ESR Healthcare

ESR Healthcare- Ready for a Change?

I hope you are doing well!  

Send us your resume:, 

Please take the time to accurately and completely fill out this form by answering each specific
question. Not only will we refer to it regularly, but this information may also very well be shared with clients
interested in interviewing you. The better we know what you want the better positions you will

Please give us the best email and phone number to contact you.
1. What is motivating your decision to leave your current job?
2. Describe your search activity over the past 3 to 6 months. Are you selectively searching or
actively looking at this moment?
3. Do you have the appropriate citizenship or visa to work in the US without restriction or time limit?
4. Describe in detail what you would be doing in your ideal next position. Who would you report to, who
would report to you, what types of projects would you be working on? The more detail you provide
the better for us to understand your career aspirations.
5. Where in your area are you willing to work? How far are you willing to travel to and from
work? Are you willing to relocate? If yes, to what area? If relocation is of interest, what
hurdles will you have to overcome before starting a new position?
6. What type of relocation package do you require?
7. What is your availability?
8. Do you have a non-compete or a reimbursement clause?
9. What are you looking for in compensation? Please remember that it is my job to get you the
best salary possible from the client. So please complete this area and be honest in the salary
you are looking for now. I do not discuss this with my client.
Base Salary
Target Bonus %
Average Bonus (past 3 yrs.)
All Other Compensation
10. What are your thoughts concerning your susceptibility to a counteroffer from your current
employer? Have you ever been given a counter offer? Did you accept it or turn it down?
11. Why are you interested in this opportunity?
12. Promise to stay in touch via email?
Selling points: 
Red Flags
Best Phone Number:  
Best Email address: 
Best time to contact:  

Current Compensation:  
Targeted Compensation: market /  
Work Authorization: US

Enjoy your day!

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