Skip to main content
Social Sci LibreTexts

4.1: Information Collection Sheet

  • Page ID
    73311
  • \( \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}} } \) \( \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash {#1}}} \)\(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\) \(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\)\(\newcommand{\AA}{\unicode[.8,0]{x212B}}\)

    (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: ________________________________________________________

     

    CC licensed content, Original

    4.1: Information Collection Sheet is shared under a not declared license and was authored, remixed, and/or curated by LibreTexts.

    • Was this article helpful?