational Redesign Operational Efficiency/Effectiveness Team Leadership/People Development

    Cross-functional Communication Financial Forecasting/Resource Allocation Project Leadership Workforce Planning Technology Strategy

31. List your executive skills here:*
33. Please summarize the scope of responsibilities & duties of your last three (3) positions; highlighting your key accomplishments. (Do NOT write "See Resume")
35. Please provide a general description of your position

    Including:

    1. The number of people you managed, main responsibilities and budget information. 

    2. List at least FIVE major accomplishments, successful projects, new systems and/or processes you designed or implemented and list executive leadership skills associated with each.

    Example: 

    • Oversaw creation of promotional materials, tailored social media campaigns, and impactful digital marketing strategies, achieving a 20% increase in event attendance.
    • Led and managed product, content management, and integrated omni-channel B2B/B2C projects, showcasing over 10 years of project management and business analysis experience.
    • Implemented inbound marketing strategies on various social media platforms, including Facebook, Twitter, Instagram, LinkedIn, TikTok, Reddit, and Course Report.

     3. List areas where you FACILITATED or COORDINATED.

37. 1st Position*
39. 2nd Position*
41. 3rd Position*
43. Employment History

    Please list as many jobs below that covers the last 10 years, beginning with your most recent employment. If this information is already on your current résumé, you can skip this portion of the form.

45. You must include your MOST recent employment
47. JOB #1 (Your current/most recent job)
49. Organization Name
50. Organization City/State
52. Job Title
53. Month & Year JOB #1 started and ended
54. Started
55. Ended
57. JOB #1 description here
59. JOB #2 (The job you held before JOB #1)
61. Organization Name
62. Organization City/State
64. Job Title
65. Month & Year JOB #2 started and ended
66. Started
67. Ended
69. JOB #2 description here
71. JOB #3 (The Job you had before JOB #2)
73. Organization Name
74. Organization City/State
76. Job Title
77. Month & Year JOB #3 started and ended
78. Started
79. Ended
81. JOB #3 description here
83. #1 - University/College Name
84. University/College City & State
86. Major/Minor
87. If degree is incomplete, how many credit hours have you completed?
88. If degree is incomplete, how many total credit hours do you need to complete to earn degree?
90. #2 - University/College Name
91. University/College City & State
93. Major/Minor
94. If degree is incomplete, how many credit hours have you completed?
95. If degree is incomplete, how many total credit hours do you need to complete to earn degree?
97. Résumé - upload your current resume here
99. List anything else we might want to know about your, your career, certifications, etc.
Leave This Blank:


101. 1. Receive an email copy of this form.
102. Email address

     This field is not part of the form submission.

103. Submit

* indicates a required field