Contact Information
Last Name
 
First Name
 
Address
 
City
 
State
 
Zip Code
 
Country
 
Home Phone
 

Work Phone

 
Cell Phone
 
Email Address
 
Employment Information

Authorized to work in the U.S.?

Willing to work:

Part Time Full Time
Willing to Travel?
Willing to Travel Abroad?
Willing to Relocate?

Willing to Relocate Abroad?

Date of Availability:

Government Experience?

If Yes, List Agency: and # years worked
Active Secutiry Clearance?

U.S. Military Service?

If Yes, List Branch:

Competency Area(s)

Check each area of competency and provide, for each competency area, the period of relevant experience.

Competency Years of Relevant Experience
Admin
Training
HR/OD
Outplacement
Mediation
Privacy
Other
Other
Other

Skills Inventory

Provide a list of your skills below and for each skill, provide skill level and period last used/experience level.

Skill Name
Skill Level
Last Used/Experience Level
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Career Level

Language(s)
 
Language
Speak
Write
Skill Level
1.



2.



3.



4.



5.



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