Please print out the following questionnaire. The form should take roughly 15-20 minutes to complete.  Please print neatly. Mail, e-mail, or fax the completed form to:

Weldon Writing
P.O. Box 1400
Merlin, Oregon 97532

Phone: 1-800-736-9591
Fax: 1-(541)-471-1147
E-mail: weldon@cpros.com
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Date: ___/___/___

Name: ______________________________________________________________________
                          First                                        Middle                                    Last
Address: ____________________________________________________________________
                             Street                             City                      State                 Zip

Telephone: (___)____________Fax: (___)____________Email: ________________
                                                                         (Optional)                      (Optional)

General Information

1. What type of position are you looking for? (Please be specific and thorough)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

2. Are the any specific attributes (qualities) about yourself that you feel should be included
on this resume? (Don't be modest!)
_______________________________________________________________________________ 
_______________________________________________________________________________ 
_______________________________________________________________________________ 
_______________________________________________________________________________

3. Please come back to this question after completing the rest of the questionnaire and write
down anything at all that you feel should be included either on the questionnaire or to be
included on your resume.
_______________________________________________________________________________ 
_______________________________________________________________________________
_______________________________________________________________________________ 
_______________________________________________________________________________

4. Do you consider yourself a. ___a self-motivator? Or b. ___do you like to be directed?

5. Besides English, are you fluent in any other languages? ___Yes ___No

6. If yes, what language(s) a. _____________b. ______________c. ______________

7. Please list any occupational licenses or certificates you possess:
________________________________________________________________________________
________________________________________________________________________________

8. Are you a member of or affiliated with any professional organizations? Please List:
________________________________________________________________________________
________________________________________________________________________________


9. Have you ever done any volunteer work? Please Explain:
_______________________________________________________________________________
_______________________________________________________________________________

10.  Please list all your computer skills and experience:
_______________________________________________________________________________
_______________________________________________________________________________

11. Please list all special skills or training you possess:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

12. Please list all equipment, machinery, or tools you are qualified to operate:
_______________________________________________________________________________ 
_______________________________________________________________________________

13. Would you rather work: a. ____ on your own,? Or ____b. be part of a team?

14. Do you wish to have a "Confidential until mutual interest is established"
note added? ____Yes ____No

15. Please list some of your special interests or hobbies:
_______________________________________________________________________________ 
_______________________________________________________________________________ 
_______________________________________________________________________________

16. Do you wish to have a "References available upon request" line added? ____Yes ____No

 Education

High School or GED:

School: ______________________________ Graduate? ____Yes ____No

City and State: ________________________ If no, how many years did you complete? ____years

Degree and/or course of study:
_______________________________________________________________________________
_______________________________________________________________________________

****************************************************

College:

School:______________________________ Graduate? ____Yes ____No

City and State: ________________________ If no how many years did you complete ?____years

Degree and/or course of study:
________________________________________________________________________________
________________________________________________________________________________

****************************************************


Other:

School: ______________________________ Graduate? ____Yes ____No

City and State: ________________________ If no how many years did you complete? ____years

Degree and/or course of study:
________________________________________________________________________________
________________________________________________________________________________

Extracurricular Activities

Please list fraternities, sororities, sports, clubs etc. that you were involved in during your school years:
________________________________________________________________________________ 
________________________________________________________________________________ 
________________________________________________________________________________

Employment History

Start with your present or most recent job title/employer first. Please include your military,
homemaking or volunteer experience. (Use additional sheet if needed)

****************************************************

*Job Title: _____________________Date Started: ____/____/____Date ended: ____/____/____

Name of Employer: ______________________City and State: ___________________________

Job Duties: ____________________________________________________________________
______________________________________________________________________________ 
______________________________________________________________________________


*Job Title: _____________________Date Started: ____/____/____Date ended: ____/____/____

Name of Employer: ______________________City and State: ___________________________

Job Duties: ____________________________________________________________________
______________________________________________________________________________ 
______________________________________________________________________________



*Job Title: _____________________Date Started: ____/____/____Date ended: ____/____/____

Name of Employer: ______________________City and State: ___________________________

Job Duties: ____________________________________________________________________
______________________________________________________________________________ 
______________________________________________________________________________


*Job Title: _____________________Date Started: ____/____/____Date ended: ____/____/____

Name of Employer: ______________________City and State: ___________________________

Job Duties: ____________________________________________________________________
______________________________________________________________________________ 
______________________________________________________________________________

  This concludes your questionnaire.  Please use this page to fill in where you did 
not have room on any of the questions (be sure to reference the question number) 
also feel free to add any comments concerning this questionnaire.
Thank you.
Call us @ 1-800-736-9591 with any questions

Please return all five pages to:

WELDON WRITING
P. O. Box 1400
Merlin, Oregon 97532

Via:

U.S. Mail
Fax:  1-541-471-1147
E-Mail: Weldon@cpros.com

Overnight, second day air, etc. at your expense.

All work is 100% guaranteed.                                         Weldon Writing - "Writing well done"