Candidate Summary Form:

1. Candidate Name:

2. Date:

3. Years of applicable industry experience:

4. Skill summary:

Skill	Years of Experience	Last Used

5. Brief summary of last/current job:

6. Reason for looking for a new opportunity:

7. Current Base Salary/Hourly Rate:

8. Bonus (if any):

9. Type of employment desired (contract, permanent, either)?

10. Desired salary/hourly rate:

11. Bottom line salary/hourly rate requirement:

12. If contract, preference for 1099 or Corp-to-Corp:

13. Available to start:

14. Employment authorization/immigration (US Citizen, Green Card, EAD, H-1B, other):