Candidate Name

First Name: *

Last Name: *

Owner

AHS Partner ID: *

Please provide your AHS Partner ID issued by your partner contact.

AHS Partner Job ID: *

The job ID you are submitted this candidate for.

Candidate Contact

Phone: *

Email: *

Secondary E-Mail:

Skype ID:

Candidate Employer Contact (For Consultants)

If this is a consultant with an employer, please list their details here.

Employer Name:

Employer Phone:

Employer E-mail:

Employer Notes:

Candidate Current Location

Please list the candidate's current location.

City: *

State: *

Country: *

Candidate Work Authorization

Please include the candidate's work authorization & availability.

Work Status: *

Work Authorization: *

Candidate Availability

Availability to start: *

Availability to travel: *

Availability to interview: *

Phone

Candidate Compensation

Confirmed Compensation: *

The pre-negotiated compensation with the candidate. Please ensure it is inline with the role.

Confirmed Compensation Basis: *

Consultants with employers should be C2C rate. Salary or W-2 hourly rate for all other candidates.

Recruiter Notes

Recruiter Notes: *

Tell us in detail about the candidate. Why is this candidate a good fit? Be very detailed here.

Right-To-Represent

Attachment Information

Resume: *

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Word (*.docx) is preferred.

Certifications:

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Include any professional & technical certifications, licenses, and expiration dates

Skills Matrix:

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Portfolio Item:

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Right-to-represent Form: *

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Submission Authorization Form: *

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EAD Copy:

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Employment authorization document- Visa or GC Copy, Drivers License, etc.

Others:

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