IMPORTANT:
Respond using only a mouse or similar point and click device.
Do not use or press the "Enter" key on your keyboard as it will terminate this form.
You may use the "Tab" key to move from line to line.
_{If the purpose of this assessment is not a pre-employment test return to the test site and click on the "ALC" link.}
Thank you

What is your name?


Gender:
Male
Female

What company requested you participate in this assessment program?


What is their telephone number?


For what job?




Please provide the following information:


-Click to select - Purpose of this assessment:
JOB CANDIDATE - Pre-hire



-Click to select - Number of years of Education:
less than 10 years education
GED
11 years education
12 years education
13 years education
14 years education
15 years education
16 years education
17 years education
18 years education
More than 18 years



-Click to select - Number of Full Time jobs in the past 10 years:
1 full-time job in the past 10 years
2 full-time jobs in the past 10 years
3 full-time jobs in the past 10 years
4 full-time jobs in the past 10 years
5 full-time jobs in the past 10 years
6 full-time jobs in the past 10 years
7 full-time jobs in the past 10 years
8 full-time jobs in the past 10 years
9 full-time jobs in the past 10 years
More than 9 full time jobs in the past 10 years
Only worked at part-time jobs or temp agency
Other



-Click to select - Number of years in the work-force:
1 year in the workforce
2 years in the workforce
3 years in the workforce
4 years in the workforce
5 years in the workforce
6 years in the workforce
7 years in the workforce
8 years in the workforce
9 years in the workforce
10 years in the workforce
More than 10 years in the workforce

Please enter your E-mail address.

Press the SEND button when this form has been filled out completely.
- THANK YOU -