Remote Role Society | Client Intake Form

Personal

Career Goals

Work History

Education

Skills

Platforms

Waiver

* Required fields

How to complete this form

Complete all 7 steps in order. You can go back and make changes before submitting.
Be as detailed as possible in your work history. The more information you provide the better we can tailor your resume and cover letters.
For work history, please go back no more than 10 to 15 years. Earlier experience can be noted briefly in your professional summary if relevant.
List your most recent position first and work backwards chronologically.
For each position include specific duties, accomplishments, and numbers where possible. For example: managed a team of 5, increased sales by 20%, handled 80 inbound calls daily.
If you are unsure of exact dates, provide your best estimate.
This form saves your information securely so it can be used to apply to jobs on your behalf. You will never need to fill this out again.
Questions? Email us at remoterolesociety@hotmail.com

Personal Information

First name *

Last name *

Email address *

Phone number *

Street address *

City *

State *

ZIP code *

LinkedIn profile URL

Best time to reach you

Preferred contact method *

Your RRS plan *

Step 1 of 7

Career Goals & Job Preferences

Target job title(s) *

Target salary *

Industry preference 1 *

Industry preference 2

Job type preference *

Employment type *

Are you currently employed? *

How soon are you looking to start? *

Willing to relocate?

Deal breakers: what will you NOT accept? This helps us avoid wasting applications on roles that don't fit your needs.

Anything else we should know about your job search goals?

Do you have a specific job you want us to target first?

Step 2 of 7

Work History

Please list all positions starting with your most recent. Go back no more than 10 to 15 years. Up to 20 entries. Include every relevant job within that window. Gaps in employment will be addressed during your strategy call.

Step 3 of 7

Education

Upload diploma, degree, or transcripts (optional) Upload copies of any diplomas, degrees, or transcripts. PDF or image files accepted. If you cannot upload now, email them to info@rrs.com after submitting this form.

Upload existing resume (optional) If you have an existing resume upload it here. PDF or Word format accepted.

Certifications, licenses, or professional development List any certifications, licenses, continuing education, or professional development courses.

Professional memberships or affiliations

Step 4 of 7

Job Platform Access

For Focused tier and above: we need access to apply on your behalf. All credentials are stored securely and used only for job applications. Never shared with third parties.

Security note: We recommend creating a unique password for each job platform before sharing. You can change your password after your service period ends. We will never access any account other than job platforms listed here.

Indeed

Username / Email

Password

Resume uploaded to this platform?

Username / Email

Password

LinkedIn profile complete and up to date?

ZipRecruiter

Username / Email

Password

Glassdoor

Username / Email

Password

Other platforms not listed above

Do you have an existing resume to share with us?

Step 6 of 7

Client Agreement & Waiver

Remote Role Society | Client Service Agreement and Authorization Waiver

By signing this agreement, you ("Client") authorize Remote Role Society, a service of Talyon Holdings Ltd. ("RRS"), to act on your behalf in submitting job applications to third-party employers and job platforms using the credentials and information you have provided in this intake form.

1. No Guarantee of Employment. RRS does not guarantee job interviews, job offers, or employment of any kind. RRS provides application assistance services only. Results vary based on market conditions, client qualifications, and employer decisions entirely outside the control of RRS.

2. No Guarantee of Interviews. Submission of applications does not guarantee that any employer will contact, interview, or consider the Client for any position.

3. Refund Policy. All sales are final. No refunds will be issued once job applications have begun on the Client's behalf. Cancellation of service stops future billing but does not entitle Client to a refund of any amounts already paid.

4. Client Authorization. Client confirms they are the individual named in this intake form and authorizes RRS to use their provided credentials, resume, cover letter, and personal information solely for the purpose of submitting job applications on their behalf.

5. Not a Staffing Agency. RRS is not a staffing agency, recruiter, or placement firm. RRS does not represent employers and does not receive placement fees from employers. RRS is a paid client service only.

6. Data Privacy. Client information is stored securely and used only for the delivery of RRS services. Client information is never sold, shared, or distributed to third parties. Job platform credentials are used only to submit applications and are not stored beyond the active service period.

7. Client Responsibilities. Client agrees to respond to RRS communications within 48 hours, provide accurate and truthful information in this intake form, notify RRS immediately of any changes to credentials or job preferences, and notify RRS immediately upon receiving a job offer so applications may be paused.

8. Governing Law. This agreement is governed by the laws of the State of Florida.

Full legal name (typed signature) *

Today's date *

I have read and agree to the Remote Role Society Client Service Agreement. I understand that no employment outcome is guaranteed, that all sales are final once applications begin, and that I am authorizing Remote Role Society to apply for jobs on my behalf using the information I have provided in this form.

How did you find Remote Role Society?

Anything else you want your strategist to know before we begin?

Step 7 of 7

✓

Welcome to Remote Role Society!

Your intake form has been received. Your strategist will review your information and reach out within 24 hours to schedule your onboarding strategy call. Check your email at remoterolesociety@hotmail.com for a confirmation and next steps.

What happens next:
1. Your strategist reviews your intake form
2. You receive your onboarding strategy call invitation
3. Your resume is built or optimized
4. Applications begin on your next billing cycle Monday