4 Information Collection Sheet
(The information provided on this worksheet should be thorough and complete. Save it as a lasting resource; update it as the years pass. Use the information as a “Menu” for which to create a unique resume for each position you seek.)
Name: ____________________________________ Date updated: _____________________
- Personal Information
Address: ____________________________________________________________________
City: _____________________________ State: ____________________ Zip: _____________
Phone: (_____)__________________ Email: _______________________________________
(Use a “professional email” a combination of your name, initials, numbers, etc.)
- Education
(Education should be listed in reverse chronological order. You want the potential employer to
see your most recent information first.)
College attended: _____________________________________________________________
Location: ____________________________________________ State: __________________
Degree: _____________________________________________________________________
Date obtained (anticipated) ______________________________________________________
College attended: _____________________________________________________________
Location: ____________________________________________ State: __________________
Degree: _____________________________________________________________________
Date obtained (anticipated) ______________________________________________________
Other schools attended or relevant education information:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
- Experience
(Consider all experience – paid, unpaid, volunteer, etc.)
Company/Organization Name: ___________________________________________________
Position Title: _________________________________________________________________
Address: ____________________________________________________________________
Dates employed (Months and years only) From: ____________________ To: ______________
Name of Supervisor: __________________________ Starting Pay:______________________
Duties and responsibilities (Use action verbs to describe the duties performed, be sure to give yourself credit for the responsibilities you held in a position.)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Company/Organization Name: ___________________________________________________
Position Title: _________________________________________________________________
Address: ____________________________________________________________________
Dates employed (Months and years only) From: ____________________ To: ______________
Name of Supervisor: __________________________ Starting Pay:______________________
Duties and responsibilities (Use action verbs to describe the duties performed, be sure to give
yourself credit for the responsibilities you held at position.)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Company/Organization Name: ___________________________________________________
Position Title: _________________________________________________________________
Address: ____________________________________________________________________
Dates employed (Months and years only) From: ____________________ To: ______________
Name of Supervisor: __________________________ Starting Pay:______________________
Duties and responsibilities (Use action verbs to describe the duties performed, be sure to give
yourself credit for the responsibilities you held at position.)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
- Certifications & Licenses
List your professional certifications/licenses that would benefit you in the position.
(i.e. applying at a restaurant include your food handlers card, applying at a hospital include your
CPR Certification. Be sure to include certification/license numbers and expiration dates if
applicable.)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
- Activities
Include any memberships in professional associations, clubs or community groups, volunteer or
religious organizations. Include name of association, offices held, and the dates. Add any other
significant activities attributed to your leadership:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
- Employment References
References are not required as part of a resume, especially if they are included on the
application. Avoid using family and friends. Professional references may include: advisor,
instructor, peer, supervisor, co-worker, past supervisor, etc. You should ask permission before
using anyone as reference!
Name: ___________________________________________ Phone: (____)_______________
Address: ________________________City: _________________State:_____ Zip: _________
Email Address: _______________________________________________________________
Relationship to applicant: _______________________________________________________
Position Held/Company: ________________________________________________________
Name: ___________________________________________ Phone: (____)_______________
Address: ________________________City: _________________State:_____ Zip: _________
Email Address: _______________________________________________________________
Relationship to applicant: _______________________________________________________
Position Held/Company: ________________________________________________________
Name: ___________________________________________ Phone: (____)_______________
Address: ________________________City: _________________State:_____ Zip: _________
Email Address: _______________________________________________________________
Relationship to applicant: _______________________________________________________
Position Held/Company: ________________________________________________________
Name: ___________________________________________ Phone: (____)_______________
Address: ________________________City: _________________State:_____ Zip: _________
Email Address: _______________________________________________________________
Relationship to applicant: _______________________________________________________
Position Held/Company: ________________________________________________________
Name: ___________________________________________ Phone: (____)_______________
Address: ________________________City: _________________State:_____ Zip: _________
Email Address: _______________________________________________________________
Relationship to applicant: _______________________________________________________
Position Held/Company: ________________________________________________________
