Topgrading Career History Form – Fill Out and Use

Supervisory

Name & title of

responsibility

immediate supervisor

What did you like most about your job?

What did you least enjoy?

Reasons for leaving

C. Firm

Address

City

State

Zip

Phone (

)

Kind of business

Employed from

To

(show months as well as years)

Base

$

Initial

Final total

Bonus

$

Title

compensation $

compensation $

Other

$

Supervisory

Name & title of

responsibility

immediate supervisor

What did you like most about your job?

What did you least enjoy?

Reasons for leaving

Other Positions held:
						Date (mo/yr)			Compensation
		a. Company		a. Your title		a. Began			a. Initial		a. Type of work
		b. City		b. Name of supervisor		b. Left			B. Final		b. Reason for leaving
D. a.							$
b.								$
E. a.							$
b.								$
F. a.							$
b.								$
G. a.							$
b.							$

Indicate by letter

any of the above employers you do not wish contacted.

II. MILITARY EXPERIENCE:

If in service, indicate branch

Date (mo/yr) entered

Date (mo/yr) discharged

Nature of duties

Highest rank or grade

Terminal rank or grade

III. EDUCATION:

High School 1

2 3 4

College/Graduate School 1 2 3 4 5 6

7 8 (Circle highest grade completed)

A. High School

Name of High School

Location

Approximate number in graduating class

Rank from the top

Final grade point average

(A =

)

Extracurricular activities

Offices, honors/awards

Part-time and summer work

College/Graduate School

				Grade	Total	Extracurricular
				point	credit	activities, honors
				average	hours	and awards
	Dates
Name and location	From	To	Degree	Major
				(A=___)
				(A=___)

(A=___)

What undergraduate courses did you like most? Why?

What undergraduate courses did you like least? Why?

How was your education financed?

Part-time and summer work

Other courses, seminars, or studies

IV. ACTIVITIES:

Membership in professional or job-relevant organizations (You may exclude groups that indicate race, color, religion, national origin, disability, or other protected status.)

Publications, patents, inventions, professional licenses, or additional special honors or awards

What qualifications, abilities, and strong points will help you succeed in this job?

What are your weak points and areas for improvement?

V. CAREER NEEDS:

Willing to relocate? Yes No If no, explain

Amount of overnight travel acceptable

What are your career objectives?

VI. OTHER:

Do you have the legal right to work for any employer in the United States?		Yes		No
Have you ever been convicted of a crime (other than a minor traffic violation)?		Yes		No
If so, explain

I certify that answers given in this Topgrading Career History Form are true, accurate and complete to the best of my knowledge. I authorize investigation into all statements I have made on this Form as may be necessary for reaching an employment decision.

In the event I am employed, I understand that any false or misleading information I knowingly provided in my Career History Form or interview(s) may result in discharge and/or legal action. I understand also that if employed, I am required to abide by all rules and regulations of the employer and any special agreements reached between the employer and me.

Signature

Date

COMMUNICATION IS CRUCIAL TO SUCCESS. AS SUCH IT IS IMPORTANT THAT OUR CANDIDATES HAVE CLEAR AND CONCISE WRITING SKILLS. WE ASK THAT EVERY CANDIDATE HANDWRITE A BRIEF RESPONSE TO THIS QUESTION:

WHY ARE YOU CONSIDERING LEAVING YOUR CURRENT POSITION?