The Robin Kellner Agency
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Tell us about yourself and career goals!

In order to facilitate the hiring process, we ask that you kindly 
take a moment and answer these few application questions.  

Important: 
Please review our employment policy prior to filling out this application. 

We welcome any thoughts or questions that you may have. 
Robin, I have a  QUESTION

    
First Name

Last Name

E-Mail Address

Telephone day              Telephone evenings

City

State
How did you hear about The Robin Kellner Agency?  
Choose from box: 
Which search engine/web site/or other: 

Position Desired

Job Code (if applicable)
How many years of experience in this type of job do you have?
Are you willing to relocate?  
Yes or No  
Are you willing to travel?    
Yes or No  
High School   
Completed?   Yes or No   Year Graduated
College?  Yes  No  Still Attending   Graduation date: 
Associates    Bachelors      Masters      
Major: 
School(s) Attended or Attending:
 

Did you receive (additional) professional training relative to the position?  
Yes or No    If so, from where? 
Was it certified?  Yes or No   Certification date: 

Professional affiliations or recognitions:
Additional comments about your qualifications:
Please copy and paste your resume below:


That's it!  Thank you for taking the time to complete this form!

We want to create the perfect employment match for you and our clients. 
Please take a minute and review your application prior to submission 
to be sure all information is correct and complete.

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