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: _____________________

 

  1. Personal Information

Address: ____________________________________________________________________

City: _____________________________ State: ____________________ Zip: _____________

Phone: (_____)__________________ Email: _______________________________________

(Use a “professional email” a combination of your name, initials, numbers, etc.)

 

  1. 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:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

  1. 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.)

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

  1. 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.)

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

  1. 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:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

 

  1. 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: ________________________________________________________

 

License

Icon for the Creative Commons Attribution 4.0 International License

Career Education by Lumen Learning is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

Share This Book