Confidential Candidate Preliminary Information

Contact Information

Full Name

First

Who referred you to us?

Office phone (Direct Dial):

Cell phone:

Private Email

Law School Information

Law school:

Law school class rank:

Law school honors:

Were you on a Law Review? If so, which one?:

G.P.A.:

Undergraduate Information

Undergraduate School:

Undergraduate school class rank:

Undergraduate school honors:

Undergraduate Degree and Major(s):

Undergraduate G.P.A.:

Employment Information

Current employer:

Dates of employment at current firm(month/year):

Describe your overall practice:

Why would you consider another position at this time?:

Are there any reasons preventing you from interviewing, accepting an offer and starting a new job in the next two months?:

How many hours will you bill in the current year (estimate)?:

How many hours did you bill last year?:

IMPORTANT: If you are in a SALARY BAN state, please DO NOT answer these questions. It is our intent to always follow and comply with the law and we encourage you to do the same. Please refer to the appropriate authorities to determine what, if anything, you can answer regarding salary questions. We cannot advise which states are or are not subject to the salary ban due to the rapidly changing nature of the law in this area.

Current base salary:

When is your next salary review?:

How much do you expect your base salary to be raised?:

Last year’s bonus:

Expected bonus for this year:

When is bonus paid?:

Please describe all of your current benefits, their approximate value and whether you need similar benefits in your next position?:

How much base compensation do you seek in your next job?:

How much bonus compensation do you seek in your next job?:

Would you consider any opportunity which pays less money than your current salary?:

Yes

No

Have you ever been asked to leave any legal job you have ever held or have you left any legal job you have ever held on a mutually agreed basis?:

Yes

No

What is your hourly rate?:

If yes, please explain the circumstances below?

How much portable business could you bring to another firm?:

Bar & Legal Information

Which bar(s) are you admitted to?:

Please provide your Bar license number(s):

Are you a member in good standing of all bars?:

Yes

No

Are you legally authorized to work in the U.S.?:

Yes

No

If required by a law firm or corporation as part of their hiring process, are you willing to consent to a drug and civil/criminal background check?

Yes

No

Do you have any pending or prior malpractice claims, pending or prior lawsuits or pending or prior investigations or Bar complaints against you?:

Yes

No

Have you ever been a defendant in a civil action for an intentional tort?:

Yes

No

If so, what type of tort and when was the lawsuit filed?:

Job Search Information

Do you have any pending offers?:

Yes

No

Do you have any pending interviews?:

Yes

No

If yes, where do you have the pending offers?:

If yes, where do you have the pending interviews?:

Have you been on any interviews in the last 6 months?:

Yes

No

Where?

Did you get any offers as a result?:

Yes

No

Can you provide transcripts for all your degrees?:

Yes

No

Does your resume contain each legal or professional position you have ever held?:

Yes

No

Are you willing to relocate?:

Yes

No

If so, where are your top 3 cities you would consider?:

Which other recruiters are you working with?:

Can you provide comprehensive references from at least two partners who have first hand knowledge of your work which can be checked immediately?:

Yes

No

Do you affirm the accuracy, truthfulness and reliability of all information provided herein as well as the information which may be provided in the future to Ankus Consulting, Inc., its clients and professional colleagues (including your resume, references, transcripts and cover letters)?:

Yes

No

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