Notify Us of Having Found an Actuarial Job

CONTACT INFORMATION:
	Name: First M. Last
	What caused your first contact with your new employer:
	E Mail Address - (preferably one used after graduation):
	New Current Home Address: Street Address Street Address City ST/Province Zip/Zone Country
	Home Phone () -
EMPLOYMENT:	Employer:
	Descriptive Title:
	Type of Employer:
	Actuarial area will be working in, use: A=Annuities, B=Benefits, C=Casualty, D=Disability, H=Health, I=Investments, L=Life, P=Pensions, S=Software Related or O=Other:
	Type of work performing (i.e. product development, financial reporting, etc.):
	Starting Date of Employment month/year:
	Job is Permanent Full Time or an Internship?
	STARTING COMPENSATION (we hope to publish a salary survey to assist companies in paying actuaries competitively): Interns - for annual rate simply multiply hourly rate x 2000 hours or monthly rate x 12 Annualized Base Salary (format $50,000): $
	Did you receive a hiring bonus? yes / no Amount (format $3,000) $ defined as - Any one time amounts other than those allocated to relocation.
	Did you need to relocate to another city for this position?
	Did you receive relocation financial assistance? yes / no Amount (format $3,000) $ defined as - Any other amounts towards moving...if moving was covered, amounts you think it would total to.
LOCATION:	Company is located in the following location: City ST/Province Country
ACTUARIAL:	Did you have at least one actuarial internship or any other actuarial work experience prior to starting this position?
	How many Actuarial Society Exams have you officially received a passing grade for when accepted offer (or knew "officially" that exam was passed by time start date):
	Number of Actuarial Society Exams you will have taken but will not have results for prior to employment start date (enter 0 if have already started):
	Exam Passings and Future Sittings on day started first actuarial job use format of: passed-course-score-date): i.e.: passed-courseP-7-11/2008, sit-CourseM-5/2009
	Form completed by:
	Additional Comments: