Please take a few moments to fill out the candidate profile questionnaire below. This questionnaire provides us with valuable information about you as a potential candidate that we can utilize in matching your qualifications to our search assignments. It is also helpful in communicating your interests and needs in your job search to us so that we may, more effectively, identify a search that may suit those needs. Please also let us know your preferred means of contact; whether via phone or email, as well as if you'd like to be contacted at home or at the office. All information sent to us will be kept in strict confidence. Thank you for your interest in our firm and we wish you luck in your career endeavors.

Contact Information
Name:
Title:
Company:
Work Address:
City/State/Zip:
Work E-mail
Work Phone
Work Fax
Home Address:
City/State/Zip:
Home E-mail
Home Phone
Cell Phone
I would prefer to be contacted: via e-mail via phone
I would prefer to be contacted: at work at home
I would be willing to relocate to: ,
Speciality (Please check all that apply)
Advertising & Promotions Human Resources
Wall Street Financial Analyst Internal Comms./Web Comms.
Corporate Relations Issues Mgmt-.Labor/Environ./Manuf.
Community Relations Journalism (Print & Broadcast)
Crisis Communications Labor Relations Communications
Diversity Responsibility Marketing Comms.
Direct Mail Marketing
Ethnic Marketing/Public Relations Media Relations
Editorial Services/Writer Public Affairs/Government
Finance/CFO/Treasury/Corp.Development Professor
Finance Pub. Rels-Comms. Inv. Rels. Reputation Management
Finan.Pub.Rels./Fin.-Driven Inv. Rels. Sales
Fundraising Strategic Planning & Dev.
International/Global Speechwriter
Executive Search/Head Hunter Video Communications
Industry (Please check all that apply)
Academic/Education Military
Advertising Agency Metals/Oil/Mining/Paper
Aerospace/Defense Medical Products
Agriculture Non-Profit
Automotive Pharmaceutical
Biomedical/Biotech Public Relations Agency
Chemical Public Sector/Government
Consumer Products Publishing
Engineering (non-defense) Real Estate
Entertainment Retail/Fashion
Environment Service Firms (legal & accting)
Financial Services, Invest. Banking Sports
Health Care/Ins. Provider Telecommunications
High Tech/Comp/eCommerce & New Media Transportation
Insurance Provider Travel/Hotels
Manufacturing Utilities (electric, water, energy)
Print & Broadcast Venture Capital
Organization Type (Please check all that apply)
Academic Member of News Media/Journalist
Advertising Agency Association, Non-Profit
Corporate Communications Consultant Public Relations Agency
Corporate Public Relations Consultant
Investor Relations Consultant Public Sector/Government
Referred By
ADWeek O'Dwyer's
Council of Communication Management Public Relations Society of America
Hunt-Scanlon (Mo/Yr) PRWeekly
International Association of Business Communicators PR & Corporate Communication Studies Yearbook
National Investor Relations Institute    
Individual Other
Compensation
Enter your annual base compensation in thousands (000s)
K
Enter your annual bonus as a percent (%) %
Do you receive stock options? Y N
Additional Comments: