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Recruiting Intake Questionnaire
Primary Contact
*
Indicates required field
Company Name
*
Website
*
Primary Contact (for submitting candidates/questions)
*
Primary Contact Email
*
Primary Contact Phone #
*
Preferred Method of Contact
*
Text
Email
Phone
Preferred Frequency of Updates
*
Weekly
Every 2 days
Every 3 days
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip
*
Company Details
What year was your company started?
*
# of Employees
*
Company Vision
*
Just a brief summary here is fine.
What sets your company apart?
*
i.e., market position, highest quality, best value, etc.
Brief company bio
*
Anything else relevant to understand your company?
*
This can be additional information about your market, customers, etc.
Job Details
Job Title
*
Job is:
*
Confidential
Can be disclosed in ads
Status
*
New role
Replacement of current employee
Currently vacant
If replacement or vacant, please share more detail:
*
Short description of the job
*
Type and years of experience desired
*
Is training provided?
*
Yes - by outgoing employee
Yes - by boss/team
No
Other notes about training
*
Anything special about training you would like to add?
Is coaching provided?
*
Yes, by the boss
Yes, by an outside coach
No
Other notes about coaching
*
Anything special about coaching you would like to add?
What do you feel is the coolest part of this job?
*
What do you think is the biggest challenge of this job?
*
Compensation
Salary Minimum
*
Salary Maximum
*
Any commissions for this job?
*
Any bonuses for this job?
*
Health Benefits?
*
Yes
No
Details of health benefits, if offered
*
Vision Benefits?
*
Yes
No
Details of vision benefits, if offered
*
Dental Benefits?
*
Yes
No
Details of dental benefits, if offered
*
Life Insurance Benefits?
*
Yes
No
Details of life insurance benefits, if offered
*
401k?
*
Yes
No
Details of 401k, if offered
*
Retirement Plan?
*
Yes
No
Details of retirement plan, if offered
*
Profit Sharing?
*
Yes
No
Details of profit sharing, if offered
*
Other Benefits/Perks?
*
Yes
No
Details of other benefits/perks, if offered
*
Time Off?
*
Paid Holidays
Vacation Days
Sick Days
PTO Days
Other
Details of time off
*
Any additional perks?
*
Company Car or Allowance
Company Cell Phone or Allowance
Laptop/Computer
Travel Expenses
Other (i.e., gym membership, etc.)
Details of additional perks
*
Any option to work from home?
*
Yes
No
Not now, but possibly in the future
Details of working from home, if available
*
Any travel involved in this position?
*
Yes
No
Not sure
Details of travel, if required
*
Any relocation assistance available?
*
Yes
No
Not sure
Details of relocation assistance, if available
*
Performance Expectations
Every job has Key Accountabilities - those things that the new employee must achieve to be considered successful. This is different from a job description because it does not describe skills or traits, but rather what the employee must accomplish.
For example, "increase sales x% year-on-year" or "net # of new accounts in first 12 months," etc.
Please share any Key Accountabilities you require this new employee to achieve if hired.
Key Accountability #1
*
Key Accountability #2
*
Key Accountability #3
*
Key Accountability #4
*
Key Accountability #5
*
Key Accountability #6
*
Any additional notes about employee achievements?
*
Additional Information
Please share anything you feel is relevant to this position or would like the candidate to know about your company.
*
Do you have any questions for us that we have not yet discussed or covered in this form?
*
Submit
Home
About
Services
High Performance Recruiting
Assessments
Training
>
Best Practices in Interviewing
Best Practices in Coaching
Team Building
Assessment Analysis Certification
Focus Areas
Leadership
Management
Sales
Contact
Contact Us
Partners
