Applicant Registration & Questionnaire


In order to have your resume entered into HRC’s Job Seeker bank, you must complete this form.  Upon receipt, we will review your registration and resume to determine if we can help you.  If HRC presents you to a prospective employer, you may be asked to complete the Employment Verification form.  HRC will email  you this form.  In most cases, this form is required prior to presentation.  We will verify your employment with the past 3 employers.   We will also ask you to provide us with documentation of any academic credentials noted on your resume as well as other special industry certifications and achievements. The more we know about your professional work history, the more effective we can be to target the ideal opportunity for you.

Special Note:  In todays world, prospective employers will order an extensive background report BEFORE an offer is made.  This report will include a Criminal History Search, a Social Security Number Validation, Verification of Employment and a Drug Testing including M.R.O. Service.  Please let us know immediately if you have any issues that will surface in these reports.  

First Name (required)

Last Name (required)

Your Email (required)

Street Address Line 1 (required)

Street Address Line 2

City/Town (required)

State/Province (required)

Zip Code (required)

Home Phone (required)

Mobile Phone

Work Phone


Best way to contact: Home Phone Mobile Email
Best time to contact: Morning Afternoon Evening

RESUME ( We accept the following file formats: Word, PDF) (required)


positions Seeking (required) :
Locations Seeking (required):
Minimum Salary (required):
Willing to Relocate: Yes No
If yes, where:


Currently employed? Yes No
Salary is/was (required)
Last employed by (required)
Start Date (required)
End Date (required)

Present employer aware of job search? Yes No
Legal to work and live in USA? Yes No
I have contacted the following companies:


Full Name (required)
Job Title (required)
Company (required)
Email Address (required)
Phone Number (required)



I acknowledge that the answers to the questions I have provided are true and I agree and understand all the terms and conditions stated on this agreement. All information stated in my resume as presented is accurate and true including dates of employment,names of previous employers, job responsibilities, stated accomplishments and achievements and education.

Signature: (required)