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Candidate Prescreen Details (US Citizen/ GC Holder)
Candidate Full Name:
Work Status (US Citizen/Green Card):
Agency Details (NA - if NOT applicable)
Current Agency Legal Name:
Account Manager Name:
Agency Location:
Account Manager Contact No
Eg: +1-248 285 5660:
Account Manager Email ID:
Personal Details
Contact No (prefixed with country code)
Eg: +1-248 285 5660:
Email Id:
Educational Qualification with year of Graduation:
Total Work Experience:
No of years worked in US:
Current Location(City/State):
Ok with Relocation if not local?
Relocation Preferences:
(City/State) OR type ALL for anywhere in the US
Will you incur the Relocation expenses if required?
Desired Hourly (Monthly) Rate/Salary:
Payment Type (1099/W2):
Ok for Payment Terms (Net 30)?
Availability to start a new project?
(Immediate/ 1 week/ 2 weeks)
Availability for interview?
(Date and Time with Timezone)
Has Multiple Offers?
Will you accept the assignment upon satisfactory confirmation by you and the client?
Provide 2 references from Present and Previous Client (Should be the Reporting Manager)
Name/Position/Company/Contact#/Official Email Id
Have you ever been convicted of a felony, or criminal offense OR do you currently have any charges pending?:
Can we perform your background check through our third party vendor:
Skill Set / Years Worked/ (Ratings out of 5)
Eg: Oracle / 5 yrs / 4
Upload your resume(doc)
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