Staff Name: Date:
Oxford Global Resources® Professional Profile
Present Street Address Last Name First Name Business Phone City State Middle Initial Zip
Date of Application
Desired Pay Range
Position Desired Both Yes No Referral Source
Have you ever applied for employment with Oxford? Are you legally permitted to work in the U.S.? Are you Corp to Corp? Yes
Available Start Date:
If yes, are you able to provide verification of your legal right to work within 3 days of starting employment? If Corp, name of corporation?
2. 3. 4. Relationship Company Skill Home/Business Phone Email
Name Relationship Company Skill Home/Business Phone Email
1. 2. 3. 4. 5.
CONSULTING/STAFFING FIRMS CONTACTED OR CURRENTLY WORKING WITH
1. 2. 3.
COMPANY/TITLE 1. 2. 3. 4. 5.
COMPANIES SUBMITTED TO/INTERVIEWS SCHEDULED OR CONDUCTED IN LAST 3-4 MONTHS
CONTACT JOB TITLE DATE/STATUS
I understand that: (1) I am required to contact the Company immediately after the completion of any assignment, for the purpose of requesting a new assignment, and the failure to do so may affect my eligibility for unemployment benefits. (2) The Company (based on assignment requirements) may require me to submit to a drug test prior to employment and any time during my employment, to the extent permitted by applicable law. (3) The Company (based on assignment requirements) may require me to consent to or authorize the disclosure of my criminal record and/or consumer report prior to employment and at any time during my employment, to the extent permitted by applicable law. As permitted under applicable law, Consultant acknowledges that any clients introduced to him/her by Oxford are clients of Oxford. Consultant agrees that he/she shall not work directly or indirectly for any client introduced to him/her by or through Oxford for a period of six months from any such introduction. Signature: Printed Name: Consultant Date:
I hereby authorize the Company to investigate all information pertinent to my application in order to determine my qualifications for employment. I hereby authorize all persons and organizations having...