Team Member Application
Thank you for your interest in joining our team! Please fill out the below questionnaire in it's entirety & use the link to complete the DISC profile at the end of this questionnaire. 

- Robyn Icenhower & Associates
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ALL ABOUT YOU
Full Name *
Address *
City *
State *
Zip Code *
Phone Number *
Email *
Favorite Book *
Favorite Movie *
Any Hobbies/Interests *
EDUCATION HISTORY
High School 
Year Graduated
College or University
Year Graduated
Area of Study
Level of Education
Other trades or certifications
WORK HISTORY
Company
Job Title
Start Month & Year
End Month & Year
Company
Job Title
Start Month & Year
End Month & Year
Company
Job Title
Start Month & Year
End Month & Year
Skills Acquired
Why are you considering a career change?
Why are you interested in Robyn Icenhower & Associates in particular?
STRENGHTS & WEAKNESSES
What do you consider your top three strengths?


When we contact YOUR EMPLOYER, what will he/she say your strengths are?



What do YOU consider your top three weaknesses?


When we contact YOUR EMPLOYER, what will he/she say your weaknesses are?



When we contact YOUR EMPLOYER, what will he/she say your weaknesses are?



DESCRIPTION OF YOUR NEXT IDEAL JOB
How many hours do you work per week in your ideal job?

What time do you start work your day? 
Time
:
What time do you end work your day? 
Time
:
How many weeks vacation do you take each year?
Where is your office?
Are you, for the most part, working alone or with others?
Clear selection
What does your office look like? 
What are you doing day-to-day?
DESCRIPTION OF THE WRONG JOB FOR YOU
Think of jobs you had in the past. What were things you disliked? (Do not list the job or company)                         

What type of work do you prefer NOT to do?

What type of boss do you prefer NOT to work with?


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