{"id":47,"date":"2019-01-15T18:28:35","date_gmt":"2019-01-15T18:28:35","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/atd-mecc-careereducation\/?post_type=chapter&#038;p=47"},"modified":"2019-01-15T18:29:29","modified_gmt":"2019-01-15T18:29:29","slug":"information-collection-sheet","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/atd-mecc-careereducation\/chapter\/information-collection-sheet\/","title":{"raw":"Information Collection Sheet","rendered":"Information Collection Sheet"},"content":{"raw":"(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 \u201cMenu\u201d for which to create a unique resume for each position you seek.)\r\n\r\n&nbsp;\r\n\r\nName: ____________________________________ Date updated: _____________________\r\n\r\n&nbsp;\r\n<ol>\r\n \t<li>Personal Information<\/li>\r\n<\/ol>\r\nAddress: ____________________________________________________________________\r\n\r\nCity: _____________________________ State: ____________________ Zip: _____________\r\n\r\nPhone: (_____)__________________ Email: _______________________________________\r\n\r\n(Use a \u201cprofessional email\u201d a combination of your name, initials, numbers, etc.)\r\n\r\n&nbsp;\r\n<ol start=\"2\">\r\n \t<li>Education<\/li>\r\n<\/ol>\r\n(Education should be listed in reverse chronological order. You want the potential employer to\r\n\r\nsee your most recent information first.)\r\n\r\nCollege attended: _____________________________________________________________\r\n\r\nLocation: ____________________________________________ State: __________________\r\n\r\nDegree: _____________________________________________________________________\r\n\r\nDate obtained (anticipated) ______________________________________________________\r\n\r\nCollege attended: _____________________________________________________________\r\n\r\nLocation: ____________________________________________ State: __________________\r\n\r\nDegree: _____________________________________________________________________\r\n\r\nDate obtained (anticipated) ______________________________________________________\r\n\r\nOther schools attended or relevant education information:\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n&nbsp;\r\n<ol start=\"3\">\r\n \t<li>Experience<\/li>\r\n<\/ol>\r\n(Consider all experience \u2013 paid, unpaid, volunteer, etc.)\r\n\r\nCompany\/Organization Name: ___________________________________________________\r\n\r\nPosition Title: _________________________________________________________________\r\n\r\nAddress: ____________________________________________________________________\r\n\r\nDates employed (Months and years only) From: ____________________ To: ______________\r\n\r\nName of Supervisor: __________________________ Starting Pay:______________________\r\n\r\nDuties and responsibilities (Use action verbs to describe the duties performed, be sure to give yourself credit for the responsibilities you held in a position.)\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n&nbsp;\r\n\r\nCompany\/Organization Name: ___________________________________________________\r\n\r\nPosition Title: _________________________________________________________________\r\n\r\nAddress: ____________________________________________________________________\r\n\r\nDates employed (Months and years only) From: ____________________ To: ______________\r\n\r\nName of Supervisor: __________________________ Starting Pay:______________________\r\n\r\nDuties and responsibilities (Use action verbs to describe the duties performed, be sure to give\r\n\r\nyourself credit for the responsibilities you held at position.)\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n&nbsp;\r\n\r\nCompany\/Organization Name: ___________________________________________________\r\n\r\nPosition Title: _________________________________________________________________\r\n\r\nAddress: ____________________________________________________________________\r\n\r\nDates employed (Months and years only) From: ____________________ To: ______________\r\n\r\nName of Supervisor: __________________________ Starting Pay:______________________\r\n\r\nDuties and responsibilities (Use action verbs to describe the duties performed, be sure to give\r\n\r\nyourself credit for the responsibilities you held at position.)\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n&nbsp;\r\n<ol start=\"4\">\r\n \t<li>Certifications &amp; Licenses<\/li>\r\n<\/ol>\r\nList your professional certifications\/licenses that would benefit you in the position.\r\n\r\n(i.e. applying at a restaurant include your food handlers card, applying at a hospital include your\r\n\r\nCPR Certification. Be sure to include certification\/license numbers and expiration dates if\r\n\r\napplicable.)\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n&nbsp;\r\n<ol start=\"5\">\r\n \t<li>Activities<\/li>\r\n<\/ol>\r\nInclude any memberships in professional associations, clubs or community groups, volunteer or\r\n\r\nreligious organizations. Include name of association, offices held, and the dates. Add any other\r\n\r\nsignificant activities attributed to your leadership:\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n____________________________________________________________________________\r\n\r\n&nbsp;\r\n<ol start=\"6\">\r\n \t<li>Employment References<\/li>\r\n<\/ol>\r\n&nbsp;\r\n\r\nReferences are not required as part of a resume, especially if they are included on the\r\n\r\napplication. Avoid using family and friends. Professional references may include: advisor,\r\n\r\ninstructor, peer, supervisor, co-worker, past supervisor, etc. You should ask permission before\r\n\r\nusing anyone as reference!\r\n\r\n&nbsp;\r\n\r\nName: ___________________________________________ Phone: (____)_______________\r\n\r\nAddress: ________________________City: _________________State:_____ Zip: _________\r\n\r\nEmail Address: _______________________________________________________________\r\n\r\nRelationship to applicant: _______________________________________________________\r\n\r\nPosition Held\/Company: ________________________________________________________\r\n\r\n&nbsp;\r\n\r\nName: ___________________________________________ Phone: (____)_______________\r\n\r\nAddress: ________________________City: _________________State:_____ Zip: _________\r\n\r\nEmail Address: _______________________________________________________________\r\n\r\nRelationship to applicant: _______________________________________________________\r\n\r\nPosition Held\/Company: ________________________________________________________\r\n\r\n&nbsp;\r\n\r\nName: ___________________________________________ Phone: (____)_______________\r\n\r\nAddress: ________________________City: _________________State:_____ Zip: _________\r\n\r\nEmail Address: _______________________________________________________________\r\n\r\nRelationship to applicant: _______________________________________________________\r\n\r\nPosition Held\/Company: ________________________________________________________\r\n\r\n&nbsp;\r\n\r\nName: ___________________________________________ Phone: (____)_______________\r\n\r\nAddress: ________________________City: _________________State:_____ Zip: _________\r\n\r\nEmail Address: _______________________________________________________________\r\n\r\nRelationship to applicant: _______________________________________________________\r\n\r\nPosition Held\/Company: ________________________________________________________\r\n\r\n&nbsp;\r\n\r\nName: ___________________________________________ Phone: (____)_______________\r\n\r\nAddress: ________________________City: _________________State:_____ Zip: _________\r\n\r\nEmail Address: _______________________________________________________________\r\n\r\nRelationship to applicant: _______________________________________________________\r\n\r\nPosition Held\/Company: ________________________________________________________\r\n\r\n&nbsp;","rendered":"<p>(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 \u201cMenu\u201d for which to create a unique resume for each position you seek.)<\/p>\n<p>&nbsp;<\/p>\n<p>Name: ____________________________________ Date updated: _____________________<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>Personal Information<\/li>\n<\/ol>\n<p>Address: ____________________________________________________________________<\/p>\n<p>City: _____________________________ State: ____________________ Zip: _____________<\/p>\n<p>Phone: (_____)__________________ Email: _______________________________________<\/p>\n<p>(Use a \u201cprofessional email\u201d a combination of your name, initials, numbers, etc.)<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"2\">\n<li>Education<\/li>\n<\/ol>\n<p>(Education should be listed in reverse chronological order. You want the potential employer to<\/p>\n<p>see your most recent information first.)<\/p>\n<p>College attended: _____________________________________________________________<\/p>\n<p>Location: ____________________________________________ State: __________________<\/p>\n<p>Degree: _____________________________________________________________________<\/p>\n<p>Date obtained (anticipated) ______________________________________________________<\/p>\n<p>College attended: _____________________________________________________________<\/p>\n<p>Location: ____________________________________________ State: __________________<\/p>\n<p>Degree: _____________________________________________________________________<\/p>\n<p>Date obtained (anticipated) ______________________________________________________<\/p>\n<p>Other schools attended or relevant education information:<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"3\">\n<li>Experience<\/li>\n<\/ol>\n<p>(Consider all experience \u2013 paid, unpaid, volunteer, etc.)<\/p>\n<p>Company\/Organization Name: ___________________________________________________<\/p>\n<p>Position Title: _________________________________________________________________<\/p>\n<p>Address: ____________________________________________________________________<\/p>\n<p>Dates employed (Months and years only) From: ____________________ To: ______________<\/p>\n<p>Name of Supervisor: __________________________ Starting Pay:______________________<\/p>\n<p>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.)<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<p>Company\/Organization Name: ___________________________________________________<\/p>\n<p>Position Title: _________________________________________________________________<\/p>\n<p>Address: ____________________________________________________________________<\/p>\n<p>Dates employed (Months and years only) From: ____________________ To: ______________<\/p>\n<p>Name of Supervisor: __________________________ Starting Pay:______________________<\/p>\n<p>Duties and responsibilities (Use action verbs to describe the duties performed, be sure to give<\/p>\n<p>yourself credit for the responsibilities you held at position.)<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<p>Company\/Organization Name: ___________________________________________________<\/p>\n<p>Position Title: _________________________________________________________________<\/p>\n<p>Address: ____________________________________________________________________<\/p>\n<p>Dates employed (Months and years only) From: ____________________ To: ______________<\/p>\n<p>Name of Supervisor: __________________________ Starting Pay:______________________<\/p>\n<p>Duties and responsibilities (Use action verbs to describe the duties performed, be sure to give<\/p>\n<p>yourself credit for the responsibilities you held at position.)<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"4\">\n<li>Certifications &amp; Licenses<\/li>\n<\/ol>\n<p>List your professional certifications\/licenses that would benefit you in the position.<\/p>\n<p>(i.e. applying at a restaurant include your food handlers card, applying at a hospital include your<\/p>\n<p>CPR Certification. Be sure to include certification\/license numbers and expiration dates if<\/p>\n<p>applicable.)<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"5\">\n<li>Activities<\/li>\n<\/ol>\n<p>Include any memberships in professional associations, clubs or community groups, volunteer or<\/p>\n<p>religious organizations. Include name of association, offices held, and the dates. Add any other<\/p>\n<p>significant activities attributed to your leadership:<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>____________________________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<ol start=\"6\">\n<li>Employment References<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>References are not required as part of a resume, especially if they are included on the<\/p>\n<p>application. Avoid using family and friends. Professional references may include: advisor,<\/p>\n<p>instructor, peer, supervisor, co-worker, past supervisor, etc. You should ask permission before<\/p>\n<p>using anyone as reference!<\/p>\n<p>&nbsp;<\/p>\n<p>Name: ___________________________________________ Phone: (____)_______________<\/p>\n<p>Address: ________________________City: _________________State:_____ Zip: _________<\/p>\n<p>Email Address: _______________________________________________________________<\/p>\n<p>Relationship to applicant: _______________________________________________________<\/p>\n<p>Position Held\/Company: ________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<p>Name: ___________________________________________ Phone: (____)_______________<\/p>\n<p>Address: ________________________City: _________________State:_____ Zip: _________<\/p>\n<p>Email Address: _______________________________________________________________<\/p>\n<p>Relationship to applicant: _______________________________________________________<\/p>\n<p>Position Held\/Company: ________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<p>Name: ___________________________________________ Phone: (____)_______________<\/p>\n<p>Address: ________________________City: _________________State:_____ Zip: _________<\/p>\n<p>Email Address: _______________________________________________________________<\/p>\n<p>Relationship to applicant: _______________________________________________________<\/p>\n<p>Position Held\/Company: ________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<p>Name: ___________________________________________ Phone: (____)_______________<\/p>\n<p>Address: ________________________City: _________________State:_____ Zip: _________<\/p>\n<p>Email Address: _______________________________________________________________<\/p>\n<p>Relationship to applicant: _______________________________________________________<\/p>\n<p>Position Held\/Company: ________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n<p>Name: ___________________________________________ Phone: (____)_______________<\/p>\n<p>Address: ________________________City: _________________State:_____ Zip: _________<\/p>\n<p>Email Address: _______________________________________________________________<\/p>\n<p>Relationship to applicant: _______________________________________________________<\/p>\n<p>Position Held\/Company: ________________________________________________________<\/p>\n<p>&nbsp;<\/p>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-47\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Original<\/div><ul class=\"citation-list\"><li>Information Collection Sheet. <strong>Authored by<\/strong>: Beth Boggs. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":17533,"menu_order":1,"template":"","meta":{"_candela_citation":"[{\"type\":\"original\",\"description\":\"Information Collection Sheet\",\"author\":\"Beth 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