Most Recent Title*

Most Recent Employer*

Are you authorized to work in the United States for any employer?*

Yes   No

What are your primary areas of expertise relevant to interim placements?*

Describe the types of interim opportunities in which you are particularly interested.*

In which cities or regions are you interested in undertaking interim placements?*

Are you open to remote work, in-person assignments, or a combination of both?*

How many days per week are you available for interim assignments?*

What is the minimum weekly compensation you would consider, based on the availability listed above?*

Have you previously undertaken interim assignments?*

Yes   No

Are you currently engaged in interim work with other organizations?*

Do you already operate as an independent entity (e.g., consultant, freelancer) for your interim assignments? Are you currently working under an exclusive or non-exclusive agreement with another firm?*

How long do you envision working on an interim basis?*

How did you become aware of the opportunity?*

Will you now or in the future require visa sponsorship?*

Yes   No

U.S. EQUAL EMPLOYMENT OPPORTUNITY INFORMATION — Our company values diversity. To ensure that we comply with reporting requirements and to learn more about how we can increase diversity in our candidate pool, we invite you to voluntarily provide demographic information in a confidential survey at the end of this application. Providing this information is optional. It will not be accessible or used in the hiring process and has no effect on your opportunity for employment. (Completion is voluntary and will not subject you to adverse treatment.)*

Select an option Yes - I agree to voluntarily agree to provide my demographic information. No - I would prefer not to provide my demographic information. Sí, acepto voluntariamente proporcionar mi información demográfica.

Veteran Status

Select an option I am a veteran I am not a veteran I decline to self-identify no soy un veterano

Preferred Pronouns

Race / Ethnicity

Please review and acknowledge the disclaimer language provided. I understand that completing this form and submitting it does not guarantee employment or constitute an established relationship between myself and TOCG. I understand that future interviews will be conducted before an engagement occurs.*

Select an option By clicking here, I acknowledge that I have read, understood, and agree to the terms stated in the Disclaimer Acknowledgment By clicking here, I acknowledge that I have read, understood, and agree to the terms stated in the Disclaimer Acknowledg

What date would you be available to begin an interim placement?*

Are you also open to considering permanent employment opportunities?*