Search Request Form

Date

Name

Company

Address

City

State

Zip

Phone Number

Fax Number

E-mail Address

Position Description

Title of position

What does management really want accomplished through this position?

To whom does this position report (Name and Title)?

How many employees are under the direction of this position and what is their relative competence?

Duties and responsibilities of the position, (including figures, amounts, volumes, etc. to indicate scope of responsibility)?

Educational Requirements?

Required experience (what positions should candidate have held, level of responsibility including P&L, and industry experience)?

Personality factors?

Financial package: salary base, bonus structure, direct/commissions and indirect compensation, such as cars and club memberships, stock options or stock purchase plans, medical and dental plans?

Why should someone take this position?