Leadership Career Surveys Step 1 of 5 20% Professional Selection & Career QuestionnaireName First Last DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current TitleHome PhoneCompanyEmail Skype IDAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell Phone Thank you for your interest in our client’s executive opportunity. You have been selected to advance to the next level in our selection process. To assist us in better representing and counseling you, please rate your skills and confidence in each of these areas (5 = highest), and then explain your self-rating in the response column, which is the more important column. Your comments arm us to build your candidacy for our search project. QualificationsExperience in marketing of services? Ratings12345Entrepreneurial experience? Ratings12345Business development experience? Ratings12345Sales experience? Ratings12345M & A experience? Ratings12345Working bilingually? Ratings12345Experience in Product Management Ratings12345PR/Creative Marketing experience? Ratings12345Market research? Ratings12345Experience translating products to retail customer, selling, customer resolution, etc. Ratings12345 Overview: "My Story & My Life!"Top StrengthsList 3 or More Greatest Career AccomplishmentsList 3 or More Values/Principles in LifeWhat values are most important to you in your life? On what basis do you make decisions? Take your time and be as accurate as you can. (Please list your top 7 Principles in life. Prioritize them if you can.) Priorities in LifeWhere do you invest your time? What is most important to you? (Please list your top 7 Priorities in Life. Prioritize them if you can). Describe your team style. Reputation? What would colleagues say about you? My Career Plan:Why move now? Career Goal: Industry desired: Company Environment desired: Relationships desired: boss, peers, staff, subordinates, etc.? Function desired: (job title, role) Location Desired: Travel/Lifestyle/Hours: Compensation: Base:Bonus:Equity:Last:Expected:Minimal considered: Professional References: (Boss, subordinate, peers)NameTitle, CompanyPhoneRelationship at: Share this:EmailPrintTwitterFacebookLinkedInMoreGoogleRedditTumblrPinterestPocket