Mee Derby - Pre-search Assessment

Once we have your resume and have confirmed that Mee Derby can help you in your job search, we will ask you to complete our Pre-Search Assessment, shown below. The Assessment asks seven sets of questions directly related to your job search. Your answers will guide Mee Derby to find the best possible positions for your consideration. Included in the Assessment is a Release Form for checking references.

Thank you for contacting Mee Derby & Company during your current job search. Mee Derby specializes in placing Executives, Managers, Salespeople, and Recruiters in Staffing Services, Professional Services, and Human Capital Management.

After conducting thousands of searches for hundreds of national, regional and local companies since 1988, our clients have come to rely on Mee Derby to provide them with well-qualified, carefully screened candidates. We know from experience that this Pre-search Assessment will help us find the best candidates for the positions our clients are trying to fill.

To expedite our interview process, we would like you to complete the information below. Be assured that we maintain the strictest privacy and confidentiality in our search work and that all material and information provided by you will be secure.

Please return your answers to the following questions, and the completed Reference Release Form, to Eliza Deang via email or fax (301-320-7786) as soon as possible. We look forward to working with you in your current search.

All Mee Derby clients require business, peer, and client references from prospective candidates. Signing the disclosure statement below allows us to check your references, which will be done only when we deem it necessary to further the placement process or to verify information you have given us. Reference information is always kept in the strictest professional confidence. Any references that you fear might jeopardize your current employment will not be conducted unless and until we have your approval.

Please provide us with the names, telephone numbers, and titles of at least three references - ideally your current and former Managers, and one client. Briefly describe your relationship to these references. If you are working, we realize that in most cases you cannot use your current supervisor as a reference. Supervisors from a previous employer are acceptable, as are trusted peers in your current company. You will be notified before any references are contacted, or your resume is presented to any of our clients.

Your Personal Information
* Full Name:
Maiden Name (for degree verification):
* Address:
* City:
* State:
* Zip:
* Phone (home):
Phone (work):
Phone (cell):
Emergency Contact:
Emergency Contact Phone:
* Email (home):
Email (work):
Colleges/Universities:
Departments:
Degrees/Years:
Social Security # (for degree verification):
References
1. Current or Recent Manager
Name:
Title:
Company:
Phone:
Describe Relationship:
2. Recent Manager
Name:
Title:
Company:
Phone:
Describe Relationship:
3. Current or Recent Client
Name:
Title:
Company:
Phone:
Describe Relationship:
4. Current or Recent Client
Name:
Title:
Company:
Phone:
Describe Relationship:
5. Current or Recent Peer (or subordinate if you are a manager.)
Name:
Title:
Company:
Phone:
Describe Relationship:
6. Current or Recent Peer
Name:
Title:
Company:
Phone:
Describe Relationship:
* Symbolizes that it is a required field DISCLOSURE STATEMENT I understand that Mee Derby & Company may conduct reference checks and degree verifications. These reference checks may include information regarding character, work record, general knowledge and capabilities, and reputation. Those contacted may not necessarily be listed above. I hereby acknowledge that I have read and understand this statement, and hereby authorize Mee Derby & Company to obtain reference checks as described above. Check box if you agree to these terms.