Don Stevens + Associates - Confidential Candidate Registration Form

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Confidential Candidate Registration Form

The information provided on this form only will be used to notify you of employment opportunities. Your information will remain in our confidential database for one year. Your employer will not be contacted without your approval.

Candidate Information

First name:

Last name:

Address:

City:

State:

ZIP code:

Home phone number:

Cell phone number:

Email address:

College degree: (Check all that apply.)

(1 required)

BA/BS

MA/MS

Ed Spec

MBA

Doctorate

Other:

State certifications:

Current Position

Position title:

District/Organization:

Address:

City:

State:

ZIP code:

Student enrollment:

Number of employees:

Years in this position:

Desired Position (Check all that apply.)

(1 required)

Superintendent

Executive Director

Principal

Curriculum Director

Business Manager

Geographical Preference (Check all that apply.)

(1 required)

East

Midwest

Northwest

South

Southwest

Any state

Specify state:

Salary Desired

$75,000

$100,000

$125,000

$150,000

$175,000

$200,000+

District/Organization Size Preference: (Check all that apply.)

(1 required)

500 or less

500 to 1,000

1,000 to 2,500

2,500 to 5,000

5,000 to 10,000

10,000+

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