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F I R S T N A M E : _ F O R M T E X T _ _ P H O N E # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T L A S T N A M E : _ F O R M T E X T _ _ C E L L # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T A D D R E S S : _ F O R M T E X T _ _ E M A I L _ F O R M T E X T _ C I T Y : _ F O R M T E X T _ _ Z I P : F O R M T E X T _ _ E M E R G E N C Y # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T
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D A T E O F B I R T H * : _ F O R M T E X T _ _ B I R T H P L A C E * : _ F O R M T E X T _ _ S O C I A L S E C U R I T Y # : _ F O R M T E X T _ _ G R E E N C A R D # : _ F O R M T E X T _ _
W H A T T Y P E O F W O R K D O Y O U W A N T ? ( C h e c k a l l t h a t a p p l y )
F O R M C H E C K B O X P E R S O N A L A S S I S T A N T F O R M C H E C K B O X E X E C U T I V E A S S I S T A N T F O R M C H E C K B O X A D M I N I S T R A T I V E A S S I S T A N T F O R M C H E C K B O X O T H E R
C A N Y O U L I V E I N ? _ F O R M D R O P D O W N _ C A N Y O U W O R K W E E K E N D S ? _ F O R M D R O P D O W N _
D O Y O U D R I V E ? _ F O R M D R O P D O W N _ D R I V E R S L I C E N S E # _ F O R M T E X T _ S T A T E _ F O R M T E X T _ E X P I R A T I O N _ F O R M T E X T _
D O Y O U O W N A C A R ? _ F O R M D R O P D O W N _ W H A T K I N D ? _ F O R M T E X T _ I N S U R E D B Y ? _ F O R M T E X T _
L O W E S T Y E A R L Y S A L A R Y Y O U W I L L A C C E P T ? _ F O R M T E X T _
W H A T O T H E R L A N G U A G E S D O Y O U S P E A K ? _ F O R M T E X T _
D O Y O U L I K E T A K I N G C A R E O F P E T S ? _ F O R M D R O P D O W N _
A R E Y O U M A R R I E D ? * _ F O R M D R O P D O W N _
D O Y O U H A V E C H I L D R E N ? * _ F O R M D R O P D O W N _ I F S O , H O W O L D A R E T H E Y ? * _ F O R M T E X T _
W H E R E D O T H E Y L I V E ? * _ F O R M T E X T _
D O Y O U S M O K E ? _ F O R M D R O P D O W N _ A R E Y O U P R E G N A N T ? * _ F O R M D R O P D O W N C A N Y O U T R A V E L ? _ F O R M D R O P D O W N _ C A N Y O U R E L O C A T E ? _ F O R M D R O P D O W N _ W H E R E ? _ F O R M T E X T _
H A V E Y O U E V E R B E E N A R R E S T E D O R C O N V I C T E D ? _ F O R M D R O P D O W N _
H A V E Y O U E V E R H A D C H A R G E S D I S M I S S E D A G A I N S T Y O U ? _ F O R M D R O P D O W N _
H A V E Y O U E V E R B E E N C O N V I C T E D O F A D U I ? _ F O R M D R O P D O W N _
A R E Y O U C U R R E N T L Y I N A N Y L E G A L D I S P U T E S W I T H P R E V I O U S E M P L O Y E R S ? _ F O R M D R O P D O W N _
D O Y O U H A V E A N Y M E D I C A L P R O B L E M S T H A T W O U L D H I N D E R Y O U R A B I L I T Y T O W O R K ? _ F O R M D R O P D O W N _
I F S O , W H A T ? _ F O R M T E X T _
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C E L L # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T E n d d a t e
_ F O R M T E X T _ A D D R E S S : _ F O R M T E X T _
C I T Y / S T A T E : _ F O R M T E X T _ J o b T y p e
_ F O R M D R O P D O W N _ J o b T i t l e / d e s c r i b e j o b : _ F O R M T E X T _ S A L A R Y
$ _ F O R M T E X T _ D I D Y O U L E A V E O N G O O D T E R M S ? _ F O R M D R O P D O W N _
W H Y D I D Y O U L E A V E ? _ F O R M T E X T _
S t a r t d a t e
_ F O R M T E X T _ N A M E : _ F O R M T E X T _ P H O N E # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T
C E L L # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T E n d d a t e
_ F O R M T E X T _ A D D R E S S : _ F O R M T E X T _
C I T Y / S T A T E : _ F O R M T E X T _ J o b T y p e
_ F O R M D R O P D O W N _ J o b T i t l e / d e s c r i b e j o b : _ F O R M T E X T _ S A L A R Y
$ _ F O R M T E X T _ D I D Y O U L E A V E O N G O O D T E R M S ? _ F O R M D R O P D O W N _
W H Y D I D Y O U L E A V E ? _ F O R M T E X T _
S t a r t d a t e
_ F O R M T E X T _ N A M E : _ F O R M T E X T _ P H O N E # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T
C E L L # ( F O R M T E X T ) F O R M T E X T - F O R M T E X T E n d d a t e
_ F O R M T E X T _ A D D R E S S : _ F O R M T E X T _
C I T Y / S T A T E : _ F O R M T E X T _ J o b T y p e
_ F O R M D R O P D O W N _ J o b T i t l e / d e s c r i b e j o b : _ F O R M T E X T _ S A L A R Y
$ _ F O R M T E X T _ D I D Y O U L E A V E O N G O O D T E R M S ? _ F O R M D R O P D O W N _
W H Y D I D Y O U L E A V E ? _ F O R M T E X T _ Q u i c k S k i l l R a t i n g s :
SkillExcellentGoodAverageWilling to LearnExperience with Smart or High Tech homes: FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Use of scheduling software i.e. Micorsoft Outlook FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Ability to function in a fast-paced environment FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Ability to manage others FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Ability to manage multiple projects FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Develop new office systems FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Administrative/ office skills FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Ability to book and manage travel FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Ability to interact with office and household staff FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Organization skills FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Letter writing/grammar skills FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Ability to be a self-starter FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX
Describe your job duties associated with Executive/Administrative Assistant position that you have had
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W e r e t h e g a t e k k e p e r f o r t h e C E O i n y o u r p r e v i o u s p o s i t i o n s ? I f s o , w h a t r o l e d i d y o u p l a y i n e x e c u t i n g t h a t f u n c t i o n . I f n o t , w h o w a s ?
F O R M T E X T
D e t a i l a s i t u a t i o n w h e r e y o u d e n i e d a p e r s o n a c c e s s t o y o u r e m p l o y e r . H o w d i d y o u d e a l w i t h i t ?
F O R M T E X T
D e s c r i b e y o u r r e l a t i o n s h i p w i t h y o u r b o s s . E x a m p l e s : w e r e y o u f r e e t o m a k e d a y - t o - d a y o p e r a t i o n a l d e c i s i o n s o n h i s / h e r b e h a l f ? W h a t l e v e l o f c o m m n i c a t i o n e x i s t e d b e t w e e n y o u a n d y o u r e m p l o y e r ? W h a t l e v e l d o y o u n e e d / p r e f e r ?
F O R M T E X T
W h a t s y s t e m s a n d p r o c e s s e s d i d y o u c r e a t e a n d / o r d e v e l o p o n y o u r j o b ?
F O R M T E X T
A r e y o u f a m i l i a r w i t h c o m p u t e r p r o g r a m s t h a t w o u l d g i v e y o u t h e a b i l i t y t o m o v e a n o f f i c e f r o m s t a n d a r d f i l l i n g t o p a p e r l e s s ?
F O R M T E X T
D e t a i l t r a v e l p l a n n i n g f o r y o u r p r e v i o u s e m p l o y e r ( s )
F O R M T E X T
D e t a i l e v e n t p l a n n i n g f o r y o u r p r e v i o u s e m p l o y e r ( s )
F O R M T E X T
W h a t b r o u g h t y o u i n t o t h i s l i n e o f w o r k ?
F O R M T E X T
D e s c r i b e y o u r e d u c a t i o n l e v e l a n d b a c k g r o u n d ( c l a s s e s , s c h o o l , c e r t i f i c a t e s . e t c . )
F O R M T E X T
W h y d o y o u w a n t t o c h a n g e p o s i t i o n s o r a r e o u t o f w o r k ?
F O R M T E X T
R o s e s A g e n c y c o n d u c t s a b a c k g r o u n d c h e c k b e f o r e p l a c i n g a n a p p l i c a n t o n a j o b .
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