Career Assessment
First Name:
Last Name:
Address:
(format: xxxxxxxxxx)
Work Phone: Ext:
Home Phone:
Email:
Are you seeking: full-time part-time job share contract/freelance
Have you ever thought of starting your own business? Yes No
If yes, in what area?
Have you considered future education or training? If so, please explain:
Are you currently employed? Yes No
If no, how long have you been unemployed?
How long have you been actively looking for a job?
In your job search, what has worked for you?
What has not worked?
If yes, who is your current employer?
Job title:
Salary: Dates:
Describe your current career situation:
How would you like to make it different?
What are your reasons for a job change?
Number of years completed of formal education:
List degrees and schools:
Did you like your major(s)? Yes No
If no, please explain.
What is your concept of a job or career?
When you were in high school what did you want to do when you grew up?
Did your career plans change after high school? If so, why?
What did your parents want you to do?
What were your parents careers?
Do you have siblings? If so, how many? Sisters: Brothers:
What is your birth order (oldest, youngest, middle)? Birth Order: Oldest Middle Youngest
What are their careers?
(You may also send your resume by email to patti@careercompany.com)
Which position did you feel the most effective?
Why?
Least effective?
Which position did you enjoy the most?
Which position did you enjoy the least?
Knowing what you know now, if you could go back, would you make different education, career or job choices? Please explain either way.
If today, you could revisit those forks in the road of life, either personal or professional, and take a different path, how would your life be different now?
What Where When
Why did you choose this type of volunteer work?
(Please list past and present)
How would you describe yourself both personally and professionally?
List special interests and passions (travel, language, sports, hobbies, etc?)
If you could do anything (regardless of money, age or circumstances) you wanted right now, what would it be?)
If you listed something practical, now describe your unattainable dream.
