Questionnaire "*" indicates required fields 1Welcome to Bloomfield & Company2Stay Connected with Bloomfield3Acknowledgement4Understanding Our Relationship5What We Need from You6Check Your Details7Understanding Our Role8Your Search Authorization and Acknowledgement Welcome to Bloomfield & Company! We believe strong relationships are key to successful career placements. Whether you're exploring new opportunities or ready for your next move, we're here to support you every step of the way. This brief form clarifies our roles and responsibilities and should take less than five minutes to complete. Thank you for partnering with us—we look forward to helping you achieve your career goals! Stay Connected With Bloomfield To ensure we’re able to provide you with the best opportunities and timely updates, please fill out the information below: First name* Last name* Email address* Phone number* Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Acknowledgement Would you like to receive text messages from Bloomfield regarding new opportunities, interview scheduling, or other urgent matters?* Yes, I agree to receive text messages from Bloomfield. No, I prefer not to receive text messages. What is your preferred method of communication?* Phone Call Email Text Message We respect your privacy. Your personal information is never sold, and you can rescind your permission to receive texts at any time by notifying your recruiter or sending an email to info@bloomfieldco.com. Understanding Our Relationship At Bloomfield, we are dedicated to helping you find the right opportunities. Here’s how our partnership works: Our Role: We are hired by organizations to identify and refer qualified individuals for their open roles. Our job is to connect you with these opportunities. No Fees: There is no cost to you for using our services. We’re here to assist you in your job search without any financial obligation on your part. Referral Process: While we refer you to our clients for consideration, we do not make decisions about who to interview or not, and we do not make hiring decisions. The final decision lies with the hiring organization. Support We Provide: We can offer you resume review, interview coaching, advice on salary negotiations, assistance with resignation, market intelligence, and other job-related matters to help you navigate your career journey. Please check the box below to confirm that you understand the nature of our relationship* I understand What We Need From You For our partnership to be successful, we rely on your transparency and open communication. Here’s what we ask of you: Transparency and Candor Please keep us informed about any other interview activity you’re involved in, as well as your level of interest in the opportunities we present. Your candid feedback helps us better support you. Stay in the Driver's Seat Remember, this is your job search. Your decisions guide the process, and we’re here to assist you every step of the way. Communicate Frequently During the interview process, timely and frequent communication is crucial. We need to stay updated on your progress to ensure everything moves smoothly. By following these guidelines, we can work together effectively to help you achieve your career goals.What We Need From You Acceptance I understand Check Your Details To ensure we find the best match for you and our clients, it’s crucial that your resume accurately reflects your experience, skills, and credentials. Please review the following: Check Employment Dates and Titles Make sure the dates of employment and job titles on your resume are correct. Consistency is key. Cross-Check with Linkedin Ensure that your resume and LinkedIn profile are aligned. Discrepancies can raise red flags during the hiring process. Verify Education and Credentials Double-check that your education and professional credentials are accurate. These details will be verified during background checks, and any discrepancies can lead to an offer being rescinded. Represent Skills Accurately Represent your skills and abilities truthfully. Avoid embellishing your qualifications; a realistic portrayal will help us find the right fit for you and the client. Providing a complete and honest picture of who you are will not only help us make a good match but also set you up for success in your new role. Have you been awarded a 4 year undergraduate degree (or international equivalent)? Yes No Institution Name (Where the degree was awarded) Degree Awarded Have you been awarded a masters degree (or international equivalent)? Yes No Institution Name (Where the degree was awarded) Degree Awarded Consent I understand my credentials are subject to verification. Understanding Our Role Once you enter the interview process with a client, it’s important to understand our role and limitations: Timely Feedback We make every effort to obtain and relay feedback from the client as quickly as possible. However, we are dependent on the client's timeline and responsiveness. Feedback Limitations Sometimes, clients may not provide detailed feedback. While we will always advocate for more specific feedback, we cannot guarantee its availability. Decision Making Remember that Bloomfield is not the ultimate decision maker. We cannot promise an interview or an offer. Our role is to support you and keep you informed throughout the process. Our Commitment We promise to keep you updated to the best of our ability every step of the way, providing you with the information we receive from the client. Please note that we will typically reach out only with significant updates, whether it's feedback from an interview or details about new opportunities. While you're always welcome to ask about available roles, you can be confident that we will contact you as soon as something that matches your profile becomes available. Your patience and understanding are appreciated as we work together to navigate the process. Your Search Please review and acknowledge the following important details. Are you legally eligible to work in the United States? Yes I am legally eligible to work in the United States. No I am not legally eligible to work in the United States. What salary range would you consider to make a move?* What job titles interest you?* Are you currently interviewing? Yes No To avoid duplication, please let us know where you are pending. Are you open to relocation?* Yes No If you are currently employed, do you think your employer will make a counter offer? If so, what would make you say yes?Is there anything else you'd like to share?Upload Your ResumeMax. file size: 300 MB.Nondisclosure AgreementsSome opportunities may require you to sign a nondisclosure agreement (NDA). In such cases, you will assume sole legal liability for any violations of the NDA. I Understand As part of our process, Bloomfield is required to check employment references. We will always seek your explicit consent before reaching out to any references. If a reference from your current employer is needed, we will only contact them after you've received a new job offer and have given your notice. Please provide the names, titles, email addresses, and phone numbers of three professional references, and indicate whether we have your consent to contact them. Name Title Email Phone Nature of Relationship Consent to Contact This Reference Yes No Name Title Email Phone Nature of Relationship Consent to Contact This Reference Yes No Name Title Email Phone Nature of Relationship Consent to Contact This Reference Yes No References I decline to provide professional references at this time, but understand I will be required to provide professional references.
